Interprofessional learning in immediate life support training does effect TEAM performance during simulated resuscitation

Jeremy Charles Morse* (Corresponding Author), Craig William Brown, Ian Morrison, Caroline Wood

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Aim of the study To assess performance in a simulated resuscitation after participating in either an interprofessional learning (IPL) or uniprofessional learning (UPL) immediate life support (ILS) training course. Introduction The Team Emergency Assessment Measure (TEAM) is routinely used in Resuscitation Council (UK) Advanced Life Support courses. This study used the psychometrically validated tool to assess if the delivery of an IPL ILS to final year medical and nursing students could improve overall behavioural performance and global TEAM score. Methods A randomised study of medical (n=48) and nursing (n=48) students, assessing performance in a simulated resuscitation following the IPL or UPL ILS courses. Postcourse completion participants were invited back to undertake a video-recorded simulated-resuscitation scenario. Each of these were reviewed using the TEAM tool, at the time by an experienced advanced life support instructor and subsequently by a clinician, independent to the study and blinded as to which cohort they were reviewing. Results Inter-rater reliability was tested using a Bland-Altman plot indicating non-proportional bias between raters. Parametric testing and analysis showed statistically significant higher global overall mean TEAM scores for those who had attended the IPL ILS courses. Conclusion Our results demonstrate that an IPL approach in ILS produced an increased effect on TEAM scores with raters recording a significantly more collaborative team performance. A postscenario questionnaire for students also found a significantly improved experience within the team following the IPL course compared with those completing UPL training. Although this study shows that team behaviour and performance can change and improve in the short-term, we acknowledge further studies are required to assess the long-term effects of IPL interventions. Additionally, through this type of study methodology, other outcomes in regard to resuscitation team performance may be measured, highlighting other potential benefit to patients, at level four of Kirkpatrick’s hierarchy.
Original languageEnglish
Pages (from-to)204-209
Number of pages6
JournalBMJ Simulation & Technology Enhanced Learning
Volume5
Issue number4
Early online date1 Dec 2018
DOIs
Publication statusPublished - Oct 2019

Fingerprint

Training Support
Resuscitation
Learning
Students
Nursing Students
Medical Students
Nursing
Emergencies

Cite this

@article{2db3907d16404ec4a43c7faf84f7062c,
title = "Interprofessional learning in immediate life support training does effect TEAM performance during simulated resuscitation",
abstract = "Aim of the study To assess performance in a simulated resuscitation after participating in either an interprofessional learning (IPL) or uniprofessional learning (UPL) immediate life support (ILS) training course. Introduction The Team Emergency Assessment Measure (TEAM) is routinely used in Resuscitation Council (UK) Advanced Life Support courses. This study used the psychometrically validated tool to assess if the delivery of an IPL ILS to final year medical and nursing students could improve overall behavioural performance and global TEAM score. Methods A randomised study of medical (n=48) and nursing (n=48) students, assessing performance in a simulated resuscitation following the IPL or UPL ILS courses. Postcourse completion participants were invited back to undertake a video-recorded simulated-resuscitation scenario. Each of these were reviewed using the TEAM tool, at the time by an experienced advanced life support instructor and subsequently by a clinician, independent to the study and blinded as to which cohort they were reviewing. Results Inter-rater reliability was tested using a Bland-Altman plot indicating non-proportional bias between raters. Parametric testing and analysis showed statistically significant higher global overall mean TEAM scores for those who had attended the IPL ILS courses. Conclusion Our results demonstrate that an IPL approach in ILS produced an increased effect on TEAM scores with raters recording a significantly more collaborative team performance. A postscenario questionnaire for students also found a significantly improved experience within the team following the IPL course compared with those completing UPL training. Although this study shows that team behaviour and performance can change and improve in the short-term, we acknowledge further studies are required to assess the long-term effects of IPL interventions. Additionally, through this type of study methodology, other outcomes in regard to resuscitation team performance may be measured, highlighting other potential benefit to patients, at level four of Kirkpatrick’s hierarchy.",
author = "Morse, {Jeremy Charles} and Brown, {Craig William} and Ian Morrison and Caroline Wood",
note = "Acknowledgments The authors would like to thank Dr Kim Milne, Consultant Medical High Dependency Unit & Director of Medical Education, Aberdeen Royal Infirmary, Foresterhill, Aberdeen. Funding: This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors",
year = "2019",
month = "10",
doi = "10.1136/bmjstel-2018-000394",
language = "English",
volume = "5",
pages = "204--209",
journal = "BMJ Simulation & Technology Enhanced Learning",
issn = "2056-6697",
publisher = "BMJ Publishing",
number = "4",

