Integrating Team Training in the Pediatric Life Support Program: An Effective and Efficient Approach?

Mary J Fagan1, Cynthia D Connelly, Brian S Williams

  • 1Author Affiliations: Vice President of Patient Services and Chief Nursing Officer (Dr Fagan), Rady Children's Hospital-San Diego; Associate Dean for Research (Dr Connelly), Institute for Nursing Research, Hahn School of Nursing Beyster, University of San Diego; Research Scientist (Dr Connelly), Child and Adolescent Services Research Center; Pediatric Hospitalist (Dr Williams), Rady Children's Hospital-San Diego; Assistant Clinical Professor of Clinical Pediatrics and Internal Medicine (Dr Williams), Divisions of Pediatric and Adult Hospital Medicine, University of California (UC), San Diego; Pediatric Hospitalist (Dr Fisher), Rady Children's Hospital-San Diego; and Professor of Clinical Pediatrics (Dr Fisher), UC San Diego School of Medicine, San Diego, California.

Insights

Integrating teamwork training into Pediatric Advanced Life Support (PALS) programs is feasible and cost-effective. This approach enhances interprofessional collaboration and patient safety culture.

Area of Science:

  • Medical Education
  • Patient Safety
  • Healthcare Management

Background:

  • Ineffective teamwork and communication are leading causes of adverse events in hospitals.
  • Interprofessional teamwork training is crucial for fostering a culture of patient safety.
  • Current training methods and associated costs for teamwork vary significantly.

Purpose of the Study:

  • To evaluate the feasibility of incorporating teamwork training into an existing Pediatric Advanced Life Support (PALS) program.
  • To assess the impact of this integrated training on interprofessional teamwork and collaboration.
  • To determine the effect on perceptions of teamwork and collaboration among healthcare professionals.

Main Methods:

  • A descriptive study design was employed.
  • Participants underwent standard Pediatric Advanced Life Support (PALS) recertification.
  • An intervention group received additional TeamSTEPPS (R) 2.0 Essentials training, including didactic instruction, video critique, and role-playing exercises.
  • Data on teamwork and collaboration perceptions were collected and analyzed using statistical tests (χ, Mann-Whitney U, t tests).

Main Results:

  • The intervention group demonstrated significantly higher perceptions of teamwork and collaboration.
  • Improved situational awareness was reported by the intervention group.
  • Participants in the intervention group felt more confident in their ability to contribute to team decision-making.

Conclusions:

  • Integrating brief team training into established PALS programs is a viable strategy.
  • This approach is cost-effective and sustainable for interprofessional team development.
  • The training positively influences the overall culture of patient safety within healthcare settings.
Abstract

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