98 research outputs found

    Comments on published Resuscitation article

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    The Potential of Mental Simulation for Enhancing Self-efficacy and Managing Stress in Emergency Care: A Nurse Education Perspective

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    This theoretical article explores how mental simulation can enhance self-efficacy and stress management in emergency care, focusing on its application in nurse education. This article delves into the concept, functionality, and applications of mental simulation in nurse education, specifically addressing stress mitigation in emergency care. We offer an overview of relevant literature and research, including a specific focus on surgical skills education. The mechanisms of mental simulation, encompassing the simulation theory of action and dual code theory, are discussed, providing valuable insights into neural networks and image evocation processes. The article underscores the significant impact of stress on emergency care performance. It highlights the potential benefits of incorporating mental simulation as a stress-exposure training technique in the learning process. By adopting a Bandurian theoretical framework, the article proposes how mental simulation can contribute to the cultivation of self-efficacious nurses. Integrating mental simulation in nurse education has the potential to mitigate stress’s negative impact on emergency care. Nurses mentally rehearse and simulate scenarios, becoming familiar with demands and stressors. This practice can potentially refine skills, improve performance under pressure, and boost self-efficacy. Mental simulation replicates real-life situations, enhancing learning from a patient safety perspective. Mental simulation enhances self-efficacy and stress management in emergency care. Its integration into nurse education prepares nurses for high-stress situations. Further research should explore its diverse applications. Understanding mental simulation mechanisms can improve training programmes, potentially empowering nurses in delivering self-confident emergency care

    Should the Glidescope video laryngoscope be used first line for all oral intubations or only in those with a difficult airway? A review of current literature

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    The purpose of this study was to review literature that looked into the efficacy of the Glidescope video laryngoscope versus the Macintosh laryngoscope in oral endotracheal intubations. We aimed to answer the question 'Should the Glidescope video laryngoscope laryngoscopes be used as first line intubation aids or only in the difficult airway?’ A systematic search of electronic databases was made. The inclusion criteria included: Glidescope, video laryngoscope, and Macintosh laryngoscope in human studies. The study aimed to compare first attempt success rate, glottic view and intubation time in papers dating between 2009 and 2017. Eleven trials with a total of 7,919 patients with both difficult and normal airways were included. The trials showed an improvement in first attempt success rate and glottic view with the Glidescope video laryngoscope especially in those with difficult airways. Overall time to intubate showed no significant differences between the Glidescope video laryngoscope and the Macintosh laryngoscope although it was identified that with increased training and experience with the Glidescope video laryngoscope, intubation time was reduced. Glidescope video laryngoscopes show advantages over the Macintosh laryngoscopes in obtaining better glottic views in those with difficult airways. However its use is not supported in all routine intubations

    Understanding how human factors can cause errors in the operating theatre

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    Human error can be defined as the ‘failure of a planned action’ (Reason, 2005: 57). The study of human and team error in the operating theatre is slowly gathering momentum as we acquire further evidence that many patient iatrogenic injuries and adverse events have human fallibility at their root (Department of Health, 2009). Effective teamwork and communication in safety-critical environments such as operating theatres involve the cooperation of multiple practitioners with varying levels of expertise and seniority (Sasou and Reason, 1999). Despite innovative ideas such as the World Health Organization's (WHO) Safe Surgery Checklist, evidence suggests that shortfalls in communication, shared cognition and the presence of authority gradients—described as the failure of efficient and effective communication as a result of a perceived hierarchy within the team (Cosby and Croskerry, 2004)—continue to affect patient safety in the operating theatre. This paper explores some of the potential barriers to free flow of communication, as well as investigating how operating department practitioners' (ODPs) mastery of safety sciences including human factors could potentially increase safety and reduce avoidable harm

    DILEMMA study

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    DILEMMA study (DECISION MAKING INITIATIVE FOR LAPAROTOMY IN THE EMERGENCY SETTING A MULTIDISCIPLINARY JUDGEMENT ANALYSIS APPROACH

    DILEMMA study

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    DILEMMA study (DECISION MAKING INITIATIVE FOR LAPAROTOMY IN THE EMERGENCY SETTING A MULTIDISCIPLINARY JUDGEMENT ANALYSIS APPROACH
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