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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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A Multifaceted Intervention to Improve Teamwork on an Inpatient Pediatric Neurosurgery Service.

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    Summary

    Interprofessional training and teamwork interventions significantly improved nurse perceptions of teamwork in pediatric neurosurgery. These targeted social changes enhanced team effectiveness without altering core processes.

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    Area of Science:

    • Healthcare Improvement
    • Patient Safety
    • Interprofessional Education

    Background:

    • Increased safety reports highlighted interprofessional teamwork issues in a pediatric neurosurgery unit.
    • A teamwork-focused improvement effort was initiated to address these concerns.

    Purpose of the Study:

    • To identify opportunities for improving interprofessional teamwork.
    • To implement and evaluate interventions aimed at enhancing teamwork perceptions among nurses, advanced practice providers (APPs), and physicians.

    Main Methods:

    • An interprofessional workgroup was formed, meeting twice monthly.
    • A survey assessed teamwork perceptions before and after interventions.
    • Interventions included nursing-centered interprofessional education and a rounding checklist.

    Main Results:

    • Nurse perceptions of teamwork significantly improved in key areas like communication and confidence.
    • Mean teamwork effectiveness scores increased from 4.12 to 5.25 (out of 7).
    • Interprofessional training was ranked as the most effective intervention by nurses.

    Conclusions:

    • Interprofessional training, teamwork surveys, and structured debriefing enhanced nurse perceptions of teamwork.
    • Interventions focusing on social aspects of change can improve teamwork effectively.