Emergencies within hospital wards: An observational study of the non-technical skills of medical emergency teams

Saunders, Rosemary; Wood, Emma; Coleman, Adam; Gullick, Karen; Graham, Renée; Seaman, Karla

doi:10.1016/j.auec.2020.07.003

Cited by 8 publications

(8 citation statements)

References 28 publications

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“…There was a significant difference in the positive perceptions of MET function among MET members with different amounts of MET education; nurses with more MET education agreed more with MET function compared to those with less than 1 year of MET education. Evidence indicates that MET members' non‐technical skills substantially improve MET function and patient outcomes 27 and are quite important for MET training 28 . Therefore, we recommend implementation of the TeamSTEPPS curriculum in hospital settings for training ICU nurses working in the MET because it is a dedicated evidence‐based team training programme for the MET and has extensive benefits 16 …”

Section: Discussionmentioning

confidence: 99%

Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Azimirad

Magnusson

Wiseman

et al. 2021

Nursing in Critical Care

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Background: The role of medical emergency team (MET) in managing deteriorating patients and enhancing patient safety is greatly affected by teamwork.Aims: To identify teamwork-related needs of the MET from MET nurses' perspectives. To assess the associations between MET nurses' perceptions of teamwork and their work experience and education.Study design: A quantitative, descriptive correlational design.Methods: Registered intensive care unit (ICU) nurses (n = 50) who were members of the MET in an acute tertiary care hospital answered a modified version of the team assessment questionnaire in 2017. Data were analysed using descriptive statistics, the Kruskal-Wallis test, and the univariate analysis of variance method. The reporting of this study adheres to the strengthening the reporting of observational studies (STROBE) guidelines.Results: Participants showed least agreement with the items presenting leadership skills (mean = 2.6, SD = 0.68). Approximately 50% nurses disagreed that the MET had adequate resources, training, and skills. The majority of nurses (80%) felt that their responsibilities as a MET member interfered with taking care of their own ICU patients. Many nurses (64%) felt that they did not have a voice in MET's decisionmaking process. Approximately 50% nurses felt that they were not recognized for their individual contribution, and they were uncertain regarding MET's policies for dealing with conflicts. The amounts of MET nurses' work experience and education were associated with MET skills and function, respectively.

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Section: Discussionmentioning

confidence: 99%

Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Azimirad

Magnusson

Wiseman

et al. 2021

Nursing in Critical Care

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“…This review identified that nurses' experiences of resuscitation are (NTS) (Krage et al, 2017). More specifically, NTS require the person to have situational awareness, effective communication and leadership (Saunders et al, 2020). In the studies reviewed, nurses referred to the team leader as a medical officers/physician.…”

Section: Discussionmentioning

confidence: 99%

“…Controlled resuscitations fundamentally have a leader/s that utilises sound cognitive, behavioural and social skills otherwise known as non‐technical skills (NTS) (Krage et al., 2017). More specifically, NTS require the person to have situational awareness, effective communication and leadership (Saunders et al., 2020). In the studies reviewed, nurses referred to the team leader as a medical officers/physician.…”

Section: Discussionmentioning

confidence: 99%

Voices from the ‘resus room': An integrative review of the resuscitation experiences of nurses

Riley

Middleton

Wilson

et al. 2021

Journal of Clinical Nursing

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Background Nurses are often the first responders to resuscitations. Understanding their experiences of resuscitation will highlight the resuscitative context nurses work within and identify the conditions that support or hamper their delivery of safe and effective resuscitative care. Aim The aim of this integrative review is to develop an understanding of nurses' experience of resuscitation, to gain knowledge of their challenges and identify gaps in evidence. Design Integrative review. Methods The electronic databases CINAHL, MEDLINE, Scopus and Web of Science were systematically searched from 2000–2021. Methodological quality of the papers was evaluated using the Mixed Methods Appraisal Tool (MMAT). The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) 2020 checklist was used to guide and report the integrative review. Results Eleven articles met criteria for review. Four themes arose from the literature that addressed nurses experiences of resuscitation: Chaos (external/internal), ethical dilemmas, clinical confidence and need for support. Conclusion Nurses' experiences of resuscitation are multifaceted. Addressing the challenges that nurses experience during resuscitation will help ensure that nurses' are supported in their professional growth and personal well‐being. Relevance to clinical practice and research: Building nursing leadership capacity within resuscitations is an area of clinical practice/research that is gaining traction as a valid solution to address the challenges nurses experience during resuscitations. Whilst the barriers to debriefing requires a greater level of consideration within the workplace.

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“…Across the various settings there was a strong focus on Level 2 (Learning). Few studies surveyed participants regarding their Reaction (Level 1) but those that did so 19,23,24,30,33,36…”

Section: Validity Evidence Of Training Outcomesmentioning

confidence: 99%

Review article: Use of the Team Emergency Assessment Measure in the rating of emergency teams' non‐technical skills: A mapping review

Cooper

Connell

Cant

2023

Emerg Medicine Australasia

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The present study aims to explore the utility of the Team Emergency Assessment Measure (TEAM) in relation to the enhancement of emergency team non‐technical skills based on research conducted over the last decade. In this mapping review, a citation mining process identified 22 primary studies for inclusion, published between 2012 and 2022. It provides outcome data on emergency teams' non‐technical skills following team training and/or real‐life patient emergencies. Emergency team studies related to resuscitation teams (adult, paediatric, newborn and obstetric cases) and medical emergency team (MET) management of patient deterioration. Team performance ratings varied, ranging from approximately 90% for experienced clinical teams down to 38% for students. Statistically significant improvements in performance were notable following training and/or repeated practice. Validity evidence, across 11 studies that provided change data described positive learning outcomes and moderate intervention effects. However, according to Kirkpatrick's model of educational evaluation the studies were limited to professional development phases of learning and immediate post‐training assessments rather than care quality improvement. The review highlights a lack of studies evidencing quality improvement or clinical impact such as change of patient care practice or health service performance. There is a need to conduct well‐designed studies that explore both technical and non‐technical skills of resuscitation teams and METs. Currently, non‐technical skills training and repeated performance evaluations using the TEAM contribute immensely to the proficiency of emergency teams.

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Emergencies within hospital wards: An observational study of the non-technical skills of medical emergency teams

Cited by 8 publications

References 28 publications

Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Identifying teamwork‐related needs of the medical emergency team: Nurses' perspectives

Voices from the ‘resus room': An integrative review of the resuscitation experiences of nurses

Review article: Use of the Team Emergency Assessment Measure in the rating of emergency teams' non‐technical skills: A mapping review

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