The Impact Of Simulation On Healthcare Team Training DQ

Review the 10 provided articles then write 3-4 pages to explore the impact of simulation on team training.

Categorize the findings to themes e.g. Leadership, communication, patient safety, situational awareness, mutual support, participant attitude, confidence etc…

cite information in APA 7th edition

A Collaborative Partnership for Improving Newborn Safety: Using Simulation for Neonatal Resuscitation Training Elizabeth Palmer, PhD, RN, CNE; Amy L. Labant, PhD, RN; Taylor F. Edwards, PhD, RN; and Johanna Boothby, DEd, MS, RN

The American Heart Association (AHA) and American Academy of Pediatrics (AAP) recom-mend biennial Neonatal Resuscitation Program® (NRP) recertification and training of all personnel at- tending deliveries. The sixth edition of this program released in 2011 shifted the training to team-based

training through the use of simulation (AAP & AHA, 2011). The seventh edition (AAP & AHA, 2016) of the NRP suggests changes in practice that reflect the latest research evidence and quality patient outcomes and rec- ommends more frequent training to ensure competency (Bellini, 2016). NRP also focuses on team-based train- ing with debriefing. Past research assessing the influence of simulation-based neonatal resuscitation trainings have produced variable results (Kaczorowski et al., 1998; Lin & Cheng, 2015). However, the literature does support the benefit of an organized approach to patient safety with opportunities to use simulation and debriefing to enhance communication, teamwork, skill development, and improve patient safety outcomes (Burke, Grobman, & Miller, 2013; Fialkow et al., 2014; Lin & Cheng, 2015). Furthermore, Clary-Muronda and Pope (2016) recommended psychometric testing of existing instru- ments to support their use in NRP training.

This project supports a professional collaborative train- ing project between a community hospital and an aca- demic nursing program. The purpose of this study is to evaluate the effects of simulation teaching strategies on the training and performance of the health care team at- tending deliveries at a community hospital. Health care workers’ ability to perform key interventions during life- The Impact Of Simulation On Healthcare Team Training DQ

abstract Background: The latest Neonatal Resuscitation Pro-

gram® (NRP) guidelines suggest the use of team-based training using simulation. Furthermore, psychometric testing of instruments appropriate to measure team performance in NRP is needed. This study evaluated the effects of simulation on the training and perfor- mance of the health care team attending deliveries at a rural community hospital. Method: Twenty-three nurses and nurse anesthetists comprised the sample. A pre- and postintervention repeated measures design was used. Data were collected using the Background/ Experience Survey, Self-Assessment and Attitudes Survey, and two Agency for Healthcare Research and Quality TeamSTEPPS tools (the Teamwork Perceptions Questionnaire [T-TPQ] and the TeamSTEPPS Teamwork Attitudes Questionnaire [T-TAQ]), the Simulation Ef- fectiveness Tool–Modified (SET-M), and the Individual and Team Performance Survey. Results: Data analy- sis revealed significant findings in team functioning, situation monitoring, and communication. Prebrief- ing and debriefing were valuable as measured by the SET-M. Conclusion: This project supports the use of simulation to enhance team-based training, perfor- mance, and communication. [J Contin Educ Nurs. 2019;50(7):319-324.]

Dr. Palmer is Professor, Dr. Labant is Emeritus Faculty, Dr. Edwards is Assistant Professor, and Dr. Boothby is Assistant Professor, Department of Nursing and Allied Health Professions, Indiana University of Pennsylva- nia, Indiana, Pennsylvania.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

Address correspondence to Elizabeth Palmer, PhD, RN, CNE, Professor, Department of Nursing and Allied Health Professions, Indiana Univer- sity of Pennsylvania, 221 Johnson Hall, 1010 Oakland Ave., Indiana, PA 15705; e-mail:

Received: January 23, 2019; Accepted: February 6, 2019 doi:10.3928/00220124-20190612-07 The Impact Of Simulation On Healthcare Team Training DQ

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threatening situations can be enhanced by providing op- portunities for deliberate practice of these key skills.

Research Project Aims The aims of this study were:

• To improve the quality of care, patient safety, and the performance of the health care team attending deliver- ies by developing and using simulated neonatal stabi- lization training. Specifically, the study will focus on neonatal resuscitation biennial training that incorpo- rates high fidelity simulation scenarios.

• To evaluate the effectiveness of the simulated neonatal resuscitation training sessions on identified patient and team performance outcomes.

• To explore the perceptions of the effectiveness of the use of Simulation for Neonatal Resuscitation Train- ing as measured by the Simulation Effectiveness Tool– Modified (SET-M).

Hypotheses This study’s hypotheses were:

• Health care personnel will demonstrate increased lev- els of competence and confidence related to neona- tal resuscitation following the neonatal resuscitation emergency simulation drill as measured by the Self- Assessment and Attitudes Survey (S-AAS).

• Participants will identify that Simulation (prebrief, sce-

nario, and debrief ) had a positive effect on their learn- ing as measured by the SET-M.

METHOD Figure 1 presents the overview of the neonatal resuscita-

tion study design and data collection plan. Following insti- tutional review board approval at both the university and the hospital, participants were recruited via e-mail communica- tions sent by the researchers. A pre- and postintervention repeated measures design was used. The participants com- pleted online simulation training and a quiz required by NRP prior to attending. To make the training realistic, the simulation scenarios were conducted onsite using the hos- pital’s actual equipment, such as their radiant warmer and self-inflating bag. Participants were provided with current practices related to the NRP changes.

Table 1 presents a brief overview of each of the instru- ments used in this study. Instruments used in this study were selected based on a literature review examining exist- ing instruments to measure team performance and effec- tiveness when conducting team training using simulation. The framework and instruments used in this study are based on a similar study by Robertson et al. (2009) and TeamSTEPPS instruments (Agency for Healthcare Re- search and Quality, 2017). The SET-M tool was selected for evaluation of simulation effectiveness with permission for use obtained from the instrument’s author, Kim Leigh- ton (Leighton, Ravert, Mudra, & Macintosh, 2015).

The participants completed the Background/Experi- ence Survey, the S-AAS, TeamSTEPPS Teamwork Per- ceptions Questionnaire (T-TPQ), and the TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) prior to the intervention. All participants then participated in the in- tervention phase of the study. The intervention consisted of the high-fidelity simulation drills designed and writ- ten by the hospital unit educator and simulation specialist staff on the basis of NRP recommendations. Each training session consisted of three high-fidelity simulation scenar- ios with small groups of four to five participants each. An observer checklist was completed during the emergency simulation drill. The unit-based educator was responsible for completing the observer checklist as she is the NRP instructor responsible for evaluating staff participating in NRP training. Debriefing sessions were facilitated by the simulation specialist and unit-based educator immediately following each scenario. Debriefing with good judgment (Rudolph, Simon, Rivard, Dufresne, & Raemer, 2007) was the debriefing stance used, which moves away from a judgmental approach to debriefing (What went right? What went wrong?) to a nonjudgmental approach. This approach is helpful when working with adult learners, as was our case with nursing personnel as participants, and The Impact Of Simulation On Healthcare Team Training DQ

Figure 1. Overview of the neonatal resuscitation study design and data collection plan. (Note. IRB = institutional review board; NRP = Neonatal Resuscitation Program®.)

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