Objective To evaluate the application of team strategies and tools to enhance performance and patient safety(TeamSTEPPS) combined with debriefing in simulation teaching of anesthesia crisis management. Methods Forty residents in the department of anesthesiology from the First Affiliated Hospital of University of Science and Technology of China were randomly divided into experimental group and control group using a random number table. TeamSTEPPS training combined with debriefing for simulation teaching were adopted for the 20 residents in the experimental group, while regular simulation teaching were adopted for the 20 residents in the control group. The performance of residents of the two groups in anesthesia crisis management was scored after the teaching. Then TeamSTEPPS teamwork perception questionnaire(T-TPQ) and TeamSTEPPS teamwork attitudes questionnaire(T-TAQ) were used to rate their perceptions and attitudes towards teamwork of residents, and a teaching satisfaction survey was conducted. Wilcoxon rank sum test,student t test and Fisher's exact probability method were performed to analysis relevant data. Results In the experimental group, the total scores of the residents in the evaluation of anesthesia crisis management simulation teaching were higher than those of the control group[(80.80±4.79) points vs. (72.65±5.54) points], and the difference was statistically significant(t=-4.98,P<0.001). The T-TPQ scores and T-TAQ scores of residents in the experimental group [162.00(9.50),138.00(15.00)] were higher than those in the control group [150.00(20.25), 125.50 (19.75)], and the differences were statistically significant(all P<0.05). In the experimental group, the number of residents who are satisfied with teamwork and interest in learning (19 and 20 persons) were higher than those in control group (13 and 15 persons), and the difference were statistically significant (all P<0.05). Conclusions TeamSTEPPS combined with debriefing can improve the teamwork and learning interest of residents during simulation teaching and therefore enhance the teaching effect of anesthesia crisis management.
Zhu Bingqing
,
Han Mingming
,
Wang Song
,
Kang Fang
. Application of TeamSTEPPS combined with debriefing in simulation teaching of anesthesia crisis management[J]. Chinese Journal of Medical Education, 2024
, 44(1)
: 28
-32
.
DOI: 10.3760/cma.j.cn115259-20230210-00119
[1] 程慧娴, 张恺辰, 鲁美静, 等. SimMan3G 情景模拟教学在麻醉危机处理教学中的应用[J].齐齐哈尔医学院学报,2019,40(14):1797-1800. DOI: 10.3760/cma.j.issn.2095-1485.2019.03.008.
[2] 费昱达, 王境一, 王瑾, 等. 麻醉学教学中引入TeamSTEPPS团队教学课程的探索[J].中华医学教育杂志,2021,41(1):62-65. DOI: 10.3760/cma.j.cn115259-20200304-00250.
[3] 赵珍珍, 蒋政宇, 卞金俊, 等. TEAM STEPPS在危重病危机管理教学中的应用[J].解放军医院管理杂志,2019,26(8):762-764. DOI: 10.16770/J.cnki.1008-9985.2019.08.020.
[4] 童斌, 朱滨海, 占伊扬, 等. 医学模拟教学中Debriefing的认识与实践[J].中国毕业后医学教育,2020,4(3):258-261.DOI: 10.3969/j.issn.2096-4293.2020.03.016.
[5] 龙晓焕,王西富,关天悦,等. 医学模拟教育中复盘教学方法的发展和应用综述[J].中华医学教育杂志,2022,42(3):241-245. DOI: 10.3760/cma.j.cn115259-20210826-01080.
[6] Eppich W, Cheng A. Promoting excellence and reflective learning in simulation (PEARLS):development and rationale for a blended approach to health care simulation debriefing[J]. Simul Healthc, 2015,10(2):106-115. DOI:10.1097/ SIH.0000000000000072.
[7] Caitlin MM, Regina DG, Jill HE. Incorporating TeamSTEPPS training to improve staff collaboration in an academic level I emergency and trauma center [J]. Int Emerg Nurs, 2021(55):100959. DOI: 10.1016/j.ienj.2020.100959.
[8] 宋雪松, 滕士勇, 韩伟, 等. 情景模拟教学联合案例教学法在麻醉科住院医师规范化培训中的应用[J].中国毕业后医学教育,2021,5(1):69-72. DOI: 10.3969/j.issn.2096-4293.2021.01.017.
[9] Qu J, Zhu Y, Cui L, et al. Psychometric properties of the Chinese version of the TeamSTEPPS teamwork perceptions questionnaire to measure teamwork perceptions of Chinese residents: a cross-sectional study[J]. BMJ Open, 2020,10(11):e039566. DOI: 10.1136/bmjopen-2020-039566.
[10] Hall-Lord ML, Bååth C, Ballangrud R, et al. The Swedish version of the TeamSTEPPS teamwork attitudes questionnaire (T-TAQ): a validation study[J]. BMC Health Serv Res, 2021,21(1):105-112. DOI: 10.1186/s12913-021-06111-1.
[11] 叶雪晨, 朱亚鑫, 赖雁妮, 等. 团队合作态度问卷和团队合作认知问卷的跨文化调适研究[J].中华医学教育杂志,2018,38(6):801-805. DOI: 10.3760/cma.j.issn.1673-677X.2018.06.001.
[12] Lee A, Finstad A, Gawad N, et al. Nontechnical Skills (NTS) in the undergraduate surgical and anesthesiology curricula: are we adequately preparing medical students?[J]. J Surg Educ, 2021,78(2):502-511. DOI: 10.1016/j.jsurg.2020.08.001.
[13] 黄洁, 方育, 谭莹, 等. Seminar教学法结合PTC在麻醉危机管理中的效果分析[J].继续医学教育,2021,35(5):2-4. DOI: 10.3969/j.issn.1004-6763.2021.05.002.
[14] 赵敏慧,庄薇,厉跃红,等. 基于反思性实践的深度讨论在助产模拟训练中的应用探索[J].中华医学教育杂志,2018,38(3):341-345. DOI: 10.3760/cma.j.issn.1673-677X.2018.03.006.