دورية أكاديمية
Escape room design in training crew resource management in acute care: a scoping review.
| العنوان: | Escape room design in training crew resource management in acute care: a scoping review. |
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| المؤلفون: | Jaspers GJ; Department of Intensive Care, Radboud University Medical Center, Geert Groote Plein Zuid 10, Nijmegen, 6525GA, The Netherlands. Gerald.jaspers@radboudumc.nl., Borsci S; Human Factors and Cognitive Ergonomics, Research Coordinator Human Factors-CODE team DSI institute & Faculty Behavioral, Management and Social Sciences (BMS), Data and Education (CODE) Group, University of Twente, Drienerlolaan 5, Cognition, Enschede, NB, 7522, The Netherlands.; Department of Surgery and Cancer, NIHR London IVD, Imperial College of London, London, UK., van der Hoeven JG; Department of Intensive Care, Radboud University Medical Center, Geert Groote Plein Zuid 10, Nijmegen, 6525GA, The Netherlands., Kuijer-Siebelink W; Research on Learning and Education, Radboudumc Health Academy, Radboud University Medical Center, Geert Groote Plein Zuid 10, Nijmegen, 6525GA, The Netherlands.; School of Education, HAN University of Applied Sciences, Nijmegen, The Netherlands., Lemson J; Department of Intensive Care, Radboud University Medical Center, Geert Groote Plein Zuid 10, Nijmegen, 6525GA, The Netherlands. |
| المصدر: | BMC medical education [BMC Med Educ] 2024 Jul 30; Vol. 24 (1), pp. 819. Date of Electronic Publication: 2024 Jul 30. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Patient Care Team*, Humans ; Crew Resource Management, Healthcare ; Critical Care/organization & administration |
| مستخلص: | Background: Effective teamwork is crucial to providing safe and high-quality patient care, especially in acute care. Crew Resource Management (CRM) principles are often used for training teamwork in these situations, with escape rooms forming a promising new tool. However, little is known about escape room design characteristics and their effect on learning outcomes. We investigated the current status of design characteristics and their effect on learning outcomes for escape room-based CRM/teamwork training for acute care professionals. We also aimed to identify gaps in literature to guide further research. Methods: Multiple databases were searched for studies describing the design and effect of escape rooms aimed training CRM/teamwork in acute care professionals and in situations that share characteristics. A standardized process was used for screening and selection. An evidence table that included study characteristics, design characteristics and effect of the escape room on learning outcomes was used to extract data. Learning outcomes were graded according to IPE expanded typology of Kirkpatrick's levels of learning outcome and Medical Education Research Study Quality Instrument (MERSQI) scores were calculated to assess methodology. Results: Fourteen studies were included. Common design characteristics were a team size of 4-6 participants, a 40-minute time limit, linear puzzle organization and use of briefing and structured debriefing. Information on alignment was only available in five studies and reporting on several other educational and escape room design characteristics was low. Twelve studies evaluated the effect of the escape room on teamwork: nine evaluated reaction (Kirkpatrick level 1; n = 9), two evaluated learning (Kirkpatrick level 2) and one evaluated both. Overall effect on teamwork was overtly positive, with little difference between studies. Together with a mean MERSQI score of 7.0, this precluded connecting specific design characteristics to the effect on learning outcomes. Conclusions: There is insufficient evidence if and how design characteristics affect learning outcomes in escape rooms aimed at training CRM/teamwork in acute care professionals. Alignment of teamwork with learning goals is insufficiently reported. More complete reporting of escape rooms aimed at training CRM/teamwork in acute care professionals is needed, with a research focus on maximizing learning potential through design. (© 2024. The Author(s).) |
