Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs

Area of Science:

• Healthcare Management
• Patient Safety
• Medical Education

Background:

• Nontechnical skills are vital for safe patient care.
• Crew Resource Management (CRM) training is increasingly used to enhance these skills.
• Implementing action plans from CRM training is key to skill uptake.

Purpose of the Study:

• To examine pretraining readiness factors.
• To investigate posttraining barriers and facilitators.
• To understand their impact on following through with action plans.

Main Methods:

• Two-day classroom-based CRM training was delivered in three ICUs.
• Action plans were categorized as individual, team, or organizational.
• Questionnaires assessed employees two months pre- and three months post-training.

Main Results:

• Pretraining management support positively influenced facilitators.
• Post-training barriers negatively and facilitators positively correlated with Taking Action.
• Combined pretraining readiness factors positively related to Taking Action.

Conclusions:

• Barriers and facilitators should be addressed during CRM training.
• Regular CRM meetings post-training can help overcome barriers and leverage facilitators.
• This approach can enhance the impact of CRM training on patient safety initiatives.