Multidisciplinary simulation training for perioperative teams : an integrative review
- Hibberson, Michelle, Lawton, Jessica, Whitehead, Dean
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2021
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 34, no. 2 (2021), p. 3-13
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- Description: Background The perioperative environment is a high-risk and complex area and the provision of safe, high-quality surgical care requires a multifaceted approach provided by multidisciplinary health care teams. However, it is reported that the multidisciplinary nature of perioperative teams can present barriers to patient safety through ineffective teamwork, ineffective collaboration and/ or ineffective communication. Multidisciplinary simulation training creates realistic situations in safe environments to allow perioperative teams to improve teamwork and communication alongside the technical skills needed to manage emergency situations. This integrative review critically examines and reports the effects of multidisciplinary simulation training on perioperative teams and highlights the actual and potential advantages and disadvantages of such training. Method A structured integrative literature review process was undertaken yielding 14 key articles that were critically appraised and examined for emergent ‘themes’. Results Multidisciplinary simulation training improved communication, teamwork, teamwork behaviours and teamwork attitudes between multidisciplinary perioperative team members. Overall, improvements in communication and teamwork correlated with improvements in perioperative patient safety. Despite the numerous benefits of multidisciplinary simulation training there are notable barriers to the implementation of such training programs. Multidisciplinary simulation training can be costly to set up and time consuming to facilitate. However, overall increases in patient safety offset the cost of simulation training and time-based barriers can be reduced by running simulation training in conjunction with existing education programs. Conclusion Multidisciplinary simulation training improved communication and teamwork among perioperative teams and this method of training is recommended overall within perioperative units. However, there were notable gaps within the literature, and further research involving multidisciplinary perioperative teams within Australian perioperative units should be conducted to gain a greater insight into the presence of multidisciplinary simulation training and the effects of such training. © 2021, Australian College of Perioperative Nurses. All rights reserved.
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2021
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 34, no. 2 (2021), p. 3-13
- Full Text:
- Reviewed:
- Description: Background The perioperative environment is a high-risk and complex area and the provision of safe, high-quality surgical care requires a multifaceted approach provided by multidisciplinary health care teams. However, it is reported that the multidisciplinary nature of perioperative teams can present barriers to patient safety through ineffective teamwork, ineffective collaboration and/ or ineffective communication. Multidisciplinary simulation training creates realistic situations in safe environments to allow perioperative teams to improve teamwork and communication alongside the technical skills needed to manage emergency situations. This integrative review critically examines and reports the effects of multidisciplinary simulation training on perioperative teams and highlights the actual and potential advantages and disadvantages of such training. Method A structured integrative literature review process was undertaken yielding 14 key articles that were critically appraised and examined for emergent ‘themes’. Results Multidisciplinary simulation training improved communication, teamwork, teamwork behaviours and teamwork attitudes between multidisciplinary perioperative team members. Overall, improvements in communication and teamwork correlated with improvements in perioperative patient safety. Despite the numerous benefits of multidisciplinary simulation training there are notable barriers to the implementation of such training programs. Multidisciplinary simulation training can be costly to set up and time consuming to facilitate. However, overall increases in patient safety offset the cost of simulation training and time-based barriers can be reduced by running simulation training in conjunction with existing education programs. Conclusion Multidisciplinary simulation training improved communication and teamwork among perioperative teams and this method of training is recommended overall within perioperative units. However, there were notable gaps within the literature, and further research involving multidisciplinary perioperative teams within Australian perioperative units should be conducted to gain a greater insight into the presence of multidisciplinary simulation training and the effects of such training. © 2021, Australian College of Perioperative Nurses. All rights reserved.