| References: | Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resour Health. 2020;18(1). Hughes AM, Gregory ME, Joseph DL, Sonesh SC, Marlow SL, Lacerenza CN, et al. Saving lives: a meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266–304. (PMID: 10.1037/apl0000120) Buljac-Samardzic M, Dekker-van Doorn CM, Maynard MT. What do we really know about Crew Resource Management in Healthcare? An Umbrella Review on Crew Resource Management and its effectiveness. J Patient Saf. 2021;17(8):e929–58. (PMID: 10.1097/PTS.0000000000000816) Gross B, Rusin L, Kiesewetter J, Zottmann JM, Fischer MR, Pruckner S, Zech A. Crew resource management training in healthcare: a systematic review of intervention design, training conditions and evaluation. Bmj Open. 2019;9(2):e025247. (PMID: 10.1136/bmjopen-2018-025247) O’Dea A, O’Connor P, Keogh I. A meta-analysis of the effectiveness of crew resource management training in acute care domains (90, pg 698, 2014). Postgrad Med J. 2014;90(1070):708. O’Connor P, Campbell J, Newon J, Melton J, Salas E, Wilson KA. Crew Resource Management Training effectiveness: a Meta-analysis and some critical needs. Int J Aviat Psychol. 2008;18(4):353–68. (PMID: 10.1080/10508410802347044) Haerkens MH, Kox M, Lemson J, Houterman S, van der Hoeven JG, Pickkers P. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319–29. (PMID: 10.1111/aas.12573) Cook DA, Brydges R, Hamstra SJ, Zendejas B, Szostek JH, Wang AT, et al. Comparative effectiveness of technology-enhanced simulation versus other instructional methods: a systematic review and meta-analysis. Simul Healthc. 2012;7(5):308–20. (PMID: 10.1097/SIH.0b013e3182614f95) Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978–88. (PMID: 10.1001/jama.2011.1234) Fung L, Boet S, Bould MD, Qosa H, Perrier L, Tricco A, et al. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. J Interprof Care. 2015;29(5):433–44. (PMID: 10.3109/13561820.2015.1017555) Nicholson S. Peeking behind the locked door: A survey of escape room facilities. 2015. Quek LH, Tan AJQ, Sim MJJ, Ignacio J, Harder N, Lamb A, et al. Educational escape rooms for healthcare students: a systematic review. Nurse Educ Today. 2023;132:106004. (PMID: 10.1016/j.nedt.2023.106004) Lathwesen C, Belova N. Escape rooms in STEM teaching and learning-prospective field or declining Trend? A literature review. Educ Sci. 2021;11(6). Dittman JM, Amendola MF, Ramraj R, Haynes S, Lange P. The COMET framework: a novel approach to design an escape room workshop for interprofessional objectives. J Interprof Care. 2022;36(1):161–4. (PMID: 10.1080/13561820.2020.1870442) Doherty SM, Griggs AC, Lazzara EH, Keebler JR, Gewertz BL, Cohen TN. Planning an escape: considerations for the development of Applied escape rooms. Simulation & Gaming; 2023. Cohen TN, Griggs AC, Keebler JR, Lazzara EH, Doherty SM, Kanji FF, Gewertz BL. Using escape rooms for conducting Team Research: understanding Development, considerations, and challenges. Simul Gaming. 2020;51(4):443–60. (PMID: 10.1177/1046878120907943) Veldkamp A, van de Grint L, Knippels M, van Joolingen WR. Escape education: a systematic review on escape rooms in education. Educ Res Rev-Neth. 2020;31:17. McGowan J, Straus S, Moher D, Langlois EV, O’Brien KK, Horsley T, et al. Reporting scoping reviews-PRISMA ScR extension. J Clin Epidemiol. 2020;123:177–9. (PMID: 10.1016/j.jclinepi.2020.03.016) Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–73. (PMID: 10.7326/M18-0850) Elicit. [Available from: https://elicit.com/. Google S. [ https://scholar.google.com/ . Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev-London. 2016;5. Clarke S, Peel DJ, Arnab S, Morini L, Keegan H, Wood O. escapED: a Framework for creating Educational escape rooms and interactive games for Higher/Further education. Int J Serious Games. 2017;4(3):73–86. (PMID: 10.17083/ijsg.v4i3.180) Fotaris P, Mastoras T. Escape rooms for learning: a systematic review. Proc Eur Conf Game. 2019:235–43. Veldkamp A, van de Grint L, Knippels MCPJ, van Joolingen WR. Escape education: a systematic review on escape rooms in education. Educ Res Rev-Neth. 2020;31. Veldkamp A, Daemen J, Teekens S, Koelewijn S, Knippels MCPJ, van Joolingen WR. Escape boxes: bringing escape room experience into the classroom. Brit J Educ Technol. 2020;51(4):1220–39. (PMID: 10.1111/bjet.12935) Comm IS. INACSL standards of best practice: Simulation(SM) Simulation Design. Clin Simul Nurs. 2016;12:S5–12. (PMID: 10.1016/j.ecns.2016.09.005) Comm IS. INACSL standards of best practice: Simulation(SM) Simulation-enhanced Interprofessional Education (Sim-IPE). Clin Simul Nurs. 2016;12:S34–8. (PMID: 10.1016/j.ecns.2016.09.011) Maddock B, Darzins P, Kent F. Realist review of interprofessional education for health care students: what works for whom and why. J Interprof Care. 2022. Reeves S, Boet S, Zierler B, Kitto S. Interprofessional Education and Practice Guide 3: evaluating interprofessional education. J Interprof Care. 2015;29(4):305–12. (PMID: 10.3109/13561820.2014.1003637) Kirkpatrick DL, Kirkpatrick J. Evaluating training programs: the four levels. Berrett. Berkley, USA: Koehler; 1998. Reed DA, Cook DA, Beckman