Simulation-based team training improved the self-assessed ability of physicians, nurses and midwives to perform neonatal resuscitation

2017 ◽  
Vol 106 (8) ◽  
pp. 1273-1279 ◽  
Author(s):  
B Malmström ◽  
E Nohlert ◽  
U Ewald ◽  
M Widarsson
PEDIATRICS ◽  
2021 ◽  
pp. e2020042010
Author(s):  
Morten Søndergaard Lindhard ◽  
Signe Thim ◽  
Henrik Sehested Laursen ◽  
Anders Wester Schram ◽  
Charlotte Paltved ◽  
...  

2011 ◽  

The manual includes updated information on instructor requirements, the online examination, and simulation and debriefing. The new Instructor Manual for Neonatal Resuscitation has been completely revised for NRP™ hospital-based instructors and regional trainers who wish to present high quality simulation-based NRP™ courses. The manual features information relevant to NRP Instructors of all experience levels, including chapters about organizing supplies and equipment, setting up for all NRP Provider and Instructor courses, conducting simulation and debriefing, and performing administrative tasks.


2017 ◽  
pp. e-61032
Author(s):  
Irene Rød ◽  
Ellen Irene Westby Moen ◽  
Solveig Struksnes

2013 ◽  
Vol 05 (04) ◽  
pp. 1273-1276
Author(s):  
H. M. Hu ◽  
Y. Yang ◽  
W. Lu ◽  
G. P. Zhao

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Elaine Gilfoyle ◽  
Deanna Koot ◽  
John Annear ◽  
Farhan Bhanji ◽  
Adam Cheng ◽  
...  

Introduction: Human errors occur during resuscitation despite individual knowledge of resuscitation guidelines. Poor teamwork has been implicated as a major source of such error; therefore interprofessional resuscitation teamwork training is essential. Hypothesis: A one-day team training course for pediatric interprofessional resuscitation team members improves adherence to PALS guidelines, team efficiency and teamwork in a simulated clinical environment. Methods: A prospective interventional study was conducted at 4 children’s hospitals in Canada with pediatric resuscitation team members (n=300, 51 teams). Educational intervention was a one-day simulation-based team training course involving interactive lecture, group discussions and 4 simulated resuscitation scenarios followed by debriefing. First scenario of the day was conducted prior to any training. Final scenario of the day was the same scenario, with modified patient history. Scenarios included standardized distractors designed to elicit and challenge specific teamwork behaviors. Primary outcome measure was change (before and after training) in adherence to PALS guidelines, as measured by the Clinical Performance Tool (CPT). Secondary outcome measures: change in times to initiation of chest compressions and defibrillation; and teamwork performance, as measured by the Clinical Teamwork Scale (CTS). Correlation between CPT and CTS scores was analyzed. Results: Teams significantly improved CPT scores (67.3% to 79.6%, P< 0.0001), time to initiation of chest compressions (60.8 sec to 27.1 sec, P<0.0001), time to defibrillation (164.8 sec to 122.0 sec, P<0.0001) and CTS scores (56.0% to 71.8%, P<0.0001). Significantly more teams defibrillated under AHA target of 2 minutes (10 vs. 27, P<0.01). A strong correlation was found between CPT and CTS (r=0.530, P<0.0001). Conclusions: Participation in a simulation-based team training educational intervention significantly improved surrogate measures of clinical performance, time to initiation of key clinical tasks, and teamwork during simulated pediatric resuscitation. A strong correlation between clinical and teamwork performance suggests that effective teamwork optimizes clinical performance of resuscitation teams.


2021 ◽  
pp. bmjstel-2020-000685
Author(s):  
John T Paige ◽  
Deborah D Garbee ◽  
Qingzhao Yu ◽  
John Zahmjahn ◽  
Raquel Baroni de Carvalho ◽  
...  

BackgroundThe evidence for the conventional wisdom that debriefing quality determines the effectiveness of learning in simulation-based training is lacking. We investigated whether the quality of debriefing in using simulation-based training in team training correlated with the degree of learning of participants.MethodsForty-two teams of medical and undergraduate nursing students participated in simulation-based training sessions using a two-scenario format with after-action debriefing. Observers rated team performance with an 11-item Teamwork Assessment Scales (TAS) instrument (three subscales, team-based behaviours (5-items), shared mental model (3-items), adaptive communication and response (3-items)). Two independent, blinded raters evaluated video-recorded facilitator team prebriefs and debriefs using the Objective Structured Assessment of Debriefing (OSAD) 8-item tool. Descriptive statistics were calculated, t-test comparisons made and multiple linear regression and univariate analysis used to compare OSAD item scores and changes in TAS scores.ResultsStatistically significant improvements in all three TAS subscales occurred from scenario 1 to 2. Seven faculty teams taught learners with all scores ≥3.0 (except two) for prebriefs and all scores ≥3.5 (except one) for debriefs (OSAD rating 1=done poorly to 5=done well). Linear regression analysis revealed a single statistically significant correlation between debrief engagement and adaptive communication and response score without significance on univariate analysis.ConclusionsQuality of debriefing does not seem to increase the degree of learning in interprofessional education using simulation-based training of prelicensure student teams. Such a finding may be due to the relatively high quality of the prebrief and debrief of the faculty teams involved in the training.


2020 ◽  
Vol 42 ◽  
pp. 102666
Author(s):  
Reime Marit Hegg ◽  
Kvam Fred Ivan ◽  
Johnsgaard Tone ◽  
Aarflot Morten

2019 ◽  
Vol 52 (6) ◽  
pp. 995-1003 ◽  
Author(s):  
Anjan Shah ◽  
Christine L. Mai ◽  
Ronak Shah ◽  
Adam I. Levine

Author(s):  
Jean MacMillan ◽  
Denise Lyons

This symposium considers both the challenges and the opportunities for the training of teamwork skills with synthetic teammates. Synthetic entities offer a potential opportunity to deliver simulation-based team training in a less expensive, more convenient, more easily deployed form. They may also increase the quality and quantity of training by creating learning opportunities for the team that might never be encountered in less controlled training with live players. The focus of the symposium is on how synthetic teammates can best be designed and used to train teamwork, guided by learning objectives. The papers in the symposium consider what is needed to create and employ synthetic teammates and synthetic instructors, and cover several application areas, a range of levels of fidelity for the simulation environment and the synthetic teammates, a variety of modeling tools, and several evaluation and measurement approaches. Their common focus is how best to exploit synthetic entities for competency-based teamwork training.


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