Multidisciplinary simulation training for Australian perioperative teams : a qualitative descriptive exploratory study
- Hibberson, Michelle, Lawton, Jessica, Whitehead, Dean
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 36, no. 4 (2023), p. e-14-e-35
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- Description: Background: Perioperative units are complex and high-risk environments in which teams of multidisciplinary health care professionals work collaboratively. Multidisciplinary simulation training is a form of education that allows perioperative teams to practise the non-technical and technical skills essential for managing emergency events within the perioperative environment. Despite the benefits of multidisciplinary simulation training, there is a paucity of literature about it; therefore, this study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken simulation training. Objectives: This study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken multidisciplinary simulation training with the aim of: 1. identifying the enablers of and/or barriers to multidisciplinary simulation training 2. gaining insight into the frequency of training and types of scenarios used during simulation training 3. exploring the potential changes to teamwork and communication following multidisciplinary simulation training. Design: A qualitative descriptive exploratory design was adopted. Methods: Data were collected from nursing and anaesthetic participants through individual interviews using a semi-structured interview guide. Interviews were recorded and transcribed, and data were analysed using thematic analysis. Results: Four themes and nine subthemes were identified within the data. The themes were simulation is educational, safe space, frequency and teamwork. The subthemes were emergency scenarios, practise skills and knowledge, training novice and inexperienced staff, fear of simulation, facilitators, debriefing, available facilities, staff availability and multidisciplinarity. Conclusion: Australian perioperative teams widely used multidisciplinary simulation training to practise the technical skills needed to manage emergencies consistently. However, the frequency was variable and dependent on the availability of staff and facilities. A ‘safe space’ was vital, allowing perioperative team members to engage in training and discussions without judgement or embarrassment. Multidisciplinary simulation training is an effective training technique and should be routinely undertaken by Australian perioperative teams to develop consistency in managing emergency events within the perioperative setting. © 2023, Australian College of Perioperative Nurses. All rights reserved.
- Authors: Hibberson, Michelle , Lawton, Jessica , Whitehead, Dean
- Date: 2023
- Type: Text , Journal article
- Relation: Journal of Perioperative Nursing Vol. 36, no. 4 (2023), p. e-14-e-35
- Full Text:
- Reviewed:
- Description: Background: Perioperative units are complex and high-risk environments in which teams of multidisciplinary health care professionals work collaboratively. Multidisciplinary simulation training is a form of education that allows perioperative teams to practise the non-technical and technical skills essential for managing emergency events within the perioperative environment. Despite the benefits of multidisciplinary simulation training, there is a paucity of literature about it; therefore, this study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken simulation training. Objectives: This study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken multidisciplinary simulation training with the aim of: 1. identifying the enablers of and/or barriers to multidisciplinary simulation training 2. gaining insight into the frequency of training and types of scenarios used during simulation training 3. exploring the potential changes to teamwork and communication following multidisciplinary simulation training. Design: A qualitative descriptive exploratory design was adopted. Methods: Data were collected from nursing and anaesthetic participants through individual interviews using a semi-structured interview guide. Interviews were recorded and transcribed, and data were analysed using thematic analysis. Results: Four themes and nine subthemes were identified within the data. The themes were simulation is educational, safe space, frequency and teamwork. The subthemes were emergency scenarios, practise skills and knowledge, training novice and inexperienced staff, fear of simulation, facilitators, debriefing, available facilities, staff availability and multidisciplinarity. Conclusion: Australian perioperative teams widely used multidisciplinary simulation training to practise the technical skills needed to manage emergencies consistently. However, the frequency was variable and dependent on the availability of staff and facilities. A ‘safe space’ was vital, allowing perioperative team members to engage in training and discussions without judgement or embarrassment. Multidisciplinary simulation training is an effective training technique and should be routinely undertaken by Australian perioperative teams to develop consistency in managing emergency events within the perioperative setting. © 2023, Australian College of Perioperative Nurses. All rights reserved.
