Development and Implementation of a Situation Awareness Workshop to Advance Safe Practice in Novice Nurses

2018 ◽  
Vol 24 (2) ◽  
pp. 124-132
Author(s):  
Steven J. Kass ◽  
Christopher O. Downing ◽  
Kahla A. Davis ◽  
Stephen J. Vodanovich ◽  
Cynthia Smith-Peters ◽  
...  
Keyword(s):  
Health Care ◽  
Situation Awareness ◽  
Health Care Professionals ◽  
Global Assessment ◽  
Safe Practice ◽  
Assessment Technique ◽  
Novice Nurses ◽  
Before And After ◽  
Full Day ◽  
Future Status

The current study evaluated the effectiveness of a workshop designed to provide nurses (n= 6) with the means to improve their situation awareness. The nurses participated in a full-day workshop in which their situation awareness performance was measured before and after using the Situation Awareness Global Assessment Technique. Following the workshop, nurses demonstrated improvement in their perception of relevant cues, comprehension of what the combination of cues means, and projection of the patient’s future status. The implications of situation awareness education for health-care professionals are discussed.

scholarly journals Measuring Performance in an Electronic Health Record (EHR) based Simulation Using the Situation Awareness Global Assessment Technique

2019 ◽  
Vol 8 (1) ◽  
pp. 92-95
Author(s):  
Irit Rasooly ◽  
Evan Orenstein ◽  
Robert Grundmeier ◽  
Naveen Muthu
Keyword(s):  
Decision Making ◽  
Electronic Health Record ◽  
Situation Awareness ◽  
Global Assessment ◽  
Clinical Decision Making ◽  
Health Record ◽  
Educational Approach ◽  
Training Environment ◽  
Assessment Technique ◽  
Electronic Health

Simulation is an educational approach well suited to development of knowledge and decision-making skills for emergent or infrequent scenarios. Electronic Health Record (EHR) based simulation, in which participants retrieve information from a simulated EHR, provides an authentic training environment with fidelity to the typical clinical decision-making process and has been associated with enduring changes in EHR use patterns. However, we do not know whether these behavior changes reflect better decision-making. We aimed to develop a measure of pediatric resident performance in an EHR based simulation using the Situation Awareness Global Assessment Technique (SAGAT).

Exploring the Central Executive in Situation Awareness

2010 ◽  
Vol 106 (1) ◽  
pp. 105-118 ◽  
Author(s):  
Abdrabo Moghazy Soliman
Keyword(s):  
Working Memory ◽  
Executive Function ◽  
Situation Awareness ◽  
Executive Control ◽  
Global Assessment ◽  
Real Life ◽  
Central Executive ◽  
Driving Simulation ◽  
Assessment Technique

Despite its significance, the central executive is the least explored component of working memory, particularly in complicated contexts. Exp. 1 investigated the role of executive control of working memory in situation awareness in a real-life driving simulation. Exp. 2 examined the extent to which taxing the central executive might affect situation awareness. High, Medium, and Low Situation Awareness groups were formed as assessed using the Situation Awareness Global Assessment Technique. Executive function was measured using several tests. Results from Exp. 1 demonstrated that the Low Situation Awareness group performed significantly worse on all executive function tasks compared to High and Medium Situation Awareness groups. Findings from Exp. 2 suggested that concurrent load on the central executive dramatically affected the Low Situation Awareness group but not the High Situation Awareness group: the former had significantly more driving violations under central executive load.

scholarly journals Prevalence and Antimicrobial Susceptibility Pattern of Bacteria Isolated from Mobile Phones of Health Care Professionals Working in Gondar Town Health Centers

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Muktar Gashaw ◽  
Daniel Abtew ◽  
Zelalem Addis
Keyword(s):  
Health Care ◽  
Mobile Phones ◽  
Antimicrobial Susceptibility ◽  
Health Care Professionals ◽  
Prevention Measures ◽  
Susceptibility Pattern ◽  
Antimicrobial Susceptibility Pattern ◽  
Standard Procedures ◽  
Before And After ◽  
Gondar Town

Background. Mobile phones of health professionals can harbor various potential pathogens and become exogenous sources of infection for the patients, self, and family members. This study assessed the frequency and antimicrobial susceptibility pattern of bacteria from mobile phones of health care workers. Methods. In this crosssectional study a total of 58 health care professionals mobile phones were swabbed before and after decontamination with 70% alcohol and assessed for contamination with bacteria. Bacterial isolation, identification, and antimicrobial susceptibility test was done as per the standard procedures. Results. About 98% of the mobile phones assessed in this study were contaminated with bacteria. Coagulase negative Staphylococci, S. aureus, and E. coli were the most frequently isolated bacteria. Decontamination with 70% alcohol significantly decreased the rate of contamination from 98.3% to 55.2% (χ2=30.17;P-value<0.0001). About 17% of the isolates were resistant to two drugs. Conclusion. Appropriate infection prevention measures should be taken to minimize the risk that could be associated with mobile phones since the rate of contamination was high. Decontamination with 70% alcohol was effective in minimizing bacterial contamination of mobile phones so it should be used as a decontaminant agent for these apparatuses.

