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DeGroot D, Callis A. Role Delineation of the Code Blue Team: A Quasi-Experimental Study During COVID-19. J Emerg Nurs 2023; 49:287-293. [PMID: 36588070 PMCID: PMC9715485 DOI: 10.1016/j.jen.2022.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 11/12/2022] [Accepted: 11/27/2022] [Indexed: 12/03/2022]
Abstract
INTRODUCTION The purpose of this study was to assess if implementing a code role delineation intervention in an emergency department would improve the times to defibrillation and medication administration and improve the nurse perception of teamwork. METHODS A quantitative quasi-experimental study used a retrospective chart review to gather data. A pre- and post-test measured nurse perception of teamwork in a code using the Mayo High Performance Teamwork Scale (MHPTS) after a code role delineation intervention using a paired samples t-test. Pearson r correlations were used to determine relationships between nurse participant (N = 30) demographics and results of the MHPTS scores. RESULTS A significant increase in teamwork was noted in 5 of the 16 items on the MHPTS regarding improved communication and identified roles in a code: the team leader assures maintenance of an appropriate balance between command authority and team member participation (t = -5.607, P < .001), team members demonstrated a clear understanding of roles (t = -5.415, P < .001), team members repeat back instructions and clarifications to indicate that they heard them correctly (t = -2.400, P = .029), all members of the team are appropriately involved and participate in the activity (t = -2.236, P = .041), and conflicts among team members are addressed without a loss of situation awareness (t = -2.704, P = .016). There was significance between total pre- and post-test scores (t = -3.938, P = .001). DISCUSSION Implementation of code role delineation identifiers is an effective method of improving teamwork in a code in an emergency department setting.
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Lapierre A, Lavoie P, Castonguay V, Lonergan AM, Arbour C. The influence of the simulation environment on teamwork and cognitive load in novice trauma professionals at the emergency department: Piloting a randomized controlled trial. Int Emerg Nurs 2023; 67:101261. [PMID: 36804137 DOI: 10.1016/j.ienj.2022.101261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 12/16/2022] [Accepted: 12/29/2022] [Indexed: 02/20/2023]
Abstract
INTRODUCTION This pilot study aimed to test the feasibility of conducting a randomized controlled trial to examine how simulation environments (in situ versus laboratory) influence teamwork skills development and cognitive load among novice healthcare trauma professionals in the emergency department. METHOD Twenty-four novice trauma professionals (nurses, medical residents, respiratory therapists) were assigned to in situ or laboratory simulations. They participated in two 15-minute simulations separated by a 45-minute debriefing on teamwork. After each simulation, they completed validated teamwork and cognitive load questionnaires. All simulations were video recorded to assess teamwork performance by trained external observers. Feasibility measures (e.g., recruitment rate, randomization procedure and intervention implementation) were recorded. Mixed ANOVAs were used to calculate effect sizes. RESULTS Regarding feasibility, several difficulties were encountered, such as a low recruitment rate and the inability to perform randomization. Outcome results suggest that the simulation environment does not affect novice trauma professionals' teamwork performance and cognitive load (small effect sizes), but a large effect size was observed for perceived learning. CONCLUSION This study highlights several barriers to conducting a randomized study in the context of interprofessional simulation-based education in the emergency department. Suggestions are made to guide future research in the field.
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Affiliation(s)
- Alexandra Lapierre
- Faculty of Nursing, Université de Montréal, 2375 Chem. de la Côte-Sainte-Catherine, Montréal, QC H3T 1A8, Canada; Research center, Hôpital du Sacré-Coeur de Montréal, 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada.
