중환자 간호사를 위한 소생팀 훈련 과정의 개발 및 평가에 관한 시범 연구
Assessment and Training of Teamwork and Leadership for Critical Care Nurses: A Pilot Study
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Background: Teamwork and leadership training have been shown to improve subsequent resuscitation performance in a variety of clinical situations. Critical care nurses, in addition to those who may be part of resuscitation team leaders and members, have also the need for such training. This study examines the teamwork and leadership skills of critical care nurses and their perceptions of the need for teamwork and leadership training. Methods: We developed a pilot, interactive 3-hour teamwork, and the leadership training program based on the objectives and teaching methods of the Advanced Life Support (ACLS) course. Participants completed a 1-hour lecture, and discussion for team roles and obstacles, 30 min of script-based role play in resuscitation team training, and finally, a 2-hour simulation-based team training program. Before the completion of the course, participants were anonymously surveyed on the perceived educational value of the teamwork and leadership program. Expert raters reviewed videos of simulated resuscitation events in the course, and scored each video by two existing checklist for the team dynamic. Results: Fifty-one nurses voluntarily participated and six videotaped simulation were rated by an expert rater. Most of the students believed the course was delivered at an appropriate level for them, and that it is a necessary training in their continuing professional education. The video rated average scores were from 68.5 to 72.9 according to the checklists. Conclusions: Critical care nurses can learn teamwork and leadership skills from appropriately designed programs, and believe it is a necessity in their training.
Abstract
Background: Teamwork and leadership training have been shown to improve subsequent resuscitation performance in a variety of clinical situations. Critical care nurses, in addition to those who may be part of resuscitation team leaders and members, have also the need for such training. This study examines the teamwork and leadership skills of critical care nurses and their perceptions of the need for teamwork and leadership training. Methods: We developed a pilot, interactive 3-hour teamwork, and the leadership training program based on the objectives and teaching methods of the Advanced Life Support (ACLS) course. Participants completed a 1-hour lecture, and discussion for team roles and obstacles, 30 min of script-based role play in resuscitation team training, and finally, a 2-hour simulation-based team training program. Before the completion of the course, participants were anonymously surveyed on the perceived educational value of the teamwork and leadership program. Expert raters reviewed videos of simulated resuscitation events in the course, and scored each video by two existing checklist for the team dynamic. Results: Fifty-one nurses voluntarily participated and six videotaped simulation were rated by an expert rater. Most of the students believed the course was delivered at an appropriate level for them, and that it is a necessary training in their continuing professional education. The video rated average scores were from 68.5 to 72.9 according to the checklists. Conclusions: Critical care nurses can learn teamwork and leadership skills from appropriately designed programs, and believe it is a necessity in their training.
참고문헌 (26)
- 정성필, "심폐소생팀 수행도 및 리더십 평가도구 개발", 대한중환자의학회지, 24(2), pp.64~68 (2009), 대한중환자의학회
- Hunziker S, "Brief leadership instructions improve cardiopulmonary resuscitation in a high-fidelity simulation: a randomized controlled trial", Crit Care Med, 38, pp.1086~1091 (2010)
- Thomas EJ, "Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial", J Perinatol, 27, pp.409~414 (2007)
- Gilfoyle E, "Development of a leadership skills workshop in paediatric advanced resuscitation", Med Teach, 29, pp.e276~e283 (2007)
- DeVita MA, "Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator", Qual Saf Health Care, 14, pp.326~331 (2005)
- Mäkinen M, "Assessment of CPR-D skills of nurses in Göteborg, Sweden and Espoo, Finland: teaching leadership makes a difference", Resuscitation, 72, pp.264~269 (2007)
- Morey JC, "Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project", Health Serv Res, 37, pp.1553~1581 (2002)
- Edelson DP, "Improving in-hospital cardiac arrest process and outcomes with performance debriefing", Arch Intern Med, 168, pp.1063~1069 (2008)
- Bhanji F, "Part 16: education, implementation, and teams: 2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care", Circulation, 122, pp.S920~S933 (2010)
- Hagyard-Wiebe T, "Should critical care nurses be ACLS- trained?", Dynamics, 18, pp.28~31 (2007)
- Lima SG, "Permanent Education in BLS and ACLS: impact on the knowledge of nursing professionals", Arq Bras Cardiol, 93, pp.582~636 (2009)
- O'Steen DS, "The retention of advanced cardiac life support knowledge among registered nurses", J Nurs Staff Dev, 12, pp.66~72 (1996)
- Burke ME, "ECG interpretation for obstetric nurses", J Perinat Neonatal Nurs, 5, pp.25~37 (1991)
- Hui GC, "ICU nurses' perceptions of potential constraints and anticipated support to practice defibrillation: a qualitative study", Intensive Crit Care Nurs, 27, pp.186~193 (2011)
- Tai CK, "Nurse-initiated defibrillation: are nurses confident enough?", Emerg Med J, 29, pp.24~27 (2012)
- Field JM, "Advanced cardiovascular life support provider manual", American, Heart Association, 11~17 (2006)
- 정성필, "Effects of script-based role play in cardiopulmonary resuscitation team training", EMERGENCY MEDICINE JOURNAL, 28(8), pp.690~694 (2011), BMJ Publishing Group
- Kirkpatrick DL, "Four steps to measuring training effectiveness", Pers Adm, 28, pp.62~74 (1983)
- Cooper S, "Rating medical emergency teamwork performance: development of the Team Emergency Assessment Measure (TEAM)", Resuscitation, 81, pp.446~452 (2010)
- Perkins GD, "Simulation in resuscitation training", Resuscitation, 73, pp.202~211 (2007)
- 백희진, "시뮬레이션을 이용한 응급실 위기관리 팀 훈련 프로그램의 개발 및 시범적용", 대한응급의학회지, 19(6), pp.603~610 (2008), 대한응급의학회
- Siassakos D, "The management of a simulated emergency: better teamwork, better performance", Resuscitation, 82, pp.203~206 (2011)
- "Preventing infant death and injury during delivery", Jt Comm Perspect, 24, pp.14~15 (2004)
- Lyons G, "Saving mothers' lives: confidential enquiry into maternal and child health 2003-5", Int J Obstet Anesth, 17, pp.103~105 (2008)
- Lee MS, "Psychology of intentive care unit staffs", Korean J Crit Care Med, 14, pp.79~84 (1999)
- Heng KW, "The role of nurses in the resuscitation of in-hospital cardiac arrests", Singapore Med J, 52, pp.611~615 (2011)