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Published on: January 15, 2017
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Implementation and Evaluation of a Team Simulation Training Program
Yvonne Rice1, Mary DeLetter, Lisa Fryman
1University of Kentucky, Lexington (Drs Rice, Fryman, and Talley); and Eastern Kentucky University, Richmond (Drs DeLetter, Parrish, and Velotta).
Summary
Simulation-based training significantly enhanced teamwork and communication skills for nurses in trauma intensive care units. This program improved nurses' confidence and satisfaction, leading to better patient care during critical "golden hour" interventions.
Area of Science:
- Medical Education
- Trauma Care
- Teamwork and Communication
Background:
- Effective trauma patient care necessitates coordinated efforts within the critical "golden hour" to maximize survival rates.
- The complexity of trauma care demands optimized team dynamics and communication.
Purpose of the Study:
- To evaluate the impact of a simulation-based training program on nurses' knowledge, satisfaction, self-confidence, and simulated team performance in a trauma intensive care unit.
- To test the hypothesis that the program would lead to measurable improvements in key performance indicators.
Main Methods:
- A pre- and post-test design was employed with 7 Bachelor of Science in Nursing (BSN) nurses.
- Participants had less than 2 years of intensive care unit (ICU) and overall nursing experience.
- The study was conducted at a single-center academic Level 1 trauma center.
Main Results:
- Significant improvements were observed in the perception of team structure and communication.
- Observed situation monitoring, mutual support, and communication skills showed marked enhancement.
- Participants reported high satisfaction (mean 21.5/25) and self-confidence (mean 38.83/40).
Conclusions:
- Simulation-based team training effectively improved teamwork attitudes, perceptions, and performance among ICU nurses.
- Team communication skills demonstrated significant gains across multiple assessment instruments.
- The training program successfully boosted participant satisfaction and self-confidence, crucial for high-stakes trauma care.