| | - Patrick Lavoie
- Faculty of Nursing, Université de Montréal, 2375 Chem. de la Côte-Sainte-Catherine, Montréal, QC H3T 1A8, Canada
| | - Véronique Castonguay
- Research center, Hôpital du Sacré-Coeur de Montréal, 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada
| | - Ann-Marie Lonergan
- Research center, Hôpital du Sacré-Coeur de Montréal, 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada
| | - Caroline Arbour
- Faculty of Nursing, Université de Montréal, 2375 Chem. de la Côte-Sainte-Catherine, Montréal, QC H3T 1A8, Canada; Research center, Hôpital du Sacré-Coeur de Montréal, 5400 Boul Gouin O, Montréal, QC H4J 1C5, Canada
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Peverini A, Lawson G, Petsas-Blodgett N, Oermann MH, Tola DH. Time-to-Task in Interval Simulated Cardiopulmonary Resuscitation Training: A Method for Maintaining Resuscitation Skills. J Perianesth Nurs 2022; 38:404-407. [PMID: 36585289 DOI: 10.1016/j.jopan.2022.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 08/09/2022] [Accepted: 08/10/2022] [Indexed: 12/30/2022]
Abstract
PURPOSE The literature supports interval simulation training as a means of improving nurses' cardiopulmonary resuscitation (CPR) skills. The aim of this project was to improve the time-to-task skills in single-rescuer basic life support (BLS) in an outpatient surgery center through interval simulation training. DESIGN Quality Improvement project. METHODS Twenty-nine nursing staff were included in this pretest/post-test within subjects interventional design quality improvement project. A 2-minute pretest cardiac arrest simulation was performed in the outpatient surgery center where time-to-task and quality of CPR data were collected. The pretest was followed by a lecture and CPR training. Three months later, the simulation was post-tested in an identical scenario with measures of time-to-task and quality of CPR. FINDINGS T4he mean times for code bell activation and initiation of CPR decreased significantly following the interval simulation training (P < .05). A clinically significant decrease was seen in the mean time-to-task placement of a backboard on code team arrival. CONCLUSION Interval simulation training is an effective means of maintaining CPR skills in the outpatient surgery center setting.
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Hindiyeh R, Cross J. Identifying the relative impact of process- and outcome-related team performance antecedents: a meta-analysis. TEAM PERFORMANCE MANAGEMENT 2022. [DOI: 10.1108/tpm-02-2022-0016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this paper is to identify, through an exploratory meta-analysis, which process- and outcome-related antecedents have the strongest relationship to overall team performance. The secondary objective is to create an understanding of the extent to which relative research interest in each construct to date has aligned with its reported effects.
Design/methodology/approach
This study uses a random-effects meta-analysis on studies that have measured the relationship between at least one process or outcome factor and overall team performance. The number of studies, effect size and between-study variances are captured and analyzed for each process/outcome factor. Prior literature has explored relationships between various process/outcome factors and overall team performance. This study expands on previous literature by examining a comprehensive set of process/outcome factors and their relative impact on overall team performance.
Findings
A meta-analysis of 190 effect sizes extracted from 52 empirical studies over the past two decades (1999–2020) showed the specific process and outcome factors that most strongly contributed to overall team performance were efficiency, schedule and innovation. In addition, only a weak correlation was found between process and outcome factors’ relationships with overall team performance and how often they are studied in the research community.
Originality/value
This study contributes to the body of knowledge on team performance by examining prior research to identify the relevant impact of various process and outcome factors on overall team performance. In addition, this study also assesses the extent to which research interest in these factors has appeared to match their relative impact. Analyzing the relative impact of various process and outcome factors allows researchers and practitioners to better identify methods to create improvement in overall team performance. Based on the findings, prioritizing efficiency, schedule and innovation may promote overall team performance.
