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Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation

Briefing in team sports has been shown to benefit both performance and confidence among team members. The neonatal resuscitation team shares similarities with sports teams, where task performance includes rapid decision-making skills within dynamic situations, alongside unpredictable circumstances....

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Autores principales: Jordache, Rebecca, Doherty, Cora, Kenny, Celyn, Bowie, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056292/
https://www.ncbi.nlm.nih.gov/pubmed/32190791
http://dx.doi.org/10.1097/pq9.0000000000000228
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author Jordache, Rebecca
Doherty, Cora
Kenny, Celyn
Bowie, Paul
author_facet Jordache, Rebecca
Doherty, Cora
Kenny, Celyn
Bowie, Paul
author_sort Jordache, Rebecca
collection PubMed
description Briefing in team sports has been shown to benefit both performance and confidence among team members. The neonatal resuscitation team shares similarities with sports teams, where task performance includes rapid decision-making skills within dynamic situations, alongside unpredictable circumstances. AIM: We aimed to determine the effect of a team sports briefing model on the neonatal resuscitation team. Method: We adapted and redesigned a team sports briefing and debriefing model and related protocol and tested them with a neonatal resuscitation team in a U.K. university teaching hospital. RESULTS: The team’s confidence and perceptions around these 2 aspects of resuscitation were studied along with frequency of task execution before and after a teaching intervention about the sports teams' approach to briefing and the introduction of a 7-point checklist. In 20 preintervention observations of 13 key tasks, areas for improvement in how neonatal intensive care unit (NICU) staff prepared for deliveries and potential resuscitations were found such as in “discussing potential deliveries that day” (n = 10, 50%), “identifying roles within the resus team that shift” (n = 5, 20%), and announcing when and where a debrief would occur (n = 0, 0%). Postintervention, the NICU team’s mean task completion increased significantly from 9.23 (SD = 6.34) to 18.0 (SD = 1.83), a statistically meaningful difference of 8.77 (95% CI, 4.99−12.55; P < 0.001). CONCLUSION: Together with increased levels of confidence and efficiency reported postintervention, this provides some evidence that a brief–debrief process based on how sports team’s approach pregame situations could be potentially transferable and beneficial to NICU team performance.
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spelling pubmed-70562922020-03-18 Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation Jordache, Rebecca Doherty, Cora Kenny, Celyn Bowie, Paul Pediatr Qual Saf QI Methodology Briefing in team sports has been shown to benefit both performance and confidence among team members. The neonatal resuscitation team shares similarities with sports teams, where task performance includes rapid decision-making skills within dynamic situations, alongside unpredictable circumstances. AIM: We aimed to determine the effect of a team sports briefing model on the neonatal resuscitation team. Method: We adapted and redesigned a team sports briefing and debriefing model and related protocol and tested them with a neonatal resuscitation team in a U.K. university teaching hospital. RESULTS: The team’s confidence and perceptions around these 2 aspects of resuscitation were studied along with frequency of task execution before and after a teaching intervention about the sports teams' approach to briefing and the introduction of a 7-point checklist. In 20 preintervention observations of 13 key tasks, areas for improvement in how neonatal intensive care unit (NICU) staff prepared for deliveries and potential resuscitations were found such as in “discussing potential deliveries that day” (n = 10, 50%), “identifying roles within the resus team that shift” (n = 5, 20%), and announcing when and where a debrief would occur (n = 0, 0%). Postintervention, the NICU team’s mean task completion increased significantly from 9.23 (SD = 6.34) to 18.0 (SD = 1.83), a statistically meaningful difference of 8.77 (95% CI, 4.99−12.55; P < 0.001). CONCLUSION: Together with increased levels of confidence and efficiency reported postintervention, this provides some evidence that a brief–debrief process based on how sports team’s approach pregame situations could be potentially transferable and beneficial to NICU team performance. Wolters Kluwer Health 2020-01-27 /pmc/articles/PMC7056292/ /pubmed/32190791 http://dx.doi.org/10.1097/pq9.0000000000000228 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle QI Methodology
Jordache, Rebecca
Doherty, Cora
Kenny, Celyn
Bowie, Paul
Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title_full Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title_fullStr Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title_full_unstemmed Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title_short Preliminary Adaptation, Development, and Testing of a Team Sports Model to Improve Briefing and Debriefing in Neonatal Resuscitation
title_sort preliminary adaptation, development, and testing of a team sports model to improve briefing and debriefing in neonatal resuscitation
topic QI Methodology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7056292/
https://www.ncbi.nlm.nih.gov/pubmed/32190791
http://dx.doi.org/10.1097/pq9.0000000000000228
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