Mapping the implementation of TeamSTEPPS in primary healthcare settings: a scoping review protocol

Scoping review Objective: To systematically identify and categorize the variety of interventions and programs that implement the TeamSTEPPS training programme in primary health care. Introduction: In primary health care, teamwork is essential to promote integrated care and improve healthcare quality. Research points to benefits of team training using TeamSTEPPS in improving teamwork and enhancing the quality of care delivered to patients. However, implementing TeamSTEPPS presents a series of challenges in practice, and there is a lack of knowledge on how to operationalize this framework within primary health care. Inclusion criteria: This review will include studies reporting on the implementation of educational/training programs that apply the TeamSTEPPS framework in primary healthcare settings. This review will not consider studies that do not include the implementation of practices involving TeamSTEPPS, or studies that only point out team training recommendations. Methods: A methodological framework from the Joanna Briggs Institute will be followed to identify recent publications on the implementation of TeamSTEPPS at primary care settings. Relevant databases will be searched to identify pertinent publications. The reference lists of all eligible papers will also be reviewed. Studies will be screened independently by two reviewers. Extracted data on factors that influence implementation of TeamSTEPPS will be grouped into thematic categories and presented in a narrative synthesis. Conclusion: This scoping review can provide a better understanding of how TeamSTEPPS has been implemented in primary health care settings, and especially on barriers and facilitators for its implementation.