+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions



Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions



BMJ Quality and Safety 22(6): 485-494



Teamwork-that is, collaboration and communication-is an important factor for safe healthcare, but professions perceive the quality of teamwork differently. To examine the relationship between simulation-based team training (SBTT) and different professions' self-efficacy, experienced quality of collaboration and communication, perceptions of teamwork and safety, together with staff turnover. All staff (n=151; physicians, nurses and nurse assistants) in an intensive care unit (ICU) at a university hospital were systematically trained over 2 years. Data on individual self-efficacy were measured using the self-efficacy questionnaire; the experienced quality of collaboration and communication, teamwork climate, safety climate and perception of working conditions were sampled using the ICU version of the safety attitudes questionnaire (SAQ). Staff turnover and sick leave was measured using the hospital's staff administration system for the intervention ICU and a control ICU in the same hospital. The perception of safety differed between professions before training. Nurses' and physicians' mean self-efficacy scores improved, and nurse assistants' perceived quality of collaboration and communication with physician specialists improved after training. Nurse assistants' perception of the SAQ factors teamwork climate, safety climate and working conditions were more positive after the project as well as nurses' perception of safety climate. The number of nurses quitting their job and nurse assistants' time on sick leave was reduced in comparison to the control ICU during the study period. Results for SAQ factors must be interpreted with caution given that Cronbach's α and inter-correlations for the SAQ factors showed lower values than benchmarking data. All team members benefited from the SBTT in an authentic composed team, but this was expressed differently for the respective professions.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056093622

Download citation: RISBibTeXText

PMID: 23412932

DOI: 10.1136/bmjqs-2012-000994


Related references

Simulation-Based Team Training Improves Team Performance among Pediatric Intensive Care Unit Staff. Journal of Pediatric Intensive Care 8(2): 83-91, 2019

Improving teamwork, confidence, and collaboration among members of a pediatric cardiovascular intensive care unit multidisciplinary team using simulation-based team training. Pediatric Cardiology 34(3): 612-619, 2013

In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit. Anaesthesia and Intensive Care 37(1): 74-78, 2009

In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive care unit. Yearbook of Critical Care Medicine 2010: 183-184, 2010

Intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care: a descriptive qualitative study. Intensive and Critical Care Nursing 30(4): 179-187, 2016

Simulation team training for improved teamwork in an intensive care unit. International Journal of Health Care Quality Assurance 26(2): 174-188, 2013

Intensive care unit nurses' evaluation of simulation used for team training. Nursing in Critical Care 19(4): 175-184, 2016

Simulation training improves team dynamics and performance in a low-resource cardiac intensive care unit. Annals of Pediatric Cardiology 11(2): 130-136, 2018

Role of Critical Care Medicine Training in the Cardiovascular Intensive Care Unit: Survey Responses From Dual Certified Critical Care Cardiologists. Journal of the American Heart Association 8(6): E011721, 2019

Advanced critical care practitioners - Practical experience of implementing the Advanced Critical Care Practitioner Faculty of Intensive Care Medicine Curriculum in a London Critical Care Unit: Response letter. Journal of the Intensive Care Society 20(1): Np1-Np2, 2019

Early detection of critical illness outside the intensive care unit: Clarifying treatment plans and honoring goals of care using a supportive care team. Journal of Hospital Medicine 11(Suppl. 1): S40-S47, 2016

End-of-life care in the intensive care unit: a patient-based questionnaire of intensive care unit staff perception and relatives' psychological response. Palliative Medicine 29(4): 336-345, 2016

Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study. Intensive Care Medicine 38(1): 99-104, 2012

Evaluation of multidisciplinary simulation training on clinical performance and team behavior during tracheal intubation procedures in a pediatric intensive care unit. Pediatric Critical Care Medicine 12(4): 406-414, 2012

The impact of implementing critical care team on open general intensive care unit. Tuberculosis and Respiratory Diseases 73(2): 100-106, 2012