Exploring the effects of perioperative and preoperative exercise therapy for prostate, colorectal and breast cancer patients
- Authors: Hennessy, Declan
- Date: 2023
- Type: Text , Thesis , PhD
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- Description: Cancer is a prevalent disease with significant morbidity and mortality rates. Exercise interventions implemented before, during, or after cancer-based surgeries have shown promising benefits in improving fitness, postoperative complications, and quality of life. This thesis comprises three original research chapters aimed at investigating the effect of perioperative and preoperative 'prehabilitation' exercise in breast, colorectal, and prostate cancer patients. The first study focused on exploring exercise therapy interventions and their impact on cardio-respiratory fitness and 30-day postoperative outcomes in colorectal cancer patients. The systematic review and meta-analysis (N= 411 intervention and N= 368 control) revealed a small but significant improvement in cardio-respiratory fitness (SMD = 0.18; 95% CI = 0.03, 0.32; p < 0.05) with exercise interventions, although no significant impact on 30-day postoperative outcomes was observed. In the second study, various exercise types, including aerobic, resistance, flexibility, and mind-body exercises (alone or in combination), were compared in terms of their effect on cardio-respiratory fitness and 30-day postoperative outcomes in colorectal cancer patients (N= 411 intervention and N= 368 control). The network meta-analysis findings indicated that engaging in aerobic exercise alone (SMD = 0.30) or a combination of aerobic, resistance, and flexibility exercises (SMD = 0.57) yielded the most significant improvements in cardio-respiratory fitness. The final study examined the efficacy of pre-surgical aerobic exercise (prehabilitation) therapy in relation to post-operative cardio-respiratory fitness, quality of life, and 30-day postoperative outcomes in the Grampians Region of Victoria. The prehabilitation (PREHAB) group included a supervised aerobic based program which would see patients exercise every two/three days for a minimum of 2 weeks. A total of 11 PREHAB and 9 usual care (UCARE) patients were enrolled and analysed. The study showed that a prehabilitation exercise program resulted in small clinical improvements in some markers of cardio-respiratory fitness (+1.5% and +1.2% for absolute and relative V̇O2peak, respectively) and is safe and feasible. However, no significant improvements were observed in quality of life and 30-day postoperative outcomes. While the overall findings demonstrate some positive effects of perioperative and specifically prehabilitation exercise, it is important to consider the magnitude of these effects and any specific factors contributing to their success, if applicable. Further research is needed to fully understand the potential benefits and limitations of exercise before, during and after surgery in this patient population.
- Description: Doctor of Philosophy
- Authors: Hennessy, Declan
- Date: 2023
- Type: Text , Thesis , PhD
- Full Text:
- Description: Cancer is a prevalent disease with significant morbidity and mortality rates. Exercise interventions implemented before, during, or after cancer-based surgeries have shown promising benefits in improving fitness, postoperative complications, and quality of life. This thesis comprises three original research chapters aimed at investigating the effect of perioperative and preoperative 'prehabilitation' exercise in breast, colorectal, and prostate cancer patients. The first study focused on exploring exercise therapy interventions and their impact on cardio-respiratory fitness and 30-day postoperative outcomes in colorectal cancer patients. The systematic review and meta-analysis (N= 411 intervention and N= 368 control) revealed a small but significant improvement in cardio-respiratory fitness (SMD = 0.18; 95% CI = 0.03, 0.32; p < 0.05) with exercise interventions, although no significant impact on 30-day postoperative outcomes was observed. In the second study, various exercise types, including aerobic, resistance, flexibility, and mind-body exercises (alone or in combination), were compared in terms of their effect on cardio-respiratory fitness and 30-day postoperative outcomes in colorectal cancer patients (N= 411 intervention and N= 368 control). The network meta-analysis findings indicated that engaging in aerobic exercise alone (SMD = 0.30) or a combination of aerobic, resistance, and flexibility exercises (SMD = 0.57) yielded the most significant improvements in cardio-respiratory fitness. The final study examined the efficacy of pre-surgical aerobic exercise (prehabilitation) therapy in relation to post-operative cardio-respiratory fitness, quality of life, and 30-day postoperative outcomes in the Grampians Region of Victoria. The prehabilitation (PREHAB) group included a supervised aerobic based program which would see patients exercise every two/three days for a minimum of 2 weeks. A total of 11 PREHAB and 9 usual care (UCARE) patients were enrolled and analysed. The study showed that a prehabilitation exercise program resulted in small clinical improvements in some markers of cardio-respiratory fitness (+1.5% and +1.2% for absolute and relative V̇O2peak, respectively) and is safe and feasible. However, no significant improvements were observed in quality of life and 30-day postoperative outcomes. While the overall findings demonstrate some positive effects of perioperative and specifically prehabilitation exercise, it is important to consider the magnitude of these effects and any specific factors contributing to their success, if applicable. Further research is needed to fully understand the potential benefits and limitations of exercise before, during and after surgery in this patient population.
- Description: Doctor of Philosophy
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