Integrating simulation and interpretive description to explore operating room leadership: critical event continuing education.

Autor: Broski J; The Zamierowski Institute of Experiential Learning, The University of Kansas Medical Center, Kansas City, KS, USA. jbroski@kumc.edu., Tarver S; Department of Anesthesiology, Pain and Perioperative Medicine, The Zamierowski Institute of Experiential Learning, The University of Kansas Medical Center, Kansas City, Kansas, USA., Krase K; Department of Obstetrics and Gynecology, The University of Kansas School of Medicine, Kansas City, Kansas, USA., Petersen S; Department of Obstetrics and Gynecology, The University of Kansas School of Medicine, Kansas City, Kansas, USA., Wolverton A; The Zamierowski Institute of Experiential Learning, The University of Kansas Medical Center, Kansas City, Kansas, USA., Winchester M; Maternal-Fetal Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA., Berbel G; Department of Surgery, The University of Kansas School of Medicine, Kansas City, Kansas, USA., Zabel T; Medical Student, Harvard Medical School, Boston, MA, USA., Warren H; BSN, RN, Cardiovascular Intensive Care Nurse at Heart Hospital of Austin, Austin, Texas, USA., Lineberry M; Department of Population Health, The University of Kansas Medical Center, Kansas City, Kansas, USA.
Jazyk: angličtina
Zdroj: Advances in health sciences education : theory and practice [Adv Health Sci Educ Theory Pract] 2023 Oct; Vol. 28 (4), pp. 1211-1244. Date of Electronic Publication: 2023 Apr 06.
DOI: 10.1007/s10459-023-10212-3
Abstrakt: In Obstetrics and Gynecologic operating room emergencies, the surgeon cannot both operate and lead a suddenly expanded and redirected team response. However, one of the most often used approaches to interprofessional continuing education designed to improve teams' ability to respond to unanticipated critical events still emphasizes surgeon leadership. We developed Explicit Anesthesia and Nurse Distributed (EXPAND) Leadership to imagine a workflow that might better distribute emergency leadership task responsibilities and practices. The purpose of this exploratory study was to investigate teams' responses to distributing leadership during an interprofessional continuing education simulated obstetrical emergency. We used interpretive descriptive design in a secondary analysis of teams' post-simulation reflective debriefings. One-hundred sixty providers participated, including OB-Gyn surgeons, anesthesiologists, CRNAs, scrub technicians, and nurses. Using reflective thematic analysis, we identified three core themes: 1) The surgeon is focused on the surgical field, 2) Explicit leadership initiates a nurse transition from follower to leader in a hierarchical environment, and 3) Explicit distributed leadership enhances teamwork and taskwork. Continuing education which uses distributed leadership to improve teams' ability to respond to an obstetric emergency is perceived to enhance team members' response to the critical event . The potential for nurses' career growth and professional transformation was an unexpected finding associated with this continuing education which used distributed leadership. Our findings suggest that healthcare educators should consider ways in which distributed leadership may improve teams' response to critical events in the operating room.
(© 2023. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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