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Aghaie B, Heidari S, Abbasinia M, Abdoli M, Norouzadeh R, Shamali M. Teamwork competence and readiness of emergency nurses in the care of trauma patients: A multicenter cross-sectional study. Int Emerg Nurs 2021; 59:101073. [PMID: 34592603 DOI: 10.1016/j.ienj.2021.101073] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 07/16/2021] [Accepted: 08/19/2021] [Indexed: 10/20/2022]
Abstract
INTRODUCTION Emergency nurse's teamwork competency and readiness are crucial to improve the quality of care and patient outcome in trauma patients. This study aimed to determine teamwork competence and readiness of emergency nurses in the care of trauma patients. METHODS A cross-sectional study was conducted among 230 emergency nurses and nursing assistants in emergency departments of three university hospitals in Iran in 2020. Data were collected using a researcher-made questionnaire on nurses' readiness and the nontechnical skills scale. RESULTS The mean score for nurses' readiness was 3.55 ± 0.60 (maximum 5) and for nurses' teamwork competence was 3.49 ± 0.77 (maximum 5). The significant variables related to teamwork competency were gender and type of hospital. Emergency nurses with master's degrees, who had completed training courses of advanced trauma life support and triage, their source of information were from seminars' participations and clinical experiences, and worked at trauma hospital reported a higher level of readiness. Older age and higher work experiences were positively associated with readiness in emergency nurses. CONCLUSION The significant variables associated with the teamwork competence and readiness identified in this study may be used to improve the teamwork competence and readiness of emergency nurses in emergency settings.
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Affiliation(s)
- Bahman Aghaie
- Department of Medical-Surgical Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran
| | - Saeide Heidari
- Department of Medical-Surgical Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran
| | - Mohammad Abbasinia
- Department of Medical-Surgical Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran.
| | - Maryam Abdoli
- Department of Medical-Surgical Nursing, School of Nursing, Qom University of Medical Sciences, Qom, Iran
| | - Reza Norouzadeh
- Nursing and Midwifery Faculty, Shahed University, Tehran, Iran
| | - Mahdi Shamali
- Department of Gastroenterology, Herlev and Gentofte University Hospital, Copenhagen, Denmark
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Olsson A, Sjöberg F, Salzmann-Erikson M. Follow the protocol and kickstart the heart-Intensive care nurses' reflections on being part of rescue situations in interdisciplinary teams. Nurs Open 2021; 8:3325-3333. [PMID: 34431610 PMCID: PMC8510712 DOI: 10.1002/nop2.1050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 05/20/2021] [Accepted: 07/19/2021] [Indexed: 11/09/2022] Open
Abstract
Aim To describe intensive care nurses' reflections on being part of interdisciplinary emergency teams involved in in‐hospital cardiopulmonary resuscitation. Design A qualitative descriptive design. Methods: Eighteen intensive care nurses from two regions and three hospitals in Sweden were interviewed. The data were analysed with General Inductive Analysis. Results The work for intensive care nurses in the emergency team was reflected in three phases: prevention, intervention and mitigation—referred as before, during and after the CPR situation. Conclusions The findings describe the complexity of being an intensive care nurse in an interdisciplinary emergency team, which entails managing advanced care with limited and unknown resources in a non‐familiar environment. The present findings have important clinical implications concerning the value of having debriefing sessions to reflect on and to talk about obstacles to and prerequisites for performing successful resuscitation.
