An Interprofessional Simulation-Based Orientation Program for Transitioning Novice Nurses to Critical Care Roles in the Emergency Department: Pilot Implementation and Evaluation.

The emergency department (ED) relies on high-functioning teams to deliver consistent and safe patient care. Experts recommend that both emergency physicians and ED nurses participate in team training. However, there are currently no nationally accepted curricula for either profession to embed this t...

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Publicado en:Joint Commission Journal on Quality & Patient Safety Vol. 46; no. 11; pp. 640 - 650
Autores principales: Roncallo, Hannah R., Ray, Jessica M., Kulacz, Regina C., Yang, Thomas J., Chmura, Christopher, Evans, Leigh V., Wong, Ambrose H.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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        10.1016/j.jcjq.2020.08.005
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        atl: An Interprofessional Simulation-Based Orientation Program for Transitioning Novice Nurses to Critical Care Roles in the Emergency Department: Pilot Implementation and Evaluation.
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          Roncallo, Hannah R.
          Ray, Jessica M.
          Kulacz, Regina C.
          Yang, Thomas J.
          Chmura, Christopher
          Evans, Leigh V.
          Wong, Ambrose H.
      sug:
        subj:
          Simulations Utilization
          Education, Interdisciplinary
          Student Orientation
          Novice Nurses Education
          Critical Care Nursing Education
          Nursing Role
          Emergency Service
          Program Implementation
          Program Evaluation
          Teaching Methods
          Quality of Health Care
          Patient Care
          Human
          Curriculum
          Career Planning and Development
          Professional Development
          Descriptive Statistics
          Scales
          Clinical Assessment Tools
          Qualitative Studies
          Health Services Needs and Demand
          Needs Assessment
          Program Development
          Pilot Studies
      ab: The emergency department (ED) relies on high-functioning teams to deliver consistent and safe patient care. Experts recommend that both emergency physicians and ED nurses participate in team training. However, there are currently no nationally accepted curricula for either profession to embed this training in their professional development, particularly for health workers who are novice or transitioning into critical care roles. An interprofessional educator team designed and embedded a series of simulation scenarios within a novel orientation program for novice nurses transitioning to critical care roles in the ED to teach clinical and teamwork skills for conjoint groups of resident physician and novice nurse learners. The team created four interprofessional simulations to represent the acuity and breadth of patient populations in the ED critical care bays. To date, the team has conducted 24 two-week orientation sessions for 48 nurses and 51 resident physicians. Overall mean scores for the Debriefing Assessment for Simulation in Healthcare (DASH) instrument from nursing participants in the first 18 sessions were high. Qualitative evaluation data from both nurses and physicians demonstrated a positive impact of the simulations and provided insight into respective roles, identities, and priorities across professions. Participant feedback led to iterative steps in refinement of the simulations, including adjustments in debriefings and logistics of the orientation program. A team-based interprofessional simulation program was found to be feasible and acceptable for practicing novice physicians and nurses as part of a nursing critical care orientation program in the ED. Future work will assess the program's long-term impact on teamwork and safety in the actual clinical environment.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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