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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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Published on: January 15, 2017

Emergency Airway Response Team Simulation Training: A Nursing Perspective.

Janet T Crimlisk¹, Gintas P Krisciunas, Gregory A Grillone

¹Janet T. Crimlisk, DNP, RNCS, NP-C, is clinical nurse educator, Department of Nursing, Boston Medical Center, Massachusetts. Gintas P. Krisciunas, MPH, MA, is research scientist, Department of Otolaryngology, Boston University Medical Center, Massachusetts. Gregory A. Grillone, MD, FACS, is professor and vice chairman, Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston University School of Medicine, Massachusetts. R. Mauricio Gonzalez, MD, is clinical assistant professor of anesthesiology and vice chairman of clinical affairs, quality and patient safety, Department of Anesthesiology, Boston University School of Medicine, Massachusetts. Michael R. Winter, MPH, is associate director, Statistical Programming, Data Coordinating Center, Boston University School of Public Health, Massachusetts. Susan C. Griever, MS, NP-C, is nurse practitioner, Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Massachusetts. Eduarda Fernandes, MSN, RN, CCRN, is clinical nurse educator, Department of Nursing, Boston Medical Center, Massachusetts. Ron Medzon, MD, is associate professor, Emergency Medicine, and director, Solomont Center for Clinical Simulation and Nursing Education, Boston Medical Center, Boston University School of Medicine, Massachusetts. Joseph S. Blansfield, MS, NP, TCRN, is trauma and acute care surgery program manager, Department of Surgery, Boston Medical Center, Massachusetts. Adam Blumenthal, BS, NREMTP, is associate director, Emeritus, Clinical Training Center at Boston Medical Center, Massachusetts.

Dimensions of Critical Care Nursing : DCCN

|August 5, 2017

Summary

Simulation training significantly improved nurses' knowledge, confidence, and team dynamics for Emergency Airway Response Teams (EART). Even nurses without prior experience achieved similar positive outcomes, highlighting the program's effectiveness for all skill levels.

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Area of Science:

Medical Education
Healthcare Simulation
Emergency Medicine Training

Background:

Simulation-based education is crucial for high-risk medical training.
An interprofessional program enhanced Emergency Airway Response Team (EART) skills.
This study assessed EART simulation outcomes for nurse participants.

Purpose of the Study:

To evaluate the effectiveness of EART simulation training on nurses.
To assess improvements in knowledge, team dynamics, and confidence.
To compare outcomes between different nursing groups (ED vs. ICU, experienced vs. novice).

Main Methods:

63 nurses from ED and ICUs participated in 24 four-hour simulation sessions over 12 weeks.
Pre- and post-simulation assessments included knowledge tests and team dynamics/confidence questionnaires.
Comparative analyses were performed between ED/ICU nurses and those with/without prior EART experience.

Main Results:

Statistically significant improvements (P < .01) were observed in team dynamics, confidence, and knowledge test scores post-simulation.
No significant differences in scores were found between ED and ICU nurses.
Nurses with prior EART experience had higher pre-simulation scores, but post-simulation scores were similar across experience levels.

Conclusions:

Simulation training effectively enhances nurses' knowledge, confidence, and team dynamics for EART.
The training proved equally effective for nurses with and without prior EART experience.
Emergency airway simulation is a valuable tool for training both novice and experienced nurses.