Healthcare Team Vitality Instrument

​Betsy Lee, RN, MSPH, and Valda Upenieks, PhD, RN


Developed as part of the initiative, Transforming Care at the Bedside, a national program of the Robert Wood Johnson Foundation and the Institute for Healthcare Improvement

The Healthcare Team Vitality Instrument (HTVI) measures team vitality with an emphasis on dimensions related to front-line staff empowerment and engagement, perception of a work environment supportive of safe and high-quality patient care, effective communication, and team collaboration. The HTVI was initially developed to assess team vitality of nurses and other personnel working on inpatient medical-surgical units. The tool has been adapted based upon validation research.


The Healthcare Team Vitality Instrument is a short survey used to assess team vitality of nurses as well as other licensed and unlicensed staff working as part of health care teams on inpatient hospital units. The HTVI was initially developed for repeated, regular measurement to assess the impact on staff vitality of changes tested in the Transforming Care at the Bedside initiative. Other available instruments assess various characteristics of registered nurses or perceptions about and characteristics of the organizations in which they work, but not these factors in combination with critical factors of interdisciplinary team functioning and collaboration.

This tool has been used in inpatient hospital settings, primarily on medical-surgical units participating in the Transforming Care at the Bedside (TCAB) initiative, the IHI Transforming Medical-Surgical Care Learning Community, and the AONE TCAB initiative.

See related information:

Upenieks VV, Lee EA, Flanagan ME, Doebbeling BN. Healthcare Team Vitality Instrument (HTVI): Developing a tool assessing healthcare team functioning. Journal of Advanced Nursing. 2010 Jan;66(1):168-176. Epub 2009 Nov 24.

Average Content Rating
(0 user)
Please login to rate or comment on this content.
User Comments