Change in attitudes and performance of critical care teams after a multi-disciplinary simulation-based intervention

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dc.contributor.author Weller, Jennifer en
dc.contributor.author Frengley, R en
dc.contributor.author Torrie, J en
dc.contributor.author Webster, Craig en
dc.contributor.author Tomlinson, S en
dc.contributor.author Henderson, K en
dc.date.accessioned 2015-02-19T02:43:23Z en
dc.date.accessioned 2016-11-29T00:18:31Z en
dc.date.issued 2012 en
dc.identifier.citation International Journal of Medical Education, 2012, 3 pp. 124 - 131 en
dc.identifier.issn 2042-6372 en
dc.identifier.uri http://hdl.handle.net/2292/31177 en
dc.description.abstract Objectives: To conduct an in-depth exploration of the selfreported long-term change in attitudes and performance after a full-day multidisciplinary simulation-based course focussed on team management of emergency events in the Critical Care Unit. To address the current lack of knowledge of factors which can lead to improved teamwork performance and their measurement through identification of measurable markers of behaviour and attitude change. Methods: A purposive sample of course participants underwent semi-structured interviews one to five months after course completion. Responses were coded using grounded theory to identify instances of learning, changes in attitudes or clinical performance, and measurable behavioural and attitudinal markers for such change. Interviews continued until data saturation was achieved. Results: Twenty nine participants (15 doctors and 14 nurses) were interviewed. Doctors became more confident in delegating and including nurses in decision making, and nurses became more confident and aware of the need for effective communication. Doctors reported that their ability to assign team roles improved over the day and that they made more frequent use of closed-loop communication. Both professional groups reported improvement in communication in the clinical setting after participation, including better vocalising of thoughts and use of colleagues’ names. Attitudes to communication also improved and persisted in the clinical setting. Conclusions: Addressing gaps in current medical education knowledge, self-reported improvements in behaviour and attitudes translated to clinical performance after a simulation course. Measurable behavioural and attitudinal markers were identified that may assist with the development of evidence-based measurement tools in future team training work. en
dc.relation.ispartofseries International Journal of Medical Education en
dc.relation.replaces http://hdl.handle.net/2292/24586 en
dc.relation.replaces 2292/24586 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. Details obtained from http://www.ijme.net/archive/3/attitudes-and-performance-following-a-simulation-intervention/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Change in attitudes and performance of critical care teams after a multi-disciplinary simulation-based intervention en
dc.type Journal Article en
dc.identifier.doi 10.5116/ijme.4ff7.0f68 en
pubs.begin-page 124 en
pubs.volume 3 en
pubs.author-url http://www.ijme.net/archive/3/attitudes-and-performance-following-a-simulation-intervention/ en
pubs.end-page 131 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 364333 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Cent Medical & Hlth Sci Educat en
pubs.record-created-at-source-date 2012-11-23 en


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