Advanced clinicians' experience of participation in an escape room scenario designed to consolidate crisis resource management principles: An exploratory pilot study.

Autor: Willis E; Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia. Electronic address: Elizabeth.Willis@health.qld.gov.au., McLean N; Intensive Care Unit, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia., Thompson A; Simulation Service, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia., Shofay A; Simulation Service, Princess Alexandra Hospital, Metro South Hospital Health Service, Queensland, Australia., Ranse K; School of Nursing & Midwifery, Griffith University, Queensland, Australia.
Jazyk: angličtina
Zdroj: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses [Aust Crit Care] 2024 Mar; Vol. 37 (2), pp. 281-287. Date of Electronic Publication: 2023 Aug 01.
DOI: 10.1016/j.aucc.2023.06.003
Abstrakt: Background: Intensive care outreach nurses are required to work as part of an ad hoc team to review and manage patients who are deteriorating outside of critical care environments. Nontechnical skills, such as those encompassed by crisis resource management principles, are essential when working in these situations. Used commercially for entertainment, escape rooms have recently been utilised by clinical educators to teach both technical and nontechnical skills.
Objective: This exploratory study evaluates how advanced clinicians, intensive care outreach nurses, experience an escape room scenario designed to consolidate crisis resource management (CRM) principles.
Methods: Three escape room sessions were conducted in a 1038-bed metropolitan tertiary referral hospital. A purposive sample of 12 intensive care outreach nurses were invited to participate. The participant's experience of the escape room scenario was determined by their responses to a post-escape room survey and focus group discussion. Transcripts of the audio recordings from focus group discussions were analysed using an inductive coding approach.
Results: Two primary categories emerged from analysis of the focus group discussions: (i) the clinicians' experiences of the escape room and (ii) CRM principles. The first category included descriptions of emotions, including confusion, frustration, and a dislike for puzzles. The second category included both the participants understanding of the CRM principles, and how the principles influence the work within the escape room.
Conclusions: Escape rooms have shown promise as novel educational environments, which challenge participants. Despite initial negative descriptions of the escape room, focus group discussions demonstrated that the participants were able to recognise the impact of CRM principles and acknowledge how these affect their clinical work in an ad hoc team.
Competing Interests: Conflict of interest The authors have no conflicts of interest to disclose.
(Copyright © 2023 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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