DNP Scholarly Projects


Effective communication and teamwork skills among oral and maxillofacial surgery (OMS) teams are essential for quality and safe patient care. As some in the profession assert that the team model for delivering anesthesia care is integral to their history of safety, the model continues to be scrutinized by professional groups whose members seek to limit oral surgeons’ ability to provide anesthesia services in the office setting. This quality improvement project assessed how introducing the TeamSTEPPS Office-Based Care (OBC) program in an OMS clinic impacted team dynamics. The impact of TeamSTEPPS OBC training on attitudes and perceptions of teamwork was evaluated with the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ), the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), and a qualitative tool using a mixed methods explanatory sequential design. The data was collected following the training session and at 60 days post training. Fifteen team members (79%) and two surgeons (50%) completed the training and the pre-/post-assessments. Statistical analyses were conducted using a Wilcoxon Signed Rank test with Rosenthal’s r for effect size, and thematic properties were extracted from qualitative responses. The overall post-training T-TAQ scores improved significantly (p < 0.05), and while 100% of the participants (N = 17) reported enhanced teamwork, the increase in the overall post-implementation T-TPQ score was not statistically significant (p = 0.234). Huddles were the most frequently used tool during the implementation period. Participant responses highlighted the need for leadership support, surgeon endorsement, full team participation, coaching, and frequent reinforcement activities to sustain the TeamSTEPPS OBC tools and strategies.

Keywords: TeamSTEPPS, oral and maxillofacial surgery, teamwork, communication, oral surgery anesthesia teams


Spring 4-13-2023

First Advisor

Steven Busby, Ph.D., FNP-BC

Second Advisor

David Phillippi, Ph.D., MS

Third Advisor

Laura Gray, Ph.D., MSN, RN

Scholarly Project Team Member

Christina Yancey, MS


Nursing, School of


Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project


Doctorate of Nursing Practice (DNP)

Degree Level


Degree Grantor

Belmont University


TeamSTEPPS, oral and maxillofacial surgery, teamwork, communication, oral surgery anesthesia teams

Included in

Nursing Commons