scholarly journals Reliability of instruments that measure situation awareness, team performance and task performance in a simulation setting with medical students

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029412
Author(s):  
Magnus Hultin ◽  
Karin Jonsson ◽  
Maria Härgestam ◽  
Marie Lindkvist ◽  
Christine Brulin
Keyword(s):  
Medical Students ◽  
Task Performance ◽  
Internal Consistency ◽  
Team Performance ◽  
Situation Awareness ◽  
Global Assessment ◽  
Rater Reliability ◽  
Training Centre ◽  
Assessment Technique ◽  
And Task

ObjectivesThe assessment of situation awareness (SA), team performance and task performance in a simulation training session requires reliable and feasible measurement techniques. The objectives of this study were to test the Airways–Breathing–Circulation–Disability–Exposure (ABCDE) checklist and the Team Emergency Assessment Measure (TEAM) for inter-rater reliability, as well as the application of Situation Awareness Global Assessment Technique (SAGAT) for feasibility and internal consistency.DesignMethodological approach.SettingData collection during team training using full-scale simulation at a university clinical training centre. The video-recorded scenarios were rated independently by four raters.Participants55 medical students aged 22–40 years in their fourth year of medical studies, during the clerkship in anaesthesiology and critical care medicine, formed 23 different teams. All students answered the SAGAT questionnaires, and of these students, 24 answered the follow-up postsimulation questionnaire (PSQ). TEAM and ABCDE were scored by four professionals.MeasuresThe ABCDE and TEAM were tested for inter-rater reliability. The feasibility of SAGAT was tested using PSQ. SAGAT was tested for internal consistency both at an individual level (SAGAT) and a team level (Team Situation Awareness Global Assessment Technique (TSAGAT)).ResultsThe intraclass correlation was 0.54/0.83 (single/average measurements) for TEAM and 0.55/0.83 for ABCDE. According to the PSQ, the items in SAGAT were rated as relevant to the scenario by 96% of the participants. Cronbach’s alpha for SAGAT/TSAGAT for the two scenarios was 0.80/0.83 vs 0.62/0.76, and normed χ² was 1.72 vs 1.62.ConclusionTask performance, team performance and SA could be purposefully measured, and the reliability of the measurements was good.

scholarly journals Inter-professional collaboration to improve outpatient attendance rates on a cochlear implant aural rehabilitation programme

2020 ◽  
pp. 201010582094889
Author(s):  
Kenneth Wei De Chua ◽  
Heng Wai Yuen
Keyword(s):  
Health Care ◽  
Cochlear Implant ◽  
Clinical Outcomes ◽  
Professional Education ◽  
Health Care Professionals ◽  
Professional Collaboration ◽  
Attendance Rates ◽  
Aural Rehabilitation ◽  
Number Of Patients ◽  
Before And After

Background: The cochlear implant (CI) programme at Changi General Hospital started in 2010. As the number of patients gradually increased over the years, a review of attendance rates from 2010 to 2016 showed that CI patients were not compliant in attending post-surgical aural rehabilitation sessions. A significant number of no-shows or appointment cancellations without rescheduling suggest that patients may not be motivated enough to go through aural rehabilitation. Hence, it was hard to evaluate clinical outcomes, which was demoralising for both the patient and health-care professionals involved. As transdisciplinary care is often involved in the aural rehabilitation process, we reviewed the existing CI clinical pathway to identify gaps in services, and with better fostering of inter-professional collaboration (IPC) in 2017, we compared the difference in outpatient aural rehabilitation attendance rates for patients seen before and after 2017. Methods: A retrospective review was undertaken of the outpatient administrative system to look at appointment cancellation rates before and after IPC for CI patients undergoing post-surgical aural rehabilitation from 2010 to 2019. A paired-sample t-test of significance was used, with the level of significance set at p=0.05. Problem analysis using the Problem, Intervention, Comparison, Outcomes framework helped in identifying the possible reasons for non-compliance with aural rehabilitation attendance. Inter-professional education among audiologists, otologists and speech therapists allowed for a close-knit IPC. Results: There were 78 patients with CIs from 2010 to 2019. Of these, 46 patients were implanted between 2010 and 2016, and 32 were implanted after IPC was introduced in 2017. The median cancellations rates were significantly reduced from 23% to 15%, with a p-value of 0.00. Days to switch-on and aural rehabilitation, number of appointment cancellations and total number of individual visits were significant independent predictors of the percentage of cancellations in regression analysis. Conclusion: Future studies are warranted to see if IPC can indirectly drive clinical outcomes, given that IPC encouraged better compliance with aural rehabilitation attendance post CI. It is imperative to have IPC in this dynamic health-care landscape with increasing complexities. IPC cannot be achieved without a close-knit relationship among the relevant health professionals.

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