The Impact of Training on Teamwork and Simulated Debriefings on Real-Life Cardiopulmonary Arrest Events

2021 ◽  
pp. 104687812199160
Author(s):  
Tara Mahramus Hunt ◽  
Mindi Anderson ◽  
Mai Vo ◽  
Daleen Aragon Penoyer

Background Prior to the study, debriefings post-real-life cardiopulmonary arrest at the associated hospital were conducted only 3% of the time. However, debriefings post-cardiopulmonary arrests are recommended by multiple entities to improve team performance. Methods A course on teamwork, education on a structured method of debriefing, and debriefing practice via simulated role-play were provided to resuscitation team members. A prospective, mixed methods study including team member perceptions of debriefings and the number of debriefings conducted post-cardiopulmonary arrests were measured after the intervention. Results Debriefings increased from 3% to 39%. Debriefings were valued by all team members. Themes generated from team members’ comments included improvement, communication, and team function. Conclusions Debriefings post-real-life cardiopulmonary arrest events are feasible in a hospital setting. Teamwork principles training with simulated role-play of debriefing can impact the process of whether debriefings occur and are highly regarded by multidisciplinary team members.

Author(s):  
Ethan Brownell ◽  
Jonathan Cagan ◽  
Kenneth Kotovsky

Abstract Prior research has demonstrated how the average characteristics of a team impact team performance. Individual characteristics of team members and individual team member behavior have been largely ignored, especially in the context of engineering design. In this work, a behavioral study was conducted to uncover whether the most or least proficient member of a configuration design team had a larger impact on overall performance. It was found that a configuration design team is most dependent on the proficiency of its most proficient member and results suggest that replacing the most proficient member with an even more proficient member can be expected to have a more positive impact than replacing any other member with a higher proficiency member of the same change in proficiency. The most proficient member had a significant positive effect on how quickly the team reached performance thresholds and that the other members of the team were not found to have the same positive impact throughout the design study. Behavioral heuristics were found using hidden Markov modeling to capture the differences in behavior and design strategy between different proficiency members. Results show that high proficiency and low proficiency team members exhibit different behavior, with the most proficient member’s behavior leading to topologically simpler designs and other members adopting their designs, leading to the most proficient member driving the team design and team performance.


Author(s):  
Bethany K. Bracken ◽  
Noa Palmon ◽  
David Koelle ◽  
Mike Farry

For teams to perform effectively, individuals must focus on their own tasks, while simultaneously maintaining awareness of other team members. Researchers studying and attempting to optimize performance of teams as well as individual team members use assessments of behavioral, neurophysiological, and physiological signals that correlate with individual and team performance. However, synchronizing data from multiple sensor devices can be difficult, and building and using models to assess human states of interest can be time-consuming and non-intuitive. To assist researchers, we built an Adaptable Toolkit for the Assessment and Augmentation of Performance by Teams in Real Time (ADAPTER), which provides a framework that flexibly integrates sensors and fuses sensor data to assess performance. ADAPTER flexibly integrates current and emerging sensors; assists researchers in creating and implementing models that support research on performance and the development of augmentation strategies; and enables comprehensive and holistic characterization of team member performance during real-time experimental protocols.


2014 ◽  
Vol 4 (1) ◽  
pp. 11-28 ◽  
Author(s):  
Yasser A. El-Kassrawy

Given the important role of information technology, virtuality has become crucial issue in contemporary organizations. Virtual teams are comprised of members who are located in more than one physical location. They need to be effectively collaborating to harness their full performance capabilities in order to compete in the highly competitive environments. However, virtual team effectiveness is affected by determinants of trust which include three types; personality, cognitive and institutional-based trust. Therefore, this paper examines the impact of trust determinants on virtual team effectiveness represented in virtual team satisfaction and performance. Through a survey of 125 virtual team members who had experienced at least two years in this field, the results indicated that determinants of trust positively influence virtual team satisfaction and virtual team performance. The authors' structural equations modeling findings also support our hypothetical predictions that personality- based trust, cognitive- based trust and institutional- based trust have a dramatic impact on both of virtual team satisfaction and virtual team performance. Moreover, institutional- based trust is the uppermost driver of virtual team effectiveness. This study provides novel insights into virtual team behaviours, managerial and research implications for effective virtual team.


Author(s):  
Joshua A. Eaton ◽  
David J. Mendonça ◽  
Matthew-Donald D. Sangster

Objective: This research studies the impact of role familiarity on team performance by examining performance of the “Carry” role in the Multi-player Online Battle Arena gaming environment, League of Legends™. Background: Roles are typically defined as stable patterns of expectations, relationships, and behaviors. As social constructs, roles therefore include notions of status, relationships with additional social actors, and of defined sets of behaviors tied to the assigned role. We hypothesize that the importance of role familiarity in teams is mediated by the nature and extent of team members’ experience working together in defined roles. Methods: The data set used for this study is from League of Legends’ Application Program Interface and consists of ranked match play from 2011–2016. Results: ANOVA and visualization techniques are used to explore match-level data in order to address the proposed research questions. The proportion of time the same team member is assigned to the “Carry” role (role familiarity) has a direct and positive impact on team performance. Conclusions: This study shows how objective, detailed data on teamwork may be used to provide insights into questions of the composition and performance of teams. Additionally, the results illustrate the importance of role familiarity in the performance of teams. Application: This research highlights the value and feasibility of studying virtual teams for new insights into team performance.


