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Learning Objective 1: Discuss evidence regarding the impact of simulation-based training on nurse performance and confidence in recognition and management of early warning signs of failure to rescue.
Learning Objective 2: Describe current work examining the impact of TeamSTEPPSŪ curriculum on knowledge, skills and confidence in clinical judgment of nurses practicing in the progressive care setting.
Patients in progressive care (PCU) settings are at high risk for physiologic deterioration. Nurses practicing in PCU settings must possess solid knowledge of early warning signs (EWS) of patient physiologic decline, strong technical and non-technical communication skills and confidence to act accordingly to prevent patient failure to rescue.
Adoption of innovative, evidence-based strategies to augment the development of professional nursing excellence remains paramount. Traditionally, educational programs for staff nurses have focused on aptitude and skill acquisition. Self-confidence in applying knowledge and skill in a clinical setting is essential to improving practice and patient outcomes. Currently, the importance of reflective debriefing is emphasized as a critical component of the learning process to improve self-confidence and performance in practice. TeamSTEPPS® incorporating simulation-based team training (SBTT) uses a reflective strategy for training of healthcare providers. Limited research exists on the impact of TeamSTEPPS® SBTT on PCU nurse performance and self-confidence in recognition and management of EWS of failure to rescue.
Methods:
To investigate the impact of TeamSTEPPS® SBTT on PCU nurse performance and confidence in recognition and management of EWS of failure to rescue, a quasi-experimental, nonequivalent control group pre- and post-test intervention study will be conducted. A preliminary report on the progress of the emerging study will be highlighted. Current evidence regarding the impact of SBTT on nurse performance and confidence in practice settings will be reviewed. The outcomes of a previous TeamSTEPPS® SBTT curriculum study conducted in the trauma resuscitation setting within the same healthcare facility will be shared.
Conclusions:
Patients in PCU are acutely ill and at high risk for failure to rescue. Combining TeamSTEPPS® principles with SBTT has the potential to improve nurse performance and confidence in recognition and management of EWS of failure to rescue and may lead to improved patient outcomes in PCU settings.
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