Mahramus Tara L, Penoyer Daleen A, Waterval Eugene M E, Sole Mary L, Bowe Eileen M
Author Affiliations: Clinical Nurse Specialist (Ms Mahramus); Director, Center for Nursing Research (Dr Penoyer); Manager for Nursing & Special Projects and Magnet Program (Mr Waterval), Orlando Health; Dean and Professor, University of Central Florida College of Nursing (Dr Sole); and National Clinical and Compliance Manager, DySIS Medical, Tampa, Florida (Ms Bowe).
Clin Nurse Spec. 2016 Sep-Oct;30(5):284-91. doi: 10.1097/NUR.0000000000000237.
PURPOSE/AIM: Teamwork during cardiopulmonary arrest events is important for resuscitation. Teamwork improvement programs are usually lengthy. This study assessed the effectiveness of a 2-hour teamwork training program.
A prospective, pretest/posttest, quasi-experimental design assessed the teamwork training program targeted to resident physicians, nurses, and respiratory therapists.
Participants took part in a simulated cardiac arrest. After the simulation, participants and trained observers assessed perceptions of teamwork using the Team Emergency Assessment Measure (TEAM) tool (ratings of 0 [low] to 4 [high]). A debriefing and 45 minutes of teamwork education followed. Participants then took part in a second simulated cardiac arrest scenario. Afterward, participants and observers assessed teamwork.
Seventy-three team members participated-resident physicians (25%), registered nurses (32%), and respiratory therapists (41%). The physicians had significantly less experience on code teams (P < .001). Baseline teamwork scores were 2.57 to 2.72. Participants' mean (SD) scores on the TEAM tool for the first and second simulations were 3.2 (0.5) and 3.7 (0.4), respectively (P < .001). Observers' mean (SD) TEAM scores for the first and second simulations were 3.0 (0.5) and 3.7 (0.3), respectively (P < .001). Program evaluations by participants were positive.
A 2-hour simulation-based teamwork educational intervention resulted in improved perceptions of teamwork behaviors. Participants reported interactions with other disciplines, teamwork behavior education, and debriefing sessions were beneficial for enhancing the program.
目的/目标：心肺复苏事件中的团队协作对复苏至关重要。团队协作改进项目通常耗时较长。本研究评估了一个两小时团队协作培训项目的效果。
一项前瞻性、测试前/测试后、准实验设计评估了针对住院医师、护士和呼吸治疗师的团队协作培训项目。
参与者参与模拟心脏骤停。模拟结束后，参与者和经过培训的观察员使用团队紧急评估量表（TEAM）工具评估团队协作情况（评分从0[低]到4[高]）。随后进行了一次汇报和45分钟的团队协作教育。参与者接着参与第二次模拟心脏骤停场景。之后，参与者和观察员评估团队协作情况。
73名团队成员参与其中，包括住院医师（25%）、注册护士（32%）和呼吸治疗师（41%）。医生在急救团队中的经验明显较少（P < .001）。基线团队协作得分在2.57至2.72之间。参与者在第一次和第二次模拟中TEAM工具的平均（标准差）得分分别为3.2（0.5）和3.7（0.4）（P < .001）。观察员在第一次和第二次模拟中的平均（标准差）TEAM得分分别为3.0（0.5）和3.7（0.3）（P < .001）。参与者对项目的评价是积极的。
一个两小时基于模拟的团队协作教育干预提高了对团队协作行为的认知。参与者报告称与其他学科的互动、团队协作行为教育和汇报环节对加强该项目有益。
