The development of communication, leadership and situation awareness in interprofessional teams during acute care.
When lives are at stake, teamwork are put to the test. The right person should make the right thing at the right time. Does a simulator-based course increase team situation awareness and a conscious use of different leadership strategies?
Modern emergency care involves doctors, nurses and nurses aids working together with the severely injured / ill patients to quickly, safely and effectively help them. In these situations, the demands are high for management and medical expertise. In previous studies, we have seen that there is a negotiation between leaders and team members, and that the leader can use various strategies to get things done. How does the team a common ground for understanding of the situation? How can the process to create situation awareness be facilitated? The study is an intervention study with theoretical training interspersed with full-scale team exercises using a patient simulator.
Head of project
Magnus HultinAssociate professor, senior consultant (attending) physician
Taking care of the acute ill or injured patient is a teamwork. Doctors, nurses and assistant nurses sees a patient and will quickly, safely and effectively help the patient. Severely injured patients coming to the emergency department meet trauma teams, patients with cardiac arrest meet the CPR team and seriously ill patients meet other types of emergency teams. In these situations, the is a strong demand for both management and medical expertise. In previous studies, we showed that leadership of a trauma team can be described as a continous negotiation between the leader and the team members where the leader can use different strategies to get things done. In the present study, we focus on how teams form a common understanding of the situation (situational awareness) and how a systematic approach might facilitate this process. The study is conducted during team drills in emergency care using full scale patient simulators.
Key words: Intensive care, Acute care, Emergency room, Emergency department, Team training, Situation awareness, Simulator training.