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Affiliation(s)
- Annakarin Olsson
- Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
| | - Fredric Sjöberg
- Unit of Anaesthesiology and Intensive Care, Södersjukhuset, Karolinska University Hospital, Stockholm, Sweden
| | - Martin Salzmann-Erikson
- Department of Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden
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Dewolf P, Clarebout G, Wauters L, Van Kerkhoven J, Verelst S. The Effect of Teaching Nontechnical Skills in Advanced Life Support: A Systematic Review. AEM EDUCATION AND TRAINING 2021; 5:e10522. [PMID: 34041431 PMCID: PMC8138104 DOI: 10.1002/aet2.10522] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 08/14/2020] [Accepted: 08/17/2020] [Indexed: 06/12/2023]
Abstract
OBJECTIVES The objective of this study was to evaluate the effect of nontechnical skills (NTS) training on performance in advanced life support (ALS) simulation. Furthermore, we aimed to determine the ideal frequency of training sessions for an optimal retention and the value of debriefing. METHODS A systematic search was performed using PubMed, EMBASE, WoS, ERIC, CINAHL, and the Cochrane Library conducted through August 1, 2018. All primary studies mentioning NTS in ALS education were included. Three reviewers independently extracted data on study design and outcome. The MERSQI approach was used to evaluate the overall quality of evidence. RESULTS Of the 10,723 identified articles, 40 studies were included with a combined total of 3,041 participants, ranging from students to experts. Depending on the focus of the study, articles were categorized in NTS (n = 25), retention (n = 8), and feedback (n = 10). Incorporating NTS during ALS simulation showed significant improvements in timing for performing critical first steps. Furthermore, good leadership skills had a favorable effect on overall technical performance and teamwork during simulation improved team dynamics and performance. Finally, debriefing also had a beneficial effect on team performance. One particular type of debriefing does not appear to be superior to other types of debriefing. CONCLUSION Team simulation training resulted in improved NTS and a reduction in the time required to complete a simulated cardiac arrest. Therefore, a formal NTS program should be introduced into ALS courses. Feedback and repetitive practice are key factors to train NTS. The impact of training on team behaviors can persist for at least 3 to 6 months. In conclusion, understanding and improving NTS may help to create more effective teams. The effect on patient outcome requires further investigation.
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Affiliation(s)
- Philippe Dewolf
- Department of Emergency MedicineUniversity Hospitals LeuvenLeuvenFlandersBelgium
- Faculty of MedicineKU LeuvenLeuvenFlandersBelgium
| | - Geraldine Clarebout
- Faculty of Psychology and Pedagogical SciencesCentre for Instructional Psychology and TechnologyKU LeuvenLeuvenFlandersBelgium
| | - Lina Wauters
- Department of Emergency MedicineUniversity Hospitals LeuvenLeuvenFlandersBelgium
| | - Joke Van Kerkhoven
- Department of Emergency MedicineUniversity Hospitals LeuvenLeuvenFlandersBelgium
| | - Sandra Verelst
- Department of Emergency MedicineUniversity Hospitals LeuvenLeuvenFlandersBelgium
- Faculty of MedicineKU LeuvenLeuvenFlandersBelgium
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Santomauro CM, Hill A, McCurdie T, McGlashan HL. Improving the Quality of Evaluation Data in Simulation-Based Healthcare Improvement Projects: A Practitioner's Guide to Choosing and Using Published Measurement Tools. Simul Healthc 2020; 15:341-355. [PMID: 32520766 PMCID: PMC7531509 DOI: 10.1097/sih.0000000000000442] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
STATEMENT Simulation is increasingly being used in healthcare improvement projects. The aims of such projects can be extremely diverse. Accordingly, the outcomes or participant attributes that need to be measured can vary dramatically from project-to-project and may include a wide range of nontechnical skills, technical skills, and psychological constructs. Consequently, there is a growing need for simulation practitioners to be able to identify suitable measurement tools and incorporate them into their work. This article provides a practical introduction and guide to the key considerations for practitioners when selecting and using such tools. It also offers a substantial selection of example tools, both to illustrate the key considerations in relation to choosing a measure (including reliability and validity) and to serve as a convenient resource for those planning a study. By making well-informed choices, practitioners can improve the quality of the data they collect, and the likelihood that their projects will succeed.
