Bierly, Gallagher and Spender (2014) discuss multidisciplinary communication as a vital part of the growth of submarine programs into high reliability systems, providing a rich learning environment and the opportunity to receive information from a broad range of sources. This argument is also made for the healthcare environment by Miller, Riley and Davis (2009), Weaver et al (2013), Gillespie, Gwinner, Chaboyer and Fairweather (2013) and Okuyama, Wagner, and Bijnen (2014). Bierly, Gallagher …show more content…
The question is further expanded to investigate the roles of nurses are in these teams. The study is qualitative and looks at the variability of team responses in simulations. Participants were chosen from an existing multidisciplinary team, with strangers adding reality to the simulation. The scenarios were videotaped and reviewed by clinical experts, with breaks in the playback, so that each aspect of the scenario could be examined thoroughly. The results and the method of data collection are made clear to the reader, providing the applicability of the results to a real life dilemma. The approach to the study is to look at the responses made by a team to an evolving situation. The focus is on one specific department, so the choice and number of participants is appropriate. The language and concepts of the simulation are consistent with many training activities in healthcare and are therefore valid. The subject search and subsequent literature review is appropriate to the issue and presented in a way that the reader has a clear understanding of the purpose. Data collection is explained well, as is the method of interpreting the behaviors and the statistical analysis applied to the results. Findings from the study imply that team competency is affected by communication in which nurses play a key role. The conclusion is that the skills necessary …show more content…
The sample is appropriate and covers a selection of three ICUs in three organizations. The results were trended over an eight week period, with significant results, suggesting that the length of the study was appropriate. The data was obtained by a Likert Scale survey, which may be a weakness. A more robust system of data collection may have been explicit questions that required explanation of understanding. However, the results obtained from the data describes a decrease in patient length of stay by 50% when daily goals are prescribed. The authors acknowledge several limitations to the study, including the inability to establish causal relationships and concurrent initiatives to reduce hospital acquired conditions. However, the results for daily communication of goals does extrapolate to daily briefing and goal setting to address safety concerns, and therefore this study is considered to be worthwhile to