Track: Evidence-Based Practice
Category: Poster Winners with Audio
Evidence-Based Practice Poster Session (Posters #29-#36)
Multiple evidences support the use of simulation-based training in different areas of health care in addressing life-threatening emergencies. In operating room (OR), where unforeseen surgical events are considered low incidence but have high impact, require clinicians to provide fast action with competent surgical specific skills. The purpose of this evidence-based project (EBP) is to study the effects of simulation-based training (SBT) of surgical emergencies in a level III hospital OR team-based attitudes and behaviors in North Platte, Nebraska. Kolb's experiential learning theory served as theoretical foundation. A total of 19 OR clinicians, with four teams comprising of a physician, certified registered nurse anesthesia, registered nurses, surgical technologists, and anesthesia technicians, participated in the study using a quasi-experimental comparison design. All participants completed pre- and post- SBT questionnaires, which include 15-item Likert-type questions measuring perceived self-efficacy for team-based competencies. Observers evaluated the team-based performance for each scenario using the five-point dimension scales. Two standardized simulation scenarios were applied. Statistically significant gains from mean pre- to post-simulation scores occurred on 15 of the 15 self-efficacy items. Statistically significant increase in mean observer scores were present in two out of five subscales (coordination and situational awerness) of the teamwork scale from the first to the second scenario. A statistically significant difference was found in comparisons of mean observer scores in the second scenario and mean participant self-efficacy scores to each team using one-way ANOVA. Findings supported the value of SBT as an education avenue in OR with its positive effects in improving OR clinicians’ team-based behaviors and attitudes during critical emergencies.
Keywords: operating room, simulation-based training, teamwork
MARCELO C. MELO
University of Virginia Medical Center