ABSTRACT
BACKGROUND: Interprofessional teamwork training of nursing undergraduates is essential to improving healthcare. The absence of clear role definitions and poor interprofessional communications have been listed as the main reasons behind abandonment of the profession by recently graduated nurses. PURPOSE: The aim of this parallel randomized clinical trial was to evaluate the impact of Situation-Background-Assessment-Recommendation (SBAR) role-play training on interprofessional teamwork skills (role-related and communication-related) and non-technical skills (patient assessment, patient intervention, patient safety, and critical thinking). METHOD: The intervention group were taught teamwork skills, role and task assignment skills, and use of the SBAR worksheet in a 1-hour role-play training session, while the control group received conventional lecture-based training. Teamwork and non-technical skills were then assessed in high-fidelity simulation scenarios using the KidSIM Team Performance Scale (teamwork skills) and the Clinical Simulation Evaluation Tool (non-technical skills). Cohen's d (d) was used to examine effect size differences. RESULTS: Compared to the control group, the intervention group improved in 4 teamwork items - 'verbalize out loud' (p < 0.001, d = 0.99), 'paraphrase' (p < 0.001, d = 0.77), 'cross-monitoring' (p < 0.001, d = 0.72), and 'role clarity' (p = 0.002, d = 0.66) - and in a single non-technical skill (patient intervention: p = 0.004, d = 0.66), while also reporting greater confidence in performing patient assessments (p = 0.02, d = 0.56). CONCLUSIONS: Role-play and SBAR training for undergraduate nurses improved patient intervention, enhanced information sharing in an interprofessional team, and raised awareness of their own and other team members' roles.
Subject(s)
Communication , Patient Care Team , Clinical Competence , Humans , Interprofessional RelationsABSTRACT
El síndrome de la bolsa de orina púrpura es una entidad poco frecuente, de condición benigna, caracterizada por una reacción química que provoca que la sonda vesical y la bolsa puedan teñirse de color rojo, azul o púrpura. Este fenómeno suele producirse en personas con pluripatología, portadores de sonda vesical y en el contexto de una infección del tracto urinario. Desarrollo del plan de cuidados: Desarrollamos un plan de cuidados mediante la revisión y análisis del caso de una mujer de 86 años, con diagnóstico de síndrome de la bolsa de orina púrpura. Se proponen los diagnósticos enfermeros con la taxonomía NANDA-I, los criterios de resultado con la Nursing Outcomes Classification (NOC) y las intervenciones enfermeras con la Nursing Intervention Classification (NIC). A su vez, se formulan los problemas de colaboración y el desarrollo de las actividades enfermeras que los acompañan. Discusión y conclusión: Es necesario el desarrollo de una planificación de cuidados individualizada y centrada en la persona con síndrome de la bolsa de orina púrpura para conseguir los criterios de resultado planificados y evitar la alarma que implica una decisión terapéutica equivocada y que puede alterar los resultados
The purple urine bag syndrome is an infrequent entity of benign condition but characterized by a chemical that consequence the urinary catheter and bag can get stained red, blue or purple. This phenomenon usually happens in pluripathological patients who carry a urinary catheter due to a urinary tract infection. Development of the care plan: We developed a care plan by reviewing and analyzing the case of an 86-year-old woman with a diagnosis of purple urine bag syndrome. Nursing diagnoses are proposed with the NANDA-I taxonomy, the outcome criteria with the Nursing Outcomes Classification (NOC) and the nursing interventions with the Nursing Intervention Classification (NIC). In turn, we deal with the problems of collaboration and the development of the nursing activities that accompany them. Discussion and conclusion: It is necessary to develop an individualized care planning centered in the person with purple urine bag syndrome to achieve the planned results criteria and avoid the alarm that implies a wrong therapeutics decision that can alter the results
Subject(s)
Humans , Female , Aged, 80 and over , Urine/chemistry , Urinary Tract Infections/complications , Urinary Catheterization/adverse effects , Nursing Care , Urinary Catheterization/nursing , Diagnosis, DifferentialABSTRACT
En este plan de cuidados estandarizados se identifican los diagnósticos de enfermería y los problemas interdependientes referidos a una persona que ha sufrido una amputación de un miembro. Nos basamos en el modelo conceptual de Virginia Henderson. En cada uno de los diagnósticos de enfermería se reflejan las manifestaciones de dependencia que la enfermera tiene que conocer, para llegar a la formulación de los diagnósticos. También constan los objetivos y actividades para solventar en gran parte sus problemas. Se detallan los problemas interdepedientes propios de esta patología donde se especifican los controles de enfermería para detectar las posibles complicaciones potenciales, así como las actividades a realizar cuando se instaura el problema. Se presentó como póster en el XI Congreso Nacional de Enfermería Vascular (AU)
