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Effect of a simulation-based workshop on multidisplinary teamwork of newborn emergencies: an intervention study.

Rovamo L, Nurmi E, Mattila MM, Suominen P, Silvennoinen M - BMC Res Notes (2015)

Bottom Line: The CRM instruction did not improve the I-group's teamwork performance.The instruction of non-technical skills before simulation training did not enhance the acquisition of teamwork skills of the intervention groups over the corresponding set of skills of the control groups.Experience of team leaders improved teamwork over the CRM instruction.

View Article: PubMed Central - PubMed

Affiliation: HUCH Children and Adolescents, Helsinki University, BOX 94268, Helsinki, Finland. Rovamo@saunalahti.fi.

ABSTRACT

Background: Video analyses of real-life newborn resuscitations have shown that Neonatal Resuscitation Program (NRP) guidelines are followed in fewer than 50 % of cases. Multidisciplinary simulation is used as a first-rate tool for the improvement of teamwork among health professionals. In the study we evaluated the impact of the crisis resource management (CRM) and anesthesia non-technical skills instruction on teamwork during simulated newborn emergencies.

Methods: Ninety-nine participants of two delivery units (17 pediatricians, 16 anesthesiologists, 14 obstetricians, 31 midwives, and 21 neonatal nurses) were divided to an intervention group (I-group, 9 teams) and a control group (C-group, 6 teams). The I-group attended a CRM and ANTS instruction before the first scenario. After each scenario the I-group performed either self- or peer-assessment depending on whether they had acted or observed in the scenario. All the teams participated in two and observed another two scenarios. All the scenarios were video-recorded and scored by three experts with Team Emergency Assessment Measure (TEAM). SPSS software and nlme package were used for the statistical analyses.

Results: The total TEAM scores of the first scenario between the I- and C-group did not differ from each other. Neither there was an increase in the TEAM scoring between the first and second scenario between the groups. The CRM instruction did not improve the I-group's teamwork performance. Unfortunately the teams were not comparable because the teams had been allowed to self-select their members in the study design. The total TEAM scores varied a lot between the teams. Mixed-model linear regression revealed that the background of the team leader had an impact on differences of the total teamwork scores (D = 6.50, p = 0.039). When an anesthesia consultant was the team leader the mean teamwork improved by 6.41 points in comparison to specialists of other disciplines (p = 0.043).

Conclusion: The instruction of non-technical skills before simulation training did not enhance the acquisition of teamwork skills of the intervention groups over the corresponding set of skills of the control groups. The teams led by an anesthesiologist scored the best. Experience of team leaders improved teamwork over the CRM instruction.

No MeSH data available.


Related in: MedlinePlus

The comparison of the mean Team Emergency Assessment Measure scores. The total teamwork score (a), and its subgroups: leadership (b), teamwork (c) and task management scores (d) for two of the subsequent simulation scenarios for the intervention (black bar) and for control group (grey bar)
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Fig2: The comparison of the mean Team Emergency Assessment Measure scores. The total teamwork score (a), and its subgroups: leadership (b), teamwork (c) and task management scores (d) for two of the subsequent simulation scenarios for the intervention (black bar) and for control group (grey bar)

Mentions: The TEAM scores for leadership, teamwork, task management and total team scores for both groups are presented in Fig. 2. The total TEAM scores varied between 20.1 and 43.4 points in the scenarios. The mean leadership, teamwork, task management and total TEAM scores did not differ in the first simulation scenario between the I- and the C-group. There was no increase in the TEAM scoring between the first and second scenario between the groups.Fig. 2


Effect of a simulation-based workshop on multidisplinary teamwork of newborn emergencies: an intervention study.

Rovamo L, Nurmi E, Mattila MM, Suominen P, Silvennoinen M - BMC Res Notes (2015)

The comparison of the mean Team Emergency Assessment Measure scores. The total teamwork score (a), and its subgroups: leadership (b), teamwork (c) and task management scores (d) for two of the subsequent simulation scenarios for the intervention (black bar) and for control group (grey bar)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4643499&req=5

Fig2: The comparison of the mean Team Emergency Assessment Measure scores. The total teamwork score (a), and its subgroups: leadership (b), teamwork (c) and task management scores (d) for two of the subsequent simulation scenarios for the intervention (black bar) and for control group (grey bar)
Mentions: The TEAM scores for leadership, teamwork, task management and total team scores for both groups are presented in Fig. 2. The total TEAM scores varied between 20.1 and 43.4 points in the scenarios. The mean leadership, teamwork, task management and total TEAM scores did not differ in the first simulation scenario between the I- and the C-group. There was no increase in the TEAM scoring between the first and second scenario between the groups.Fig. 2

Bottom Line: The CRM instruction did not improve the I-group's teamwork performance.The instruction of non-technical skills before simulation training did not enhance the acquisition of teamwork skills of the intervention groups over the corresponding set of skills of the control groups.Experience of team leaders improved teamwork over the CRM instruction.

View Article: PubMed Central - PubMed

Affiliation: HUCH Children and Adolescents, Helsinki University, BOX 94268, Helsinki, Finland. Rovamo@saunalahti.fi.

ABSTRACT

Background: Video analyses of real-life newborn resuscitations have shown that Neonatal Resuscitation Program (NRP) guidelines are followed in fewer than 50 % of cases. Multidisciplinary simulation is used as a first-rate tool for the improvement of teamwork among health professionals. In the study we evaluated the impact of the crisis resource management (CRM) and anesthesia non-technical skills instruction on teamwork during simulated newborn emergencies.

Methods: Ninety-nine participants of two delivery units (17 pediatricians, 16 anesthesiologists, 14 obstetricians, 31 midwives, and 21 neonatal nurses) were divided to an intervention group (I-group, 9 teams) and a control group (C-group, 6 teams). The I-group attended a CRM and ANTS instruction before the first scenario. After each scenario the I-group performed either self- or peer-assessment depending on whether they had acted or observed in the scenario. All the teams participated in two and observed another two scenarios. All the scenarios were video-recorded and scored by three experts with Team Emergency Assessment Measure (TEAM). SPSS software and nlme package were used for the statistical analyses.

Results: The total TEAM scores of the first scenario between the I- and C-group did not differ from each other. Neither there was an increase in the TEAM scoring between the first and second scenario between the groups. The CRM instruction did not improve the I-group's teamwork performance. Unfortunately the teams were not comparable because the teams had been allowed to self-select their members in the study design. The total TEAM scores varied a lot between the teams. Mixed-model linear regression revealed that the background of the team leader had an impact on differences of the total teamwork scores (D = 6.50, p = 0.039). When an anesthesia consultant was the team leader the mean teamwork improved by 6.41 points in comparison to specialists of other disciplines (p = 0.043).

Conclusion: The instruction of non-technical skills before simulation training did not enhance the acquisition of teamwork skills of the intervention groups over the corresponding set of skills of the control groups. The teams led by an anesthesiologist scored the best. Experience of team leaders improved teamwork over the CRM instruction.

No MeSH data available.


Related in: MedlinePlus