Comparing teaching methods on novice nurses' and medical residents' resuscitation teamwork knowledge and team...

This study examined the short-term and long-term effects of three resuscitation teaching methods on teamwork knowledge and team performance among novice nurses and medical residents.

Effective resuscitation training is essential for team performance in novice clinical teams.

A single-blind, stratified randomized controlled trial with repeated measures.

A total of 124 nurses and medical residents within their first 2 years of employment in Taiwan between August and December 2022 were randomly assigned to board-game training, high-fidelity simulation, or interactive lectures (control group). Participants received 3-hour TeamSTEPPS teamwork training with four standardized scenarios. Teamwork knowledge and team performance were assessed at pretest, posttest and 3-month follow-up. Data were analyzed using generalized estimating equations (GEE). The study was registered at ClinicalTrials.gov (NCT05302414).

Ninety-six participants (24 teams) completed the study. Posttest teamwork knowledge was higher in the control group than in the simulation group (p = 0.04). From pretest to posttest, the control group showed significant knowledge gains (p = 0.003), while the simulation group improved in team performance (p = 0.012). GEE analysis indicated a significantly lower increase in knowledge scores for the simulation group compared with the control group (B = -1.09, p = 0.04). Board-game group feedback emphasized fun, relaxation and communication.

Simulation training was most effective in improving team performance, interactive lectures enhanced teamwork knowledge and board-game training provided a positive learning environment that may increase learner engagement. Educators should select the most effective method based on the specific learning objectives developed.