A behaviourally-anchored observational rating scale (BAORS) of teamwork based upon the 'Big Five' teamwork model (Salas et al., 2005) was selected and adapted for use in a combat training setting - a UK military field gun competition. The teamwork development of 16 newly-formed teams training to master a historic tactical drill was evaluated over the course of a week-long residential programme. Training culminated in a timed field gun competition. Teams were trained and mentored in respects to teamwork and taskwork by experienced military instructors. Teamwork was assessed at the outset and end of training. Significant improvements were evident on all teamwork process dimensions, with the greatest improvement seen in teams' shared understanding of teamwork roles and strategies (shared mental models). The lack of an association between teamwork development and final drill performance is explored, as is the utility of the measurement protocol developed for teamwork assessment in other settings.
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http://dx.doi.org/10.1016/j.apergo.2021.103459 | DOI Listing |
J Perianesth Nurs
March 2025
Department of Gastroenterology, The Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Purpose: To enhance patient safety and improve communication and response times during the perioperative management of patients with acute upper gastrointestinal bleeding, a checklist was developed, tested for psychometric properties, and implemented in clinical practice.
Design: This is a methodological study.
Methods: A perioperative checklist for acute upper gastrointestinal bleeding was developed using a literature review and the Delphi method.
Nurs Adm Q
March 2025
Author Affiliations: Department of Nursing Professional Development, Center for Clinical Practice and Development (Dr Calabro), Department of Nursing Professional Development, System Patient Safety and Care Integration Quality Management (Dr Pop), Department of Nursing Professional Development (Ms Graham), Department of Nursing Professional Development, Center for Clinical Practice and Development (Ms George); Department of Nursing Professional Development (Mr Gabelein, Mr Mackey, and Ms Altaras), and Department of Nursing Professional Development, CNE Auburn & Covington/VP Clinical Practice and Professional Development (Ms Coleman), MultiCare Health System, Spokane, Washington, and Department of Nursing Professional Development, Chief Nurse Executive MultiCare Health System, Tacoma, Washington (Ms Alderson).
A global nursing shortage necessitates innovative care models to mitigate burnout, turnover, and supply-demand mismatches. This mixed-methods pilot study assessed the impact of a technology-integrated nursing care model on workload and patient outcomes in a surgical-orthopedic unit. Following IRB approval and training, the integrated care model was piloted for 6 months.
View Article and Find Full Text PDFPLoS One
March 2025
School of Social Work, University of Connecticut, Hartford, Connecticut, United States of America.
Introduction: Relapse is a significant challenge among people with schizophrenia and is broadly recognized by the aggravation of positive or negative symptoms, the need for re-hospitalization, more intensive case management, and/or changes in medication. The quality of inpatient care and proper transition to outpatient care are crucial in reducing the risk of relapse. Healthcare providers play vital roles in ensuring the continuity of care after patients are discharged from the hospital.
View Article and Find Full Text PDFJ Med Imaging Radiat Sci
March 2025
School of Dentistry & Medical Sciences, Faculty of Science & Health, Charles Sturt University, Port Macquarie, NSW, Australia.
Introduction: The paper reports observations following the design and implementation of an immersive multi-sensory escape room as a novel professional, game-based workshop to foster clinical decision making in diagnostic radiography.
Methods: The two authors developed an educational Radiography Escape Room. Participants successfully completed tasks within the radiography escape room, with some finishing the tasks within the sixty-minute time frame and subsequently escaping the room.
J Med Internet Res
March 2025
Department of Health Policy & Management, University of Maryland School of Public Health, College Park, MD, United States.
This article aims to introduce emerging measurement domains made feasible through the electronic health record (EHR) use metadata, to inform the changing landscape of health care delivery. We reviewed emerging domains in which EHR metadata may be used to measure health care delivery, outlining a framework for evaluating measures based on desirability, feasibility, and viability. We argue that EHR use metadata may be leveraged to develop and operationalize novel measures in the domains of team structure and dynamics, workflows, and cognitive environment to provide a clearer understanding of modern health care delivery.
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