Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?

Hunter, Justin; Porter, Michael E.; Cody, Patrick; Williams, Brett

doi:10.1016/j.ienj.2022.101174

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…Another interesting aspect of this study was that over 90% of respondents confirmed that the skills they learned in the air rescue service were also applicable to and had a positive impact on their ground-based work. These results are in line with the recent literature [ 9 ] and may lead to the referral that CRM training approaches should also be made available to all ground-based rescue members by the rescue service organizations and other out-of-hospital agencies. Without doubt, further investigations with larger cohorts concerning the potential effects of human factors and appropriate trainings on ground-based paramedicine seem to be necessary.…”

Section: Discussionsupporting

confidence: 90%

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The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey

et al. 2022

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Background: Air rescue crew members work equally in aviation and medicine, and thus occupy an important interface between the two work environments of aviation and medicine. The aim of this study was to obtain responses from participants to a validated online-based questionnaire regarding whether hospitals may benefit from the commitment of a medical hospital staff which is also professionally involved in the aviation system as emergency physicians and Helicopter Emergency Medical Services Technical Crew Members (HEMS TC). Furthermore, it focused on the question of whether the skills acquired through Crew Resource Management (CRM) training in the air rescue service might also be used in the ground-based rescue service and, if so, whether they may have a positive effect. Methods: Medical air rescue staff of 37 German air rescue stations was included. Between 27 November 2020 and 03 March 2021, 253 out of 621 employees (response rate: 40.7%) participated voluntarily in a validated anonymized online survey. A quantitative test procedure was performed using the modified questionnaire on teamwork and patient safety (German version). Results: The examination and interpretation of the internal consistency (Cronbach’s alpha) resulted in the following reliabilities: Factor I (Cooperation): α = 0.707 (good); Factor II (Human factors): α = 0.853 (very good); Factor III (Communication): α = 0.657 (acceptable); and Factor IV (Safety): α = 0.620 (acceptable). Factor analysis explained 53.1% of the variance. Conclusions: The medical clinicians participating in this online survey believed that the skills they learned in human factors training such as CRM are helpful in their daily routine work in hospitals or other medical facilities, as well as in their ground-based rescue service activities. These findings may result in the recommendation to make CRM available on a regular to the medical staff in all medical facilities and also to ground-based rescue service staff aiming to increase patient safety and employee satisfaction.

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Section: Discussionsupporting

confidence: 90%

“…Nowadays, it is common consent that community paramedicine programs and trainings are diverse and also allow ground-based rescue service members to address a wide range of social needs [ 9 ]. On the other hand, these trainings have been relatively poorly described in the literature [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey

et al. 2022

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“…Thirdly, nursing education must find meaningful ways of accelerating the transition towards cognitive expertise. Drawing on the results of this study and the wider literature we suggest that a focus should be placed on cultivating the development of mental models/schema of prototypical deteriorating situations (Walshe et al., 2019), fostering active and iterative scanning behaviours (Szulewski et al., 2019), enhancing new graduates' capacity to make connections between perceived cues including the integrative use of EWS scores (Wood et al., 2019), cultivating metacognitive strategies especially in situations that exert substantial cognitive demands, and using sterile cockpit approaches and cognitive aids to improve focus and reduce distractions (Hunter et al., 2022).…”

Section: Discussionmentioning

confidence: 99%

A cognitive task analysis of final year nursing students' situation awareness in simulated deteriorating patient events: A mixed methods study

Walshe,

Drennan,

Hegarty

et al. 2024

Nursing Open

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AimThe aim of this study was to: (1) use cognitive task analysis to describe final year nursing students situation awareness in recognising, responding and escalating care of deteriorating patients in ward settings; and (2) make recommendations for training and practice.DesignA mixed methods cognitive task analysis with a convergent triangulation design.MethodData collection involved observations of 33 final year nursing students in simulated deteriorating patient scenarios and retrospective cognitive interviews. A process tracing technique was applied to identify the cues to deterioration participants perceived; how cue perception altered as situational demands increased; the extent that participants made connections between perceived cues and reached a situational understanding; and the factors that influenced and constrained participants situation awareness. Qualitative and quantitative findings are woven together and presented using descriptive statistics, illustrative quotations and timeline extractions.ResultsThe median cue perception was 65.4% and 57.6% in the medical and surgical scenarios, respectively. Perception was negatively influenced by incomplete vital sign monitoring as situations escalated; limited physical assessments; passive scanning behaviours; poor task automaticity; and excessive cognitive demands. Incomplete perception, poor cue integration and underdeveloped mental models influenced situational understanding. Escalation calls did not always accurately reflect situations and a reporting mindset was evident. Clinical exposure to deteriorating patients was described as variable and opportunistic.Reporting MethodThe study is reported in accordance with the Good Reporting of a Mixed Methods Study (GRAMMS) checklist.Patient or Public ContributionPatients and public were not involved in this research.

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Understanding the Role of Cognitive Load in Paramedical Contexts: A Systematic Review

Zaphir,

Murphy,

MacQuarrie

et al. 2024

Prehospital Emergency Care

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Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?

Cited by 4 publications

References 45 publications

The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey

The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey

A cognitive task analysis of final year nursing students' situation awareness in simulated deteriorating patient events: A mixed methods study

Understanding the Role of Cognitive Load in Paramedical Contexts: A Systematic Review

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