A feasibility study of in situ simulation to evaluate the effect of training on teamwork and clinical performance in ward based nursing resuscitation teams

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dc.contributor.advisor Jull, A en
dc.contributor.advisor Benipal, J en
dc.contributor.author Flynn, Luke en
dc.date.accessioned 2016-04-27T21:21:26Z en
dc.date.issued 2015 en
dc.identifier.citation 2015 en
dc.identifier.uri http://hdl.handle.net/2292/28676 en
dc.description Full text is available to authenticated members of The University of Auckland only. en
dc.description.abstract Objective: To investigate feasible methods of using in situ simulation to evaluate teamwork and clinical performance in ward-­‐‑based nursing first responder resuscitation teams after the teams had participated in two different training programmes. Methods: This investigation involved a feasibility study using a randomised cluster trial in two general wards (one medical, one surgical) in an urban hospital in New Zealand. Ward clusters were randomised by coin toss into control or intervention groups. Both clusters participated in self-­‐‑directed e-­‐‑learning where the control package consisted of basic airway management, and use of a semiautomatic automated electrical defibrillator and basic life support algorithm. The intervention cluster completed the same package with the addition of a teamwork module. Results: Clusters were demographically well matched. The control cluster ward historically had a higher incidence of cardiac arrests (Control=68%, Intervention=32% of the total number of cardiac arrests). Clusters had similar scores for time from arrest to defibrillation (Control Mean=214.0s, Intervention M=217.0s) and accumulated chest compressions (Control, M=248.0s, Intervention, M=244.0s,) The intervention cluster was faster at commencing chest compressions (M=65.5s, Control M=82.5). The intervention cluster demonstrated higher total teamwork scores (M=12.0) than the control (M=8.5). Conclusions A randomised cluster study is a feasible way to evaluate and compare the performance of nursing first responder teams working in general hospital wards. Trends in the performance results suggested improved teamwork in the intervention cluster. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99264846812302091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Available to authenticated members of The University of Auckland. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ en
dc.title A feasibility study of in situ simulation to evaluate the effect of training on teamwork and clinical performance in ward based nursing resuscitation teams en
dc.type Thesis en
thesis.degree.discipline Nursing en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The Author en
pubs.elements-id 526906 en
pubs.record-created-at-source-date 2016-04-28 en

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http://creativecommons.org/licenses/by-nc-sa/3.0/nz/ Except where otherwise noted, this item's license is described as http://creativecommons.org/licenses/by-nc-sa/3.0/nz/


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