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Affiliation(s)
- Chiara M Santomauro
- From the Clinical Skills Development Service (C.M.S., A.H., T.M., H.L.M.), Metro North Hospital and Health Service; and School of Psychology (C.M.S., A.H., T.M.), The University of Queensland, Brisbane, Queensland, Australia
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Lucas A, Edwards M, Harder N, Gillman L. Teaching Crisis Resource Management Skills to Nurses Using Simulation. J Contin Educ Nurs 2020; 51:257-266. [PMID: 32463899 DOI: 10.3928/00220124-20200514-05] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 11/25/2019] [Indexed: 01/17/2023]
Abstract
BACKGROUND Education programs teaching crisis resource management (CRM) skills (problem solving, situational awareness, resource utilization, communication, and leadership) have been shown to positively affect learner competence in handling crisis events. As part of an education program, a high-fidelity simulation program was used as a learning intervention to teach these skills to practicing nurses. METHOD In this repeated-measures observational study, 11 RNs were evaluated at four time points, measuring the effect of an education program on observed performance of CRM skills. Performance was measured using the Ottawa Global Rating Scale and a checklist tool. RESULTS Statistically significant changes in mean scores occurred between times one and two, and nonstatistically significant improvement occurred in means overall. CONCLUSION This study adds evidence of the effectiveness of high-fidelity simulation education and highlights the need for further research. [J Contin Educ Nurs. 2020;51(6):257-266.].
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Hardenberg J, Rana I, Tori K. Simulation Exposure Improves Clinical Skills for Postgraduate Critical Care Nurses. Clin Simul Nurs 2019. [DOI: 10.1016/j.ecns.2018.12.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Bond L, Hallmark B. Educating Nurses in the Intensive Care Unit About Gastrointestinal Complications: Using an Algorithm Embedded into Simulation. Crit Care Nurs Clin North Am 2017; 30:75-85. [PMID: 29413217 DOI: 10.1016/j.cnc.2017.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
It can be a challenge to prepare intensive care unit (ICU) nurses to recognize and care for the complex needs of deteriorating patients, especially in patients with gastrointestinal (GI) complications, who often present with vague but serious issues. Tools such as the sequential organ failure assessment tool and the GI failure tool have been used to assist nurses in decision making. This article discusses how to incorporate such tools into an algorithm for simulation training for ICU nurses that integrates a clinical judgment model to shape care for patients with GI complications.
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Affiliation(s)
- Loretta Bond
- Belmont University-Gordon E. Inman College of Health Sciences & Nursing, 1900 Belmont Boulevard, Nashville, TN 37212-3757, USA
| | - Beth Hallmark
- Belmont University-Gordon E. Inman College of Health Sciences & Nursing, 1900 Belmont Boulevard, Nashville, TN 37212-3757, USA.
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Using High-Fidelity Simulation and Video-Assisted Debriefing to Enhance Obstetrical Hemorrhage Mock Code Training. J Nurses Prof Dev 2017; 33:234-239. [PMID: 28891878 DOI: 10.1097/nnd.0000000000000387] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The purpose of this descriptive, one-group posttest study was to explore the nursing staff's perception of the benefits of using high-fidelity simulation during mandated obstetrical hemorrhage mock code training. In addition, the use of video-assisted debriefing was used to enhance the nursing staff's evaluation of their communication and teamwork processes during a simulated obstetrical crisis. The convenience sample of 84 members of the nursing staff consented to completing data collection forms and being videotaped during the simulation. Quantitative results for the postsimulation survey showed that 93% of participants agreed or totally agreed that the use of SimMan made the simulation more realistic and enhanced learning and that debriefing and the use of videotaped playback improved their evaluation of team communication. Participants derived greatest benefit from reviewing their performance on videotape and discussing it during postsimulation debriefing. Simulation with video-assisted debriefing offers hospital educators the ability to evaluate team processes and offer support to improve teamwork with the ultimate goal of improving patient outcomes during obstetrical hemorrhage.
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Coppens I, Verhaeghe S, Van Hecke A, Beeckman D. The effectiveness of crisis resource management and team debriefing in resuscitation education of nursing students: A randomised controlled trial. J Clin Nurs 2017; 27:77-85. [DOI: 10.1111/jocn.13846] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/02/2017] [Indexed: 11/29/2022]
Affiliation(s)
- Imgard Coppens
- Department Health Care; Nursing Department; Knowledge Centre Brussels Integrated Care; Erasmus University College Brussels; Brussels Belgium
| | - Sofie Verhaeghe
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - Ann Van Hecke
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - Dimitri Beeckman
- Department of Public Health; University Centre for Nursing and Midwifery; Ghent University; Ghent Belgium
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Abstract
Nurses are expected to master many skills, especially in critical care; thus, competency is crucial. Clinical educators must determine whether nurses who are new to the skill set have attained an acceptable level of achievement in performance; hence, are they capable of providing quality and safe patient care? Simulation learning is used in the hospital setting and largely in academic centers. Strategies include for the instructor to acquire an aspect of abilities and deficits as a basis upon which to create learning experiences that enable nurses to develop essential clinical competence.
