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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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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.

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Summary
This summary is machine-generated.

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.

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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.