}

TY - JOUR

T1 - Interprofessional learning in immediate life support training does effect TEAM performance during simulated resuscitation

AU - Morse, Jeremy Charles

AU - Brown, Craig William

AU - Morrison, Ian

AU - Wood, Caroline

N1 - Acknowledgments The authors would like to thank Dr Kim Milne, Consultant Medical High Dependency Unit & Director of Medical Education, Aberdeen Royal Infirmary, Foresterhill, Aberdeen. Funding: This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors

PY - 2019/10

Y1 - 2019/10

N2 - Aim of the study To assess performance in a simulated resuscitation after participating in either an interprofessional learning (IPL) or uniprofessional learning (UPL) immediate life support (ILS) training course. Introduction The Team Emergency Assessment Measure (TEAM) is routinely used in Resuscitation Council (UK) Advanced Life Support courses. This study used the psychometrically validated tool to assess if the delivery of an IPL ILS to final year medical and nursing students could improve overall behavioural performance and global TEAM score. Methods A randomised study of medical (n=48) and nursing (n=48) students, assessing performance in a simulated resuscitation following the IPL or UPL ILS courses. Postcourse completion participants were invited back to undertake a video-recorded simulated-resuscitation scenario. Each of these were reviewed using the TEAM tool, at the time by an experienced advanced life support instructor and subsequently by a clinician, independent to the study and blinded as to which cohort they were reviewing. Results Inter-rater reliability was tested using a Bland-Altman plot indicating non-proportional bias between raters. Parametric testing and analysis showed statistically significant higher global overall mean TEAM scores for those who had attended the IPL ILS courses. Conclusion Our results demonstrate that an IPL approach in ILS produced an increased effect on TEAM scores with raters recording a significantly more collaborative team performance. A postscenario questionnaire for students also found a significantly improved experience within the team following the IPL course compared with those completing UPL training. Although this study shows that team behaviour and performance can change and improve in the short-term, we acknowledge further studies are required to assess the long-term effects of IPL interventions. Additionally, through this type of study methodology, other outcomes in regard to resuscitation team performance may be measured, highlighting other potential benefit to patients, at level four of Kirkpatrick’s hierarchy.

AB - Aim of the study To assess performance in a simulated resuscitation after participating in either an interprofessional learning (IPL) or uniprofessional learning (UPL) immediate life support (ILS) training course. Introduction The Team Emergency Assessment Measure (TEAM) is routinely used in Resuscitation Council (UK) Advanced Life Support courses. This study used the psychometrically validated tool to assess if the delivery of an IPL ILS to final year medical and nursing students could improve overall behavioural performance and global TEAM score. Methods A randomised study of medical (n=48) and nursing (n=48) students, assessing performance in a simulated resuscitation following the IPL or UPL ILS courses. Postcourse completion participants were invited back to undertake a video-recorded simulated-resuscitation scenario. Each of these were reviewed using the TEAM tool, at the time by an experienced advanced life support instructor and subsequently by a clinician, independent to the study and blinded as to which cohort they were reviewing. Results Inter-rater reliability was tested using a Bland-Altman plot indicating non-proportional bias between raters. Parametric testing and analysis showed statistically significant higher global overall mean TEAM scores for those who had attended the IPL ILS courses. Conclusion Our results demonstrate that an IPL approach in ILS produced an increased effect on TEAM scores with raters recording a significantly more collaborative team performance. A postscenario questionnaire for students also found a significantly improved experience within the team following the IPL course compared with those completing UPL training. Although this study shows that team behaviour and performance can change and improve in the short-term, we acknowledge further studies are required to assess the long-term effects of IPL interventions. Additionally, through this type of study methodology, other outcomes in regard to resuscitation team performance may be measured, highlighting other potential benefit to patients, at level four of Kirkpatrick’s hierarchy.

U2 - 10.1136/bmjstel-2018-000394

DO - 10.1136/bmjstel-2018-000394

M3 - Article

VL - 5

SP - 204

EP - 209

JO - BMJ Simulation & Technology Enhanced Learning

JF - BMJ Simulation & Technology Enhanced Learning

SN - 2056-6697

IS - 4

ER -