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Abstract
Situation awareness (SA) refers to the conscious awareness of the current situation in relation to one’s environment. In nursing, loss or failure to achieve high levels of SA is linked with adverse patient outcomes. The purpose of this integrative review is to examine various instruments and techniques used to measure SA among nurses across academic and clinical settings. Computerized database and ancestry search strategies resulted in 40 empirical research reports. Of the reports included in the review, 24 measured SA among teams that included nurses and 16 measured SA solely in nurses. Methods used to evaluate SA included direct and indirect methods. Direct methods included the Situation Awareness Global Assessment Technique and questionnaires. Indirect methods included observer rating instruments and performance outcome measures. To have a better understanding of how nurses’ make decisions in complex work environments, reliable and valid measures of SA is crucial.
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Affiliation(s)
- Sabrina B. Orique
- University of Missouri, Columbia, MO, USA
- Kaweah Delta Health Care District, Visalia, CA, USA
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Abstract
Well-planned and conducted health care simulation scenarios provide opportunities for staff development in areas such as communication, patient care, and teamwork. Consideration of resources, the location for the training, preparation of learners, and use of either a high-fidelity mannequin or a trained actor (eg, a standardized patient) are all part of the operational attentions needed to conduct a simulation training scenario. In order for participants to meet training objectives, the execution of the simulation session must be both planned and purposeful.
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Affiliation(s)
- Janet Willhaus
- Janet Willhaus is Assistant Professor, School of Nursing, Boise State University, 1910 University Drive, Boise, ID 83725-1840
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Leigh G, Stueben F, Harrington D, Hetherman S. Making the Case for Simulation-Based Assessments to Overcome the Challenges in Evaluating Clinical Competency. Int J Nurs Educ Scholarsh 2016; 13:/j/ijnes.2016.13.issue-1/ijnes-2015-0048/ijnes-2015-0048.xml. [DOI: 10.1515/ijnes-2015-0048] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2015] [Accepted: 02/26/2016] [Indexed: 11/15/2022]
Abstract
AbstractThe use of simulation in nursing has increased substantially in the last few decades. Most schools of nursing have incorporated simulation into their curriculum but few are using simulation to evaluate clinical competency at the end of a semester or prior to graduation. Using simulation for such high stakes evaluation is somewhat novel to nursing. Educators are now being challenged to move simulation to the next level and use it as a tool for evaluating clinical competency. Can the use of simulation for high-stakes evaluation add to or improve our current evaluation methods? Using patient simulation for evaluation in contrast to a teaching modality has important differences that must be considered. This article discusses the difficulties of evaluating clinical competency, and makes the case for using simulation based assessment as a method of high stakes evaluation. Using simulation for high-stakes evaluation has the potential for significantly impacting nursing education.
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Affiliation(s)
- Gwen Leigh
- 1Nursing and Allied Health, University of Louisiana at Lafayette, P.O. Box 43810 Lafayette, LA 70504, United States of America
| | - Frances Stueben
- 1Nursing and Allied Health, University of Louisiana at Lafayette, P.O. Box 43810 Lafayette, LA 70504, United States of America
| | - Deedra Harrington
- 1Nursing and Allied Health, University of Louisiana at Lafayette, P.O. Box 43810 Lafayette, LA 70504, United States of America
| | - Stephen Hetherman
- 2Objectivity Plus-Psychometrics, 3909 Ambassador Caffery, Lafayette, LA 70503, United States of America
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