TJ, Levine RB, Kern DE, Wright SM. Association between funding and quality of published medical education research. JAMA. 2007;298(9):1002–9. (PMID: 10.1001/jama.298.9.1002) Cook DA, Reed DA. Appraising the quality of medical education research methods: the Medical Education Research Study Quality Instrument and the Newcastle-Ottawa Scale-Education. Acad Med. 2015;90(8):1067–76. (PMID: 10.1097/ACM.0000000000000786) Morrell BLM, Eukel HN. Escape the generational gap: a Cardiovascular escape room for nursing education. J Nurs Educ. 2020;59(2):111–5. (PMID: 10.3928/01484834-20200122-11) Morrell BLM, Eukel HN, Santurri LE. Soft skills and implications for future professional practice: qualitative findings of a nursing education escape room. Nurse Educ Today. 2020;93. Abensur Vuillaume L, Laudren G, Bosio A, Thévenot P, Pelaccia T, Chauvin A. A didactic escape game for Emergency Medicine aimed at learning to work as a team and making diagnoses: methodology for Game Development. JMIR Serious Games. 2021;9(3):e27291. (PMID: 10.2196/27291) Borck JC, Meyer DDNPCAA, Gettrust LDNPA-BC, Novalija JC. Escape the OR: a novel teaching strategy to promote interprofessional learning and teamwork. Nurs Manag. 2022;53(2):28–35. (PMID: 10.1097/01.NUMA.0000805020.58001.28) Kutzin JM. Escape the room: innovative approaches to Interprofessional Education. J Nurs Educ. 2019;58(8):474–80. (PMID: 10.3928/01484834-20190719-07) Rosenkrantz O, Jensen TW, Sarmasoglu S, Madsen S, Eberhard K, Ersboll AK, Dieckmann P. Priming healthcare students on the importance of non-technical skills in healthcare: how to setup a medical escape room game experience. Med Teach. 2019;41(11):1285–92. (PMID: 10.1080/0142159X.2019.1636953) Sanders JE, Kutzin J, Strother CG. Escape the Simulation Room. Simul Gaming. 2021;52(1):62–71. (PMID: 10.1177/1046878120963591) Morrell B, Eukel HN. Shocking escape: a cardiac escape room for undergraduate nursing students. Simul Gaming. 2021;52(1):72–8. (PMID: 10.1177/1046878120958734) Kutzin JM, Sanders JE, Strother CG. Transitioning escape rooms to a virtual environment. Simul Gaming. 2021;52(6):796–806. (PMID: 10.1177/10468781211035171) Turner A, Tichter AM, Pillow MT. Let’s escape Didactics: virtual escape room as a didactic modality in Residency. J Educ Teach Emerg Med. 2021;6(2):Sg46–56. Podlog M, Husain A, Greenstein J, Sanghvi S. Escape the trauma room. AEM Educ Train. 2020;4(2):158–60. (PMID: 10.1002/aet2.10410) Holland T, Kuhnly JE, McKelvey M, Prast J, Walter L. Evaluation of a Postpartum Hemorrhage escape room: a Multisite Study. Simul Gaming. 2023:24. Gomez-Urquiza JL, Requena-Palomares I, Gorjon-Peramato E, Gomez-Salgado J, Canadas-De La Fuente GA, Albendin-Garcia L. Emergency and critical care professionals’ opinion on escape room as a health sciences evaluation game: A cross-sectional descriptive study. Med (United States). 2022;101(25) (no pagination). Daniel L, Valko J, McAtee TJ. Using an escape room modality to teach mock code essentials. J Contin Educ Nurs. 2021;52(3):118–22. (PMID: 10.3928/00220124-20210216-05) Cheng A, Eppich W, Grant V, Sherbino J, Zendejas B, Cook DA. Debriefing for technology-enhanced simulation: a systematic review and meta-analysis. Med Educ. 2014;48(7):657–66. (PMID: 10.1111/medu.12432) Valdes B, Mckay M, Sanko JS. The impact of an escape Room Simulation to improve nursing teamwork, Leadership and Communication skills: a Pilot Project. Simul Gaming. 2021;52(1):54–61. (PMID: 10.1177/1046878120972738) Zhang XC, Lee H, Rodriguez C, Rudner J, Chan TM, Papanagnou D. Trapped as a Group, escape as a team: applying gamification to Incorporate Team-building skills through an ‘Escape room’ experience. Cureus. 2018;10(3):9. Fotaris P, Mastoras T. Room2Educ8: a Framework for creating Educational escape rooms based on design thinking principles. Educ Sci. 2022;12(11). Ilgen DR, Hollenbeck JR, Johnson M, Jundt D. Teams in organizations: from input-process-output models to IMOI models. Annu Rev Psychol. 2005;56:517–43. (PMID: 10.1146/annurev.psych.56.091103.070250) Chen WC, Reeves TC. Twelve tips for conducting educational design research in medical education. Med Teach. 2020;42(9):980–6. (PMID: 10.1080/0142159X.2019.1657231) |
| فهرسة مساهمة: | Keywords: Crisis resource management; Escape game; Non-technical skills; Puzzle room; Teamwork |
| تواريخ الأحداث: | Date Created: 20240731 Date Completed: 20240731 Latest Revision: 20240731 |
| رمز التحديث: | 20240731 |
| DOI: | 10.1186/s12909-024-05753-z |
| PMID: | 39080688 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1472-6920 |
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| DOI: | 10.1186/s12909-024-05753-z |