Leading to recovery: Group performance and coordinative activities in medical emergency driven groups
Franziska Tschan, Norbert Semmer, Dieter Gautschi, Patrick Hunziker, Martin Spychiger & Stephan Marsch
| Résumé |
The influence of human factors on team performance was investigated
in "medical emergency driven groups" composed of medical
professionals treating a sudden cardiac arrest in a high fidelity
simulator setting. The group composition is unique, but realistic,
in that it is not constant. Three phases are distinguished: In
Phase 1, 3 nurses are present; in Phase 2, a resident joins; and in
Phase 3 a senior doctor joins. It was hypothesized that directive
leadership behavior would enhance group performance. This was
supported with regard to the directive leadership behavior of the
nurse first on bedside in Phase 1, and for directive leadership of
the resident in Phase 2-but only with regard to behavior occurring
in the first 30 see after entering the group, which reflects the
need for quick action in this time-sensitive task. For Phase 3, we
expected not only directive leadership but also indirect guidance
by "structuring inquiry" of the senior doctor to enhance
performance. This was confirmed for structuring inquiry. Results
indicate that to enhance group performance training should go
beyond "technical" training that concentrates on medical
necessities. Rather, it should include aspects of group
coordination, emphasizing that coordinating behavior should be
adapted (a) to the situation and (b) to professional role
requirements. |
| Mots-clés |
SIMULATED CARDIAC ARRESTS, RESOURCE-MANAGEMENT, LIFE-SUPPORT, TEAM, LEADERSHIP, RESUSCITATION, COMMUNICATION, ORGANIZATIONS, CRISES |
| Citation | Tschan, F., Semmer, N., Gautschi, D., Hunziker, P., Spychiger, M., & Marsch, S. (2006). Leading to recovery: Group performance and coordinative activities in medical emergency driven groups. Human Performance, 19(3), 277-304. |
| Type | Article de périodique (Anglais) |
| Date de publication | 2006 |
| Nom du périodique | Human Performance |
| Volume | 19 |
| Numéro | 3 |
| Pages | 277-304 |