Effects of Crew Resource Management Training (CRM) on Perceptions of Teamwork and Safety Climate of Perinatal Caregivers

2.50
Hdl Handle:
http://hdl.handle.net/10755/304185
Category:
Abstract
Type:
Presentation
Title:
Effects of Crew Resource Management Training (CRM) on Perceptions of Teamwork and Safety Climate of Perinatal Caregivers
Author(s):
Budin, Wendy C.; Gennaro, Susan; Contratti, Flavia
Lead Author STTI Affiliation:
Alpha Chi
Author Details:
Wendy C. Budin, PhD, RN-BC, FAAN, wendy.budin@nyumc.org; Susan Gennaro, RN, DSN, FAAN; Flavia Contratti, MA, RNC-OB, LCCE, CLC;
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose: As a result of the Institute of Medicine’s landmark findings on patient safety problems in U.S. hospitals (IOM, 1999), many organizations have implemented strategies to improve teamwork to ultimately improve patient safety. Patient safety climate which encompasses staffing, team respect, comfort with reporting errors, fostering appropriate feedback and open receptive communication, is an important factor in improving care in perinatal units. Purpose: to describe changes in perinatal caregiver perceptions of teamwork and safety climate after implementation of a comprehensive 6-month interdisciplinary Crew Resource Management (CRM) training program at a large urban academic medical center and to compare responses between nurses and physicians.

Methods:  Data were collected from nurses (n=70, T1; n=58, T2), and physicians (n=88, T1; n=46, T2) working in perinatal units at a large urban academic medical center in the north-east, of the USA. A pre-post comparative design was used. Prior to (T1) and one year after the initiation (T2) of the CRM training program, the Teamwork and Safety Climate Survey(Sexton, et al., 2006) was administered. This 27-item tool uses a 5- point Likert scale. Demographic information was also assessed.

Results:  There were significant improvements in nurses' perceptions of teamwork (t = -5.38, p =.000) and safety climate (t = -7.53, p = .000). Physicians also showed a significant improvement for teamwork (t = -7.43, p = .000) and safety climate (t = -6.69, p = .000). Pre-intervention, physicians perceived teamwork  to be significantly more positive (3.65, SD=.59) than nurses (3.22, SD = .57) (t = 4.62, p = .000). There were no significant nurse/physician differences between safety climate or post intervention perceptions of teamwork.

Conclusion: Findings support the benefit of team training to enhance perinatal caregivers’ attitudes towards teamwork and safety which may ultimately improve patient care.

Keywords:
Teamwork; Safety Climate; Crew Resource Managment
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffects of Crew Resource Management Training (CRM) on Perceptions of Teamwork and Safety Climate of Perinatal Caregiversen_GB
dc.contributor.authorBudin, Wendy C.en_GB
dc.contributor.authorGennaro, Susanen_GB
dc.contributor.authorContratti, Flaviaen_GB
dc.contributor.departmentAlpha Chien_GB
dc.author.detailsWendy C. Budin, PhD, RN-BC, FAAN, wendy.budin@nyumc.org; Susan Gennaro, RN, DSN, FAAN; Flavia Contratti, MA, RNC-OB, LCCE, CLC;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304185-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> As a result of the Institute of Medicine’s landmark findings on patient safety problems in U.S. hospitals (IOM, 1999), many organizations have implemented strategies to improve teamwork to ultimately improve patient safety. Patient safety climate which encompasses staffing, team respect, comfort with reporting errors, fostering appropriate feedback and open receptive communication, is an important factor in improving care in perinatal units. Purpose: to describe changes in perinatal caregiver perceptions of teamwork and safety climate after implementation of a comprehensive 6-month interdisciplinary Crew Resource Management (CRM) training program at a large urban academic medical center and to compare responses between nurses and physicians. <p><b>Methods: </b> Data were collected from nurses (n=70, T<sub>1</sub>; n=58, T<sub>2</sub>), and physicians (n=88, T<sub>1</sub>; n=46, T<sub>2</sub>) working in perinatal units at a large urban academic medical center in the north-east, of the USA. A pre-post comparative design was used. Prior to (T<sub>1</sub>) and one year after the initiation (T<sub>2</sub>) of the CRM training program, the <i>Teamwork and Safety Climate Survey</i>(Sexton, et al., 2006) was administered. This 27-item tool uses a 5- point Likert scale. Demographic information was also assessed. <p><b>Results: </b> There were significant improvements in nurses' perceptions of teamwork (t = -5.38, p =.000) and safety climate (t = -7.53, p = .000). Physicians also showed a significant improvement for teamwork (t = -7.43, p = .000) and safety climate (t = -6.69, p = .000). Pre-intervention, physicians perceived teamwork  to be significantly more positive (3.65, SD=.59) than nurses (3.22, SD = .57) (t = 4.62, p = .000). There were no significant nurse/physician differences between safety climate or post intervention perceptions of teamwork. <p><b>Conclusion: </b> Findings support the benefit of team training to enhance perinatal caregivers’ attitudes towards teamwork and safety which may ultimately improve patient care.en_GB
dc.subjectTeamworken_GB
dc.subjectSafety Climateen_GB
dc.subjectCrew Resource Managmenten_GB
dc.date.available2013-10-22T20:30:46Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:30:46Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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