TY - JOUR
T1 - Leadership and teamwork in medical emergencies: performance of nursing students and registered nurses in simulated patient scenarios
AU - Endacott, Ruth
AU - Bogossian, Fiona
AU - Cooper, Simon John Rankin
AU - Forbes, Helen
AU - Kain, Victoria
AU - Young, Susan
AU - Porter, Joanne
PY - 2015
Y1 - 2015
N2 - Aims and objectives. To examine nursing students? and registered nurses? teamwork skills whilst managing simulated deteriorating patients.
Background. Studies continue to show the lack of timely recognition of patient deterioration. Management of deteriorating patients can be influenced by education and experience.
Design. Mixed methods study conducted in two universities and a rural hospital in Victoria, and one university in Queensland, Australia.
Methods. Three simulation scenarios (chest pain, hypovolaemic shock and respiratory distress) were completed in teams of three by 97 nursing students and 44 registered nurses, equating to a total of 32 student and 15 registered nurse teams. Data were obtained from (1) Objective Structured Clinical Examination rating to assess performance; (2) Team Emergency Assessment Measure scores to assess teamwork; (3) simulation video footage; (4) reflective interview during participants? review of video footage. Qualitative thematic analysis of video and interview data was undertaken.
Results. Objective structured clinical examination performance was similar across registered nurses and students (mean 54 and 49 ); however, Team Emergency Assessment Measure scores differed significantly between the two groups (57 vs 38 , t = 6 841, p <0 01). In both groups, there was a correlation between technical (Objective Structured Clinical Examination) and nontechnical (Team Emergency Assessment Measure) scores for the respiratory distress scenario (student teams: r = 0 530, p = 0 004, registered nurse teams r = 0 903, p <0 01) and hypovolaemia scenario (student teams: r = 0 534, p = 0 02, registered nurse teams: r = 0 535, p = 0 049). Themes generated from the analysis of the combined quantitative and qualitative data were as follows: (1) leadership and followership behaviours; (2) help-seeking behaviours; (3) reliance on previous experience; (4) fixation on a single detail; and (5) team support.
AB - Aims and objectives. To examine nursing students? and registered nurses? teamwork skills whilst managing simulated deteriorating patients.
Background. Studies continue to show the lack of timely recognition of patient deterioration. Management of deteriorating patients can be influenced by education and experience.
Design. Mixed methods study conducted in two universities and a rural hospital in Victoria, and one university in Queensland, Australia.
Methods. Three simulation scenarios (chest pain, hypovolaemic shock and respiratory distress) were completed in teams of three by 97 nursing students and 44 registered nurses, equating to a total of 32 student and 15 registered nurse teams. Data were obtained from (1) Objective Structured Clinical Examination rating to assess performance; (2) Team Emergency Assessment Measure scores to assess teamwork; (3) simulation video footage; (4) reflective interview during participants? review of video footage. Qualitative thematic analysis of video and interview data was undertaken.
Results. Objective structured clinical examination performance was similar across registered nurses and students (mean 54 and 49 ); however, Team Emergency Assessment Measure scores differed significantly between the two groups (57 vs 38 , t = 6 841, p <0 01). In both groups, there was a correlation between technical (Objective Structured Clinical Examination) and nontechnical (Team Emergency Assessment Measure) scores for the respiratory distress scenario (student teams: r = 0 530, p = 0 004, registered nurse teams r = 0 903, p <0 01) and hypovolaemia scenario (student teams: r = 0 534, p = 0 02, registered nurse teams: r = 0 535, p = 0 049). Themes generated from the analysis of the combined quantitative and qualitative data were as follows: (1) leadership and followership behaviours; (2) help-seeking behaviours; (3) reliance on previous experience; (4) fixation on a single detail; and (5) team support.
UR - http://onlinelibrary.wiley.com.ezproxy.lib.monash.edu.au/doi/10.1111/jocn.12611/epdf
U2 - 10.1111/jocn.12611
DO - 10.1111/jocn.12611
M3 - Article
SN - 0962-1067
VL - 24
SP - 90
EP - 100
JO - Journal of Clinical Nursing
JF - Journal of Clinical Nursing
IS - 1-2
ER -