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Leadership and teamwork in medical emergencies: performance of nursing students and registered nurses in simulated patient scenarios

Author

Listed:
  • Ruth Endacott
  • Fiona E Bogossian
  • Simon J Cooper
  • Helen Forbes
  • Victoria J Kain
  • Susan C. Young
  • Joanne E Porter
  • the First2Act Team

Abstract

Aims and objectives To examine nursing students' and registered nurses' teamwork skills whilst managing simulated deteriorating patients. Background Studies continue to show the lack of timely recognition of patient deterioration. Management of deteriorating patients can be influenced by education and experience. Design Mixed methods study conducted in two universities and a rural hospital in Victoria, and one university in Queensland, Australia. Methods Three simulation scenarios (chest pain, hypovolaemic shock and respiratory distress) were completed in teams of three by 97 nursing students and 44 registered nurses, equating to a total of 32 student and 15 registered nurse teams. Data were obtained from (1) Objective Structured Clinical Examination rating to assess performance; (2) Team Emergency Assessment Measure scores to assess teamwork; (3) simulation video footage; (4) reflective interview during participants' review of video footage. Qualitative thematic analysis of video and interview data was undertaken. Results Objective structured clinical examination performance was similar across registered nurses and students (mean 54% and 49%); however, Team Emergency Assessment Measure scores differed significantly between the two groups (57% vs 38%, t = 6·841, p

Suggested Citation

  • Ruth Endacott & Fiona E Bogossian & Simon J Cooper & Helen Forbes & Victoria J Kain & Susan C. Young & Joanne E Porter & the First2Act Team, 2015. "Leadership and teamwork in medical emergencies: performance of nursing students and registered nurses in simulated patient scenarios," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 90-100, January.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:1-2:p:90-100
    DOI: 10.1111/jocn.12611
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    Cited by:

    1. Ingebjørg Strand & Lise Gulbrandsen & Åshild Slettebø & Dagfinn Nåden, 2017. "Digital recording as a teaching and learning method in the skills laboratory," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(17-18), pages 2572-2582, September.
    2. Claire Foley & Maura Dowling, 2019. "How do nurses use the early warning score in their practice? A case study from an acute medical unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1183-1192, April.
    3. Patricia L. Hart & LeeAnna Spiva & Lonnie Dolly & Kristen Lang‐Coleman & Nadia Prince‐Williams, 2016. "Medical‐surgical nurses' experiences as first responders during deterioration events: a qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3241-3251, November.

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