Role confusion and self-assessment in interprofessional trauma teams

American Journal of Surgery
Susan SteinemannBenjamin Berg

Abstract

Trauma care requires coordinating an interprofessional team, with formative feedback on teamwork skills. We hypothesized nurses and surgeons have different perceptions regarding roles during resuscitation; that nurses' teamwork self-assessment differs from experts', and that video debriefing might improve accuracy of self-assessment. Trauma nurses and surgeons were surveyed regarding resuscitation responsibilities. Subsequently, nurses joined interprofessional teams in simulated trauma resuscitations. After each resuscitation, nurses and teamwork experts independently scored teamwork (T-NOTECHS). After video debriefing, nurses repeated T-NOTECHS self-assessment. Nurses and surgeons assumed significantly more responsibility by their own profession for 71% of resuscitation tasks. Nurses' overall T-NOTECHS ratings were slightly higher than experts'. This was evident in all T-NOTECHS subdomains except "leadership," but despite statistical significance the difference was small and clinically irrelevant. Video debriefing did not improve the accuracy of self-assessment. Nurses and physicians demonstrated discordant perceptions of responsibilities. Nurses' self-assessment of teamwork was statistically, but not clinically significantly,...Continue Reading

References

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Citations

Mar 16, 2016·Emergency Medicine Journal : EMJ·David J LoweAlastair Ireland
May 5, 2017·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Kathleen M WestDiane M Korngiebel
May 22, 2018·Disaster Medicine and Public Health Preparedness·Tener Goodwin VeenemaSarah Schneider-Firestone
Dec 5, 2018·Gerontology & Geriatrics Education·Aida WenKamal Masaki
Jan 31, 2018·Journal of Continuing Education in Nursing·Jennifer O'RourkeChristine Pariseault
Mar 10, 2016·The Journal of Trauma and Acute Care Surgery·Susan SteinemannBenjamin Berg
Sep 7, 2019·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Vytautas AukstakalnisDinas Vaitkaitis
Jun 18, 2021·BMJ Open·Eerika RosqvistJuha Paloneva

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