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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Creating a sustainable, interprofessional-team training program: initial results.
Virginia K Riggall1, Charlene M Smith
1Author Affiliations: Clinical Nurse Specialist, Department of Clinical Education and Nursing Research at Rochester General Health System (Dr Riggall); and Full-time Professor and Undergraduate Cochair at Wegmans School of Nursing, St John Fisher College; Research Coordinator, University of Rochester Medical Center, Highland Hospital; and Nursing Professional Development Specialist, Strong Memorial Hospital (Dr Smith), Rochester, New York.
A single simulation training session did not significantly improve healthcare team resuscitation skills. Repeated interprofessional education and simulation are recommended to enhance early response and patient outcomes.
Area of Science:
- Healthcare education
- Medical simulation
- Teamwork in healthcare
Background:
- Effective resuscitation requires strong interprofessional collaboration.
- Simulated patient scenarios offer a platform for deliberate learning and skill development.
- Acute care units need optimized resuscitation response times.
Purpose of the Study:
- To evaluate if simulated patient scenarios improve interprofessional collaboration and resuscitation response.
- To assess the impact of deliberate learning concepts on healthcare team performance.
- To determine the effectiveness of a pilot interprofessional educational program.
Main Methods:
- Pilot program evaluation using simulated patient scenarios on an acute medical floor.
- Involved 84 staff members (residents, RNs, RTs, PCTs) in 17 simulations.
- Assessed teamwork perceptions using TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) pre/post simulation and observed resuscitation behaviors against AHA guidelines.
Main Results:
- Mean T-TPQ leadership scores decreased significantly (P = .003) post-simulation.
- Only 35% of groups administered defibrillation during ventricular fibrillation simulations.
- Only one group delivered defibrillation within the recommended 2-minute timeframe.
Conclusions:
- A single simulation intervention was insufficient to improve resuscitation processes.
- Further longitudinal studies with repeated training are needed.
- Unit-based, frequent simulation training overseen by a clinical nurse specialist may enhance resuscitation skills.
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