Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes

Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses
Erich C FeinEzaz Ahmed

Abstract

Effective team decision making has the potential to improve the quality of health care outcomes. Medical Emergency Teams (METs), a specific type of team led by either critical care nurses or physicians, must respond to and improve the outcomes of deteriorating patients. METs routinely make decisions under conditions of uncertainty and suboptimal care outcomes still occur. In response, the development and use of Shared Mental Models (SMMs), which have been shown to promote higher team performance under stress, may enhance patient outcomes. This discussion paper specifically focuses on the development and use of SMMs in the context of METs. Within this process, the psychological mechanisms promoting enhanced team performance are examined and the utility of this model is discussed through the narrative of six habits applied to MET interactions. A two stage, reciprocal model of both nonanalytic decision making within the acute care environment and analytic decision making during reflective action learning was developed. These habits are explored within the context of a MET, illustrating how applying SMMs and action learning processes may enhance team-based problem solving under stress. Based on this model, we make recommendations t...Continue Reading

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Citations

Jul 4, 2021·Nursing in Critical Care·Mina AzimiradHannele Turunen
Sep 21, 2021·Journal of Clinical Nursing·Katherine RileyLuke Molloy

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