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The effectiveness of crisis resource management and team debriefing in resuscitation education of nursing students: A randomised controlled trial
Author(s) -
Coppens Imgard,
Verhaeghe Sofie,
Van Hecke Ann,
Beeckman Dimitri
Publication year - 2018
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.13846
Subject(s) - debriefing , teamwork , self efficacy , nursing , intervention (counseling) , crisis intervention , medicine , team effectiveness , team management , randomized controlled trial , medical education , psychology , knowledge management , operations management , engineering , surgery , psychiatry , political science , computer science , law , psychotherapist
Aims and objectives The aim of this study was to investigate (i) whether integrating a course on crisis resource management principles and team debriefings in simulation training, increases self‐efficacy, team efficacy and technical skills of nursing students in resuscitation settings and (ii) which phases contribute the most to these outcomes. Background Crisis resource management principles have been introduced in health care to optimise teamwork. Simulation training offers patient safe training opportunities. There is evidence that simulation training increases self‐efficacy and team efficacy but the contribution of the different phases like crisis resource management principles, simulation training and debriefing on self‐efficacy, team efficacy and technical skills is not clear. Design Randomised controlled trial in a convenience sample ( n = 116) in Belgium. Data were collected between February 2015–April 2015. Methods Participants in the intervention group ( n = 60) completed a course on crisis resource management principles, followed by a simulation training session, a team debriefing and a second simulation training session. Participants in the control group ( n = 56) only completed two simulation training sessions. The outcomes self‐efficacy, team efficacy and technical skills were assessed after each simulation training. An ancillary analysis of the learning effect was conducted. Results The intervention group increased on self‐efficacy (2.13%, p = .02) and team efficacy (9.92%, p < .001); the control group only increased significantly on team efficacy (4.5%, p = .001). The intervention group scored significantly higher on team efficacy (8.49%, p < .001) compared to the control group. Conclusion Combining crisis resource management principles and team debriefings in simulation training increases self‐efficacy and team efficacy. The debriefing phase contributes the most to these effects. Relevance to clinical practice By partnering with healthcare settings, it becomes possible to offer interdisciplinary simulation training that can increase patient safety.