Exploring intensive care nurses' team performance in a simulation-based emergency situation, - expert raters' assessments versus self-assessments: An explorative study

被引：20
作者：
Ballangrud R. [1 ,2 ]
Persenius M. [1 ]
Hedelin B. [2 ]
Hall-Lord M.L. [1 ,2 ]
机构：
[1] Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad
[2] Department of Nursing, Faculty of Health, Care and Nursing, Gjøvik University College, Teknologivn, Gjøvik
来源：
BMC Nursing | / 13卷 / 1期
关键词：
Assessment; Emergency; Intensive care; Non-technical skills; Nursing; Patient safety; Simulation-based training; Team performance;
D O I：
10.1186/s12912-014-0047-5
中图分类号：
学科分类号：
摘要：
Background: Effective teamwork has proven to be crucial for providing safe care. The performance of emergencies in general and cardiac arrest situations in particular, has been criticized for primarily focusing on the individual's technical skills and too little on the teams' performance of non-technical skills. The aim of the study was to explore intensive care nurses' team performance in a simulation-based emergency situation by using expert raters' assessments and nurses' self-assessments in relation to different intensive care specialties. Methods: The study used an explorative design based on laboratory high-fidelity simulation. Fifty-three registered nurses, who were allocated into 11 teams representing two intensive care specialties, participated in a videotaped simulation-based cardiac arrest setting. The expert raters used the Ottawa Crisis Resource Management Global Rating Scale and the first part of the Mayo High Performance Teamwork Scale to assess the teams' performance. The registered nurses used the first part of the Mayo High Performance Teamwork Scale for their self-assessments, and the analyses used were Chi-square tests, Mann-Whitney U tests, Spearman's rho and Intraclass Correlation Coefficient Type III. Results: The expert raters assessed the teams' performance as either advanced novice or competent, with significant differences being found between the teams from different specialties. Significant differences were found between the expert raters' assessments and the registered nurses' self-assessments. Conclusions: Teams of registered nurses representing specialties with coronary patients exhibit a higher competence in non-technical skills compared to team performance regarding a simulated cardiac arrest. The use of expert raters' assessments and registered nurses' self-assessments are useful in raising awareness of team performance with regard to patient safety. © 2014 Ballangrud et al.
引用
收藏
相关论文
共 61 条
  • [1] Manser T., Teamwork and patient safety in dynamic domains of healthcare: a review of the literature, Acta Anaesthesiol Scand, 53, 2, pp. 143-151, (2009)
  • [2] Buljac-Samardzic M., Dekker-van Doorn C.M., Van Wijngaarden J.D.H., Van Wijk K.P., Interventions to improve team effectiveness: a systematic review, Health Policy, 94, 3, pp. 183-195, (2010)
  • [3] Manojlovich M., DeCicco B., Healthy work environments, nurse-physician communication, and patients' outcomes, Am J Crit Care, 16, 6, pp. 536-543, (2007)
  • [4] Raemer D.B., Team-Oriented Medical Simulation, Simulators in Critical Care and Beyond, pp. 42-46, (2004)
  • [5] Kohn L.T., Corrigan J.M., Donaldson M.S., To Err is Human: Building a Safer Health System, (2000)
  • [6] Gaba D.M., The future vision of simulation in health care, Qual Saf Health Care, 13, pp. i2-i10, (2004)
  • [7] Crossing the Quality Chasm: a New Health System for the 21st Century, (2001)
  • [8] Cato D., Murray M., Use of simulation training in the intensive care unit, Crit Care Nurs Q, 33, 1, pp. 44-51, (2010)
  • [9] Nagle B.M., McHale J.M., Alexander G.A., French B.M., Incorporating scenario-based simulation into a hospital nursing education program, J Contin Educ Nurs, 40, 1, pp. 18-25, (2009)
  • [10] Flin R., O'Connor P., Crichton M., Safety at the Sharp End: A Guide to Non-Technical Skills, (2008)
1234567