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Briefing and TeamStepps Reduce Decision to Incision Time: A Pilot Study- [electronic resource]
Briefing and TeamStepps Reduce Decision to Incision Time: A Pilot Study- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101240
- ISBN
- 9798379725686
- DDC
- 610.73
- 서명/저자
- Briefing and TeamStepps Reduce Decision to Incision Time: A Pilot Study - [electronic resource]
- 발행사항
- [S.l.]: : University of California, Los Angeles., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(71 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 84-12, Section: B.
- 주기사항
- Advisor: Blake, Nancy T.
- 학위논문주기
- Thesis (D.N.P.)--University of California, Los Angeles, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약Background: Interdisciplinary collaboration of the labor & delivery team during their urgent cesarean huddles was not conducive to prompt decision-making. These delays led to unfavorable outcomes for the mother and baby, signifying a need for improvement in their process and a shared mental model in conducting this important huddle and their decision process. Objectives: An estimated 47% of cesarean delivery complications are attributed to delayed or fractured communication. This quality improvement project objective, using a pre and post-survey, is to improve the shared mental model of the team through their values, beliefs, and attitudes. Methods: A convenience sample of 24 participants, consisting of registered nurses and physicians, the Jefferson Scale of Attitudes Towards Nurse/Physician Collaboration (JSATNPC) was distributed as pre and post-survey before and after role-play simulation exercises. The teams used a briefing checklist and the TeamStepps concepts of checkback, the two-challenge rule, and Concern, Uncomfortable, and Safety. Results: This QI project did not improve the decision-to-incision times of the labor and delivery team. The pre-intervention mean and median time was 66.1 and 28 minutes, respectively; and the post-intervention scores were a mean of 116.6 and a median of 98 minutes. There were 24 pre-surveys of the (JSATNPC) and one post-survey completed. Conclusion: Several physicians and nurses were supportive and appreciative of the structure applied to their briefing. The team held the same concern for the safety of the mother and baby but did not have the support in organizing their process. The DNP student has returned to the project site to organize a team and revisit implementing the project with an assigned team and committed stakeholders.
- 일반주제명
- Nursing.
- 일반주제명
- Health care management.
- 일반주제명
- Obstetrics.
- 키워드
- Briefing
- 키워드
- Expectant mother
- 키워드
- Neonate
- 키워드
- Simulation
- 키워드
- TeamStepps
- 기타저자
- University of California, Los Angeles Nursing 0597
- 기본자료저록
- Dissertations Abstracts International. 84-12B.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008240612s2023 us |||||||||||||||c||eng d■001000016933382
■00520240214101240
■006m o d
■007cr#unu||||||||
■020 ▼a9798379725686
■035 ▼a(MiAaPQ)AAI30528328
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aCole, Terri Lynn.
■24510▼aBriefing and TeamStepps Reduce Decision to Incision Time: A Pilot Study▼h[electronic resource]
■260 ▼a[S.l.]:▼bUniversity of California, Los Angeles. ▼c2023
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2023
■300 ▼a1 online resource(71 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 84-12, Section: B.
■500 ▼aAdvisor: Blake, Nancy T.
■5021 ▼aThesis (D.N.P.)--University of California, Los Angeles, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aBackground: Interdisciplinary collaboration of the labor & delivery team during their urgent cesarean huddles was not conducive to prompt decision-making. These delays led to unfavorable outcomes for the mother and baby, signifying a need for improvement in their process and a shared mental model in conducting this important huddle and their decision process. Objectives: An estimated 47% of cesarean delivery complications are attributed to delayed or fractured communication. This quality improvement project objective, using a pre and post-survey, is to improve the shared mental model of the team through their values, beliefs, and attitudes. Methods: A convenience sample of 24 participants, consisting of registered nurses and physicians, the Jefferson Scale of Attitudes Towards Nurse/Physician Collaboration (JSATNPC) was distributed as pre and post-survey before and after role-play simulation exercises. The teams used a briefing checklist and the TeamStepps concepts of checkback, the two-challenge rule, and Concern, Uncomfortable, and Safety. Results: This QI project did not improve the decision-to-incision times of the labor and delivery team. The pre-intervention mean and median time was 66.1 and 28 minutes, respectively; and the post-intervention scores were a mean of 116.6 and a median of 98 minutes. There were 24 pre-surveys of the (JSATNPC) and one post-survey completed. Conclusion: Several physicians and nurses were supportive and appreciative of the structure applied to their briefing. The team held the same concern for the safety of the mother and baby but did not have the support in organizing their process. The DNP student has returned to the project site to organize a team and revisit implementing the project with an assigned team and committed stakeholders.
■590 ▼aSchool code: 0031.
■650 4▼aNursing.
■650 4▼aHealth care management.
■650 4▼aObstetrics.
■653 ▼aBriefing
■653 ▼aCesarean delivery
■653 ▼aExpectant mother
■653 ▼aNeonate
■653 ▼aSimulation
■653 ▼aTeamStepps
■690 ▼a0569
■690 ▼a0769
■690 ▼a0380
■71020▼aUniversity of California, Los Angeles▼bNursing 0597.
■7730 ▼tDissertations Abstracts International▼g84-12B.
■773 ▼tDissertation Abstract International
■790 ▼a0031
■791 ▼aD.N.P.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933382▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
