Improving patient's intensive care admission through multidisciplinary simulation-based crisis resource management: A...

Area of Science:

• Healthcare Quality Improvement
• Medical Simulation
• Intensive Care Medicine

Background:

• Quantitative studies confirm simulation-based training enhances non-technical skills in crisis resource management.
• A quality improvement intervention using crisis resource management principles was developed and tested via simulation.
• The impact of this training on healthcare staff and its link to non-technical skill changes remains underexplored.

Purpose of the Study:

• To explore nurses' and physicians' experiences with simulation-based training.
• To understand the impact of a crisis resource management quality improvement intervention on intensive care admissions.
• To investigate the relationship between simulation training and changes in staff non-technical skills.

Main Methods:

• A qualitative study employing a hermeneutical approach.
• Semi-structured interviews conducted with 5 physicians and 15 nurses with diverse work experience.
• Data collected 3 months post-intervention and analyzed thematically, adhering to COREQ guidelines.

Main Results:

• Three key themes emerged: prioritizing core clinical activities and patient-centeredness, transition into practice, and reflection on patient safety.
• The intervention facilitated prioritizing clinical tasks, aiding the transition to practice through feedback.
• Reflection on patient safety fostered a new understanding of implementing intensive care admission structures.

Conclusions:

• Clear communication, defined roles, and teamwork facilitated prioritizing core clinical activities.
• Professional growth was stimulated by feedback during the transition into practice.
• The intervention fostered a shared understanding of intensive care admissions, improving the quality of care.