Keywords

Advanced cardiac life support, Staff development, Thoracic surgery

Authors

1. McRae, Marion E. MScN, RN-BC, ACNP-BC, CCRN-CSC-CMC, CCN(C)
2. Chan, Alice MN, RN, CNS, CCRN
3. Lee, Ai Jin MSN, RN, CNS, CCRN
4. Hulett, Renee MSN, MHA, RN, PCNB
5. Coleman, Bernice PhD, RN, ACNP-BC, FAHA, FAAN

Abstract

Background: There are few reports of the use of 1-session team-based learning (TBL) in hospital settings and none to teach cardiac surgical resuscitation (CSR).

Objective: The aim of this study was to investigate whether 1-session TBL is an effective method to increase nursing knowledge of CSR.

Methods: The participating subjects viewed a PowerPoint presentation about CSR prior to the learning session. Participants completed a 16-item individual readiness assessment test. Immediately after, participants in groups of 3 completed the same 16-item test as a team using the Immediate Feedback Assessment Technique form. Participants were asked open-ended questions about their concerns with CSR, which were analyzed with a grounded theory approach.

Results: The sample consisted of 60 subjects (54 completing all phases). Team-based learning significantly increased scores from 36.93 (SD, 8.49) to 50.89 (SD, 5.29), t₅₃ = -13.05, P < .001. There was a significant increase in scores (t₄₆ = 2.13, P = .04) among the noncohesive groups from baseline (52.88 [SD, 3.29]) versus the cohesive groups (50.38 [SD, 4.73]). The qualitative data indicated that the subjects had worries/concerns and lack of self-confidence around CSR.

Discussion: Team-based learning is a feasible method to use for single-session education where team building is also required. Noncohesive groups may benefit from TBL, from discussing divergent viewpoints to reach a consensus. Additional studies are needed to compare preferences for TBL with other teaching methods.