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Original Articles
Assessment and Training of Teamwork and Leadership for Critical Care Nurses: A Pilot Study
Hyun Jin Kim, Sang Mo Je, Hyun Soo Chung, Sung Phil Chung, Hahn Shick Lee
Korean J Crit Care Med. 2012;27(2):75-81.
DOI: https://doi.org/10.4266/kjccm.2012.27.2.75
  • 2,539 View
  • 34 Download
AbstractAbstract PDF
BACKGROUND
Teamwork and leadership training have been shown to improve subsequent resuscitation performance in a variety of clinical situations. Critical care nurses, in addition to those who may be part of resuscitation team leaders and members, have also the need for such training. This study examines the teamwork and leadership skills of critical care nurses and their perceptions of the need for teamwork and leadership training.
METHODS
We developed a pilot, interactive 3-hour teamwork, and the leadership training program based on the objectives and teaching methods of the Advanced Life Support (ACLS) course. Participants completed a 1-hour lecture, and discussion for team roles and obstacles, 30 min of script-based role play in resuscitation team training, and finally, a 2-hour simulation-based team training program. Before the completion of the course, participants were anonymously surveyed on the perceived educational value of the teamwork and leadership program. Expert raters reviewed videos of simulated resuscitation events in the course, and scored each video by two existing checklist for the team dynamic.
RESULTS
Fifty-one nurses voluntarily participated and six videotaped simulation were rated by an expert rater. Most of the students believed the course was delivered at an appropriate level for them, and that it is a necessary training in their continuing professional education. The video rated average scores were from 68.5 to 72.9 according to the checklists.
CONCLUSIONS
Critical care nurses can learn teamwork and leadership skills from appropriately designed programs, and believe it is a necessity in their training.
Effect of Cardiac Arrest Team Training Using Script on the Quality of Simulated Resuscitation
Mao Lung Sun, Hyun Jong Kim, Sung Phil Chung, Hahn Shick Lee, Wen Joen Chang
Korean J Crit Care Med. 2012;27(1):5-9.
DOI: https://doi.org/10.4266/kjccm.2012.27.1.5
  • 2,371 View
  • 33 Download
AbstractAbstract PDF
BACKGROUND
The purpose of this study was to compare the quality of simulated resuscitation between the conventional simulation training group and the script based training group.
METHODS
This was a retrospective analysis of video clips from a previous study of cardiopulmonary resuscitation (CPR) team simulation training. A total of eighty-four video clips were analyzed. Each video clip belonged to either the conventional group or the script group, of either pre-training or post-training. One of the authors analyzed all the video clips. The qualities of resuscitation team plays were compared in terms of the hands-on compression time, the interval to meaningful measures and the number of utterances of the team leader and members.
RESULTS
The hands-on time of the conventional group improved after training whereas that of the script group deteriorated (22.2 vs -7.0 sec, p = 0.009). The time to defibrillation also improved in the conventional group whereas that of the script group deteriorated (-24.0 vs 33.0 sec, p = 0.002). There were no differences in the utterances of team leaders and members between groups and between pre- and post-training.
CONCLUSIONS
This study suggested that the effect of script-based training on quality of CPR was less useful than that of conventional training using simulation and debriefing. Therefore, CPR team training using a script alone should not be recommended.
Development of Assessment Tools for Performance and Leadership of a Cardiopulmonary Resuscitation Team
Sung Pil Chung, Junho Cho, Yoo Seok Park, Hyung Goo Kang, Seung Whan Kim, Chan Woong Kim, Yoo Sang Yoon, Keun Jeong Song, Hoon Lim, Gyu Chong Cho, Young Hwan Choi
Korean J Crit Care Med. 2009;24(2):64-68.
DOI: https://doi.org/10.4266/kjccm.2009.24.2.64
  • 3,165 View
  • 37 Download
  • 4 Crossref
AbstractAbstract PDF
BACKGROUND
The assessment tools for leadership and performance of resuscitation teams are have not been developed. We evaluated the checklists for resuscitation team performance and teamwork.
METHODS
We developed two checklists for team dynamics (D1, D2) and two checklists for team performances (P1, P2). The videotaped mock resuscitation before and after a 2-hr Advanced Cardiovascular Life Support (ACLS) training were also evaluated by two emergency physicians and two nurses using the four checklists. The validity and agreement between assessors were determined. Internal consistency was determined using Cronbach-alpha.
RESULTS
There were no significant differences in scores by expert consensus and the checklist score. The average scores between different assessors were different except for the D1 and D2 between doctors. The Cronbach-alpha for internal consistency were within acceptable ranges in the checklists D2 and P2.
CONCLUSIONS
This study suggests that the D2 and P2 checklists are provisionally acceptable due to relatively high validity, agreement, and internal consistency. However, further research is needed to develop validated checklists for resuscitation teams.

Citations

Citations to this article as recorded by  
  • Effects of communication team training on clinical competence in Korean Advanced Life Support: A randomized controlled trial
    Soyeon Yun, Hyeoun‐Ae Park, Sang‐Hoon Na, Hee Je Yun
    Nursing & Health Sciences.2024;[Epub]     CrossRef
  • Focused and Corrective Feedback Versus Structured and Supported Debriefing in a Simulation-Based Cardiac Arrest Team Training
    Ji-Hoon Kim, Young-Min Kim, Seong Heui Park, Eun A Ju, Se Min Choi, Tai Yong Hong
    Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2017; 12(3): 157.     CrossRef
  • Nurses' Cardiopulmonary Resuscitation Performance during the First 5 minutes in In-Situ Simulated Cardiac Arrest
    Eun Jung Kim, Kyeong Ryong Lee, Myung Hyun Lee, Jiyoung Kim
    Journal of Korean Academy of Nursing.2012; 42(3): 361.     CrossRef
  • Assessment and Training of Teamwork and Leadership for Critical Care Nurses: A Pilot Study
    Hyun Jin Kim, Sang Mo Je, Hyun Soo Chung, Sung Phil Chung, Hahn Shick Lee
    Korean Journal of Critical Care Medicine.2012; 27(2): 75.     CrossRef

ACC : Acute and Critical Care