Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature
BackgroundRecently, non-technical skills (NTS) and teamwork in particular have been demonstrated to be essential in many jobs, in business as well as in medical specialties, including plastic, orthopedic, and general surgery. However, NTS and teamwork in neurosurgery have not yet been fully studied....
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1386887/full |
| _version_ | 1827317895290421248 |
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| author | Camilla de Laurentis Camilla de Laurentis David Pirillo Andrea Di Cristofori Andrea Di Cristofori Alessandro Versace Tommaso Calloni Tommaso Calloni Andrea Trezza Valentina Villa Lucia Alberti Angelo Baldo Angelo Baldo Federico Nicolosi Giorgio Carrabba Giorgio Carrabba Carlo Giussani Carlo Giussani |
| author_facet | Camilla de Laurentis Camilla de Laurentis David Pirillo Andrea Di Cristofori Andrea Di Cristofori Alessandro Versace Tommaso Calloni Tommaso Calloni Andrea Trezza Valentina Villa Lucia Alberti Angelo Baldo Angelo Baldo Federico Nicolosi Giorgio Carrabba Giorgio Carrabba Carlo Giussani Carlo Giussani |
| author_sort | Camilla de Laurentis |
| collection | DOAJ |
| description | BackgroundRecently, non-technical skills (NTS) and teamwork in particular have been demonstrated to be essential in many jobs, in business as well as in medical specialties, including plastic, orthopedic, and general surgery. However, NTS and teamwork in neurosurgery have not yet been fully studied. We reviewed the relevant literature and designed a mock surgery to be used as a team-building activity specifically designed for scrub nurses and neurosurgeons.MethodsWe conducted a systematic review by searching PubMed (Medline) and CINAHL, including relevant articles in English published until 15 July 2023. Then, we proposed a pilot study consisting of a single-session, hands-on, and cadaver-free activity, based on role play. Scrub nurses were administered the SPLINTS (Scrub Practitioners’ List of Intraoperative Non-Technical Skills) rating form as a self-evaluation at baseline and 20–30 days after the simulation. During the experiment, surgeons and scrub nurses role-played as each other, doing exercises including a simulated glioma resection surgery performed on an advanced model of a cerebral tumor (Tumor Box, UpSurgeOn®) under an exoscope. At the end, every participant completed an evaluation questionnaire.ResultsA limited number of articles are available on the topic. This study reports one of the first neurosurgical team-building activities in the literature. All the participating scrub nurses and neurosurgeons positively evaluated the simulation developed on a roleplay. The use of a physical simulator seems an added value, as the tactile feedback given by the model further helps to understand the actual surgical job, more than only observing and assisting. The SPLINTS showed a statistically significant improvement not only in “Communication and Teamwork” (p = 0.048) but also in “Situation Awareness” (p = 0.031).ConclusionOur study suggests that team-building activities may play a role in improving interprofessional teamwork and other NTS in neurosurgery. |
| first_indexed | 2024-04-24T23:48:32Z |
| format | Article |
| id | doaj.art-3dbbc4961d354fd7a0799209eff6c353 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-24T23:48:32Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-3dbbc4961d354fd7a0799209eff6c3532024-03-15T04:36:19ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-03-011110.3389/fsurg.2024.13868871386887Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literatureCamilla de Laurentis0Camilla de Laurentis1David Pirillo2Andrea Di Cristofori3Andrea Di Cristofori4Alessandro Versace5Tommaso Calloni6Tommaso Calloni7Andrea Trezza8Valentina Villa9Lucia Alberti10Angelo Baldo11Angelo Baldo12Federico Nicolosi13Giorgio Carrabba14Giorgio Carrabba15Carlo Giussani16Carlo Giussani17School of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, ASST Fatebenefratelli Sacco, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalyOperating Room, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalyOperating Room, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalySchool of Medicine and Surgery, Università Degli Studi di Milano Bicocca, Milan, ItalyNeurosurgery, Fondazione IRCCS San Gerardo dei Tintori, Monza, ItalyBackgroundRecently, non-technical skills (NTS) and teamwork in particular have been demonstrated to be essential in many jobs, in business as well as in medical specialties, including plastic, orthopedic, and general surgery. However, NTS and teamwork in neurosurgery have not yet been fully studied. We reviewed the relevant literature and designed a mock surgery to be used as a team-building activity specifically designed for scrub nurses and neurosurgeons.MethodsWe conducted a systematic review by searching PubMed (Medline) and CINAHL, including relevant articles in English published until 15 July 2023. Then, we proposed a pilot study consisting of a single-session, hands-on, and cadaver-free activity, based on role play. Scrub nurses were administered the SPLINTS (Scrub Practitioners’ List of Intraoperative Non-Technical Skills) rating form as a self-evaluation at baseline and 20–30 days after the simulation. During the experiment, surgeons and scrub nurses role-played as each other, doing exercises including a simulated glioma resection surgery performed on an advanced model of a cerebral tumor (Tumor Box, UpSurgeOn®) under an exoscope. At the end, every participant completed an evaluation questionnaire.ResultsA limited number of articles are available on the topic. This study reports one of the first neurosurgical team-building activities in the literature. All the participating scrub nurses and neurosurgeons positively evaluated the simulation developed on a roleplay. The use of a physical simulator seems an added value, as the tactile feedback given by the model further helps to understand the actual surgical job, more than only observing and assisting. The SPLINTS showed a statistically significant improvement not only in “Communication and Teamwork” (p = 0.048) but also in “Situation Awareness” (p = 0.031).ConclusionOur study suggests that team-building activities may play a role in improving interprofessional teamwork and other NTS in neurosurgery.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1386887/fulleducationinterprofessionalnon-technical skillsoperating roomroleplaysimulation |
| spellingShingle | Camilla de Laurentis Camilla de Laurentis David Pirillo Andrea Di Cristofori Andrea Di Cristofori Alessandro Versace Tommaso Calloni Tommaso Calloni Andrea Trezza Valentina Villa Lucia Alberti Angelo Baldo Angelo Baldo Federico Nicolosi Giorgio Carrabba Giorgio Carrabba Carlo Giussani Carlo Giussani Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature Frontiers in Surgery education interprofessional non-technical skills operating room roleplay simulation |
| title | Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature |
| title_full | Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature |
| title_fullStr | Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature |
| title_full_unstemmed | Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature |
| title_short | Boosting teamwork between scrub nurses and neurosurgeons: exploring the value of a role-played hands-on, cadaver-free simulation and systematic review of the literature |
| title_sort | boosting teamwork between scrub nurses and neurosurgeons exploring the value of a role played hands on cadaver free simulation and systematic review of the literature |
| topic | education interprofessional non-technical skills operating room roleplay simulation |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1386887/full |
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