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Improving team behaviors utilizing simulation
Dissertation   Open access

Improving team behaviors utilizing simulation

Maryanne Halligan
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2019
DOI:
https://doi.org/10.17918/mfaf-1z03
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Abstract

Nursing--Practice Cardiac resuscitation--Study and teaching Resuscitation--Simulation methods Health care teams Nursing
A team of healthcare professionals responds immediately when a call for help occurs during cardiac arrest in a hospital setting. Patients who suffer from a cardiac arrest in the hospital rely on a high level of team performance for improved survival. The inability to have a consistent team available seven days a week, day and night, creates challenges to produce a high functioning team for success. Simulation has been identified as an education methodology that allows teams to practice clinical events in a safe environment. Incorporating team behaviors in this training can improve team functions even when the team changes from shift to shift. The purpose of this Doctor of Nursing Practice project is to demonstrate the effectiveness of a one-hour simulation training exercise on team behaviors of ad hoc resuscitation teams. The structure of the team includes registered nurses (RN), physicians, physician assistants (PA), respiratory therapists (RT) and pharmacists, who respond to rapid response/code alerts. Participants will take part in a simulated cardiac emergency. A team attitudes survey was presented both pre and post simulation. There was no statistical difference in team attitudes, however post survey comments denoted positive learning experience. The Team Emergency Assessment and Measurement (TEAM) tool measured the simulation pre and post debriefing after repeating the same scenario. The overall TEAM score noted a statistical significant change in the team behaviors (p=.000). Results noted an improvement of the score for the TEAM tool.

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