Author(s):  
Justine Rockwood ◽  
Dan Nathan-Roberts

Effective communication is critical to team performance but can be impacted by the distribution of team members. Distribution is increasingly found in high-risk environments where task complexity necessitates geographic and/or temporal separation of team members. Understanding the impact of distribution on communication is critical to ensuring effective team performance. We review the research examining communication in distributed teams in high-risk environments to provide an overview of the literature to date. Articles examining communication in distributed teams were analyzed in a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Themes relevant to the research question were extracted from the studies using thematic analysis. Five themes were identified: updating shared mental models, effects of transmission lags, content of communication, communication protocols, and technological advances. The five themes identify directions for future research.


2000 ◽  
Vol 44 (12) ◽  
pp. 2-739-2-742
Author(s):  
Robert A. Henning ◽  
Wolfram Boucsein ◽  
Monica Gil

Team proficiency may depend on the extent of social-physiological compliance among participants. This laboratory study tested if compliance in electrodermal activity, heart rate or breathing in two-person teams (N=16) was predictive of team performance or coordination in a continuous tracking task that simulated teleoperation. Social-physiological compliance for each physiological measure was scored separately using weighted coherence and cross correlation of the physiological changes occurring in both participants (e.g., the cross correlation of the breathing pattern of the first team member with the breathing pattern of the second team member). Direct visual feedback between participants was systematically manipulated. Multiple regression analyses revealed that many coherence measures and one correlation measure were predictive of team performance. While social-visual contact had no impact, physiological compliance was predictive of improved performance, with coherence robust over all three physiological measures. These results provide correlational evidence that social-physiological compliance among team members may benefit team performance. Possible macroergonomic applications are discussed including assessment of team situation awareness, adaptive automation based on team biocybernetics, and objective evaluation of interface designs for computer-supported cooperative work.


Author(s):  
Dan M. Kluger ◽  
Yariv Aizenbud ◽  
Ariel Jaffe ◽  
Fabio Parisi ◽  
Lilach Aizenbud ◽  
...  

ABSTRACTBackgroundAs we contend with the massive SARS-CoV-2 pandemic, preventing infections among healthcare workers (HCWs) and patients is critical for delivering care to patients admitted for other purposes, and many standard scheduling practices require reassessment. In most academic hospitals in the United States, inpatient rotations are designed to deliver optimal patient care by staggering rotations of attendings and house-staff, and much emphasis is placed on HCW burnout, yet during a pandemic preventing further infection is the single most important factor. Our purpose was to model various inpatient rotation schedules of physicians and nurses to determine patterns associated with optimal workforce preservation and lower nosocomial infections in settings in which personal protective equipment is imperfect or unavailable.Summary of MethodsWe simulated the spread of COVID-19 in hospital wards using Monte Carlo methods. Universal model parameters for COVID-19 included incubation period distribution and latent period distribution. Situation-dependent COVID-19 model parameters included pre-admission infection probability, team member infection probability, physician-to-patient, nurse-to-patient, patient-to-physician, patient-to-nurse, and HCW-to-HCW transmission probabilities, team member absence after symptom onset, daily SARS-CoV-2 exposure probability of team members (e.g. via exposure to other staff), length of admission after COVID-19 symptoms, and length of simulation time. Model parameters that varied by hospital setting and service type included average patient load per team, average patient hospitalization, and number of physicians and nurses on a team and on duty.ResultsThe primary outcome measure was probability of team failure, defined as the likelihood that at some point there are insufficient attendings, house-staff or nurses to staff a fully functioning floor. In all of our simulations, physician and nurse rotation lengths of 1-3 days led to higher team failure rates. Nursing shifts of 12 versus 8 hours and avoiding staggering of physician rotations also decreased the chance of team failure.ConclusionsSimple changes in staff scheduling, such as lengthening nursing shifts or avoiding rotations that are either staggered or last fewer than three days, can result in improved workforce preservation. These workforce scheduling changes are easy to implement.


Author(s):  
Mazni Omar ◽  
Mawarny Md Rejab ◽  
Mazida Ahmad

Global software engineering (SE) has increased in popularity and is now commonplace in most software organizations. This is due to the fact that business and technology have evolved, which has had an impact on the borderless world. As a consequence, software teams are often geographically dispersed, though they all have the same goal—to produce high-quality software. In order to achieve that goal, quality teamwork is important to build a high-performance team. This study aims to get an in-depth understanding of what quality teamwork is, as well as investigate how communication and socialization can have an impact on team performance. This study took a qualitative approach to the data collection process by carrying out interviews with three experts of agile distributed teams. The results of this study demonstrate that active communication stimulates socialization, and thus increases and maintains morale and motivation among team members. Future studies could focus on the impact of other quality teamwork, such as the influence of trust on team performance among global SE teams.


2006 ◽  
Vol 12 (2) ◽  
pp. 131-145 ◽  
Author(s):  
Peter J Jordan ◽  
Sandra A Lawrence ◽  
Ashlea C Troth

ABSTRACTAlthough organisations often implement team-based structures to improve performance, such restructuring does not automatically ameliorate poor performance. The study in this article explores the relationship between team members' negative mood and team processes (social cohesion, workload sharing, team conflict) to determine if negative mood has a detrimental effect on team performance via team processes. Two hundred and forty one participants completed surveys and were involved in an independently rated performance task that was completed over eight weeks. Negative mood was found to influence team processes and as a consequence, team performance. The results, however, were not uniformly negative. Implications for theory and practice are discussed.


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