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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.
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.
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