Murphy Margaret, Curtis Kate, McCloughen Andrea
Sydney Nursing School, University of Sydney, Australia; Emergency Department, Westmead Hospital, Australia.
Sydney Nursing School, University of Sydney, Australia; St George Hospital Trauma Service, Australia.
Australas Emerg Nurs J. 2016 Feb;19(1):44-53. doi: 10.1016/j.aenj.2015.10.001. Epub 2015 Nov 21.
In hospital emergencies require a structured team approach to facilitate simultaneous input into immediate resuscitation, stabilisation and prioritisation of care. Efforts to improve teamwork in the health care context include multidisciplinary simulation-based resuscitation team training, yet there is limited evidence demonstrating the value of these programmes.(1) We aimed to determine the current state of knowledge about the key components and impacts of multidisciplinary simulation-based resuscitation team training by conducting an integrative review of the literature.
A systematic search using electronic (three databases) and hand searching methods for primary research published between 1980 and 2014 was undertaken; followed by a rigorous screening and quality appraisal process. The included articles were assessed for similarities and differences; the content was grouped and synthesised to form three main categories of findings.
Eleven primary research articles representing a variety of simulation-based resuscitation team training were included. Five studies involved trauma teams; two described resuscitation teams in the context of intensive care and operating theatres and one focused on the anaesthetic team. Simulation is an effective method to train resuscitation teams in the management of crisis scenarios and has the potential to improve team performance in the areas of communication, teamwork and leadership.
Team training improves the performance of the resuscitation team in simulated emergency scenarios. However, the transferability of educational outcomes to the clinical setting needs to be more clearly demonstrated.
医院急诊需要采用结构化的团队方法，以便在即时复苏、病情稳定和护理优先级确定方面同时进行投入。在医疗环境中提高团队协作的努力包括基于多学科模拟的复苏团队培训，但仅有有限的证据证明这些项目的价值。（1）我们旨在通过对文献进行综合回顾，确定关于基于多学科模拟的复苏团队培训的关键组成部分和影响的当前知识状态。
采用电子检索（三个数据库）和手工检索方法，对1980年至2014年间发表的原始研究进行系统检索；随后进行严格的筛选和质量评估过程。对纳入的文章进行异同评估；对内容进行分组和综合，形成三大类研究结果。
纳入了11篇代表各种基于模拟的复苏团队培训的原始研究文章。五项研究涉及创伤团队；两项描述了重症监护和手术室环境中的复苏团队，一项侧重于麻醉团队。模拟是培训复苏团队应对危机情况管理能力的有效方法，并且有可能在沟通、团队协作和领导力方面提高团队表现。
团队培训可提高复苏团队在模拟紧急情况下的表现。然而，教育成果向临床环境的可转移性需要更清楚地加以证明。
