ABSTRACT
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. DESIGN: A prospective, pretest/posttest, quasi-experimental design assessed the teamwork training program targeted to resident physicians, nurses, and respiratory therapists. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
Subject(s)
Cardiopulmonary Resuscitation/education , Clinical Competence , Cooperative Behavior , Health Personnel/education , Heart Arrest/nursing , Nursing, Team/standards , Practice Guidelines as Topic , Adult , Curriculum , Humans , Male , Patient Simulation , Program Evaluation , Prospective StudiesABSTRACT
Urinary incontinence (UI) is the leading cause for institutionalization of the elderly. According to the Agency for Health Care Policy and Research (AHCPR), over 50% of the elderly resident population living in nursing homes are considered to be incontinent. In long term care facilities, 33% of medical supplies purchased are incontinence products. This 33% represents the number one item for this classification of expenses.
