All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams
Abstract Background Operating rooms have become more technically complex due to new advanced procedures, which has increased demands on teamwork in the operating room. In response, team training has been proposed to improve team performance, workplace culture, and patient safety. We developed and de...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Advances in Simulation |
| Online Access: | https://doi.org/10.1186/s41077-023-00257-0 |
| _version_ | 1827895290443595776 |
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| author | Cecilia Escher Hans Rystedt Johan Creutzfeldt Lisbet Meurling Leif Hedman Li Felländer-Tsai Ann Kjellin |
| author_facet | Cecilia Escher Hans Rystedt Johan Creutzfeldt Lisbet Meurling Leif Hedman Li Felländer-Tsai Ann Kjellin |
| author_sort | Cecilia Escher |
| collection | DOAJ |
| description | Abstract Background Operating rooms have become more technically complex due to new advanced procedures, which has increased demands on teamwork in the operating room. In response, team training has been proposed to improve team performance, workplace culture, and patient safety. We developed and delivered a simulation-based team training course for entire professional surgical teams. This type of intervention has been proposed by researchers but has not been widely published. The aims of this intervention study were to examine participants’ reactions to the course in terms of their motivation for the training and their self-efficacy in relation to their performance, as well as their views on transferring the lessons learned in the course to their workplace. Methods In a prospective mixed-methods intervention study, operating room professionals participated in a full-day simulation-based teamwork training course. Learning objectives were nontechnical skills, specifically communication and collaboration across the team. Seventy-one staff members representing 5 operating room professions were included, and the average work experience of participants was 6 years. Quantitative data on self-efficacy and situational motivation were collected by questionnaires before and after training. Qualitative data were collected through 5 focus group interviews that took place in direct relation to the courses and included a total of 31 participants. Transcripts were coded and analyzed using thematic analysis. Results All occupations showed a similar pattern in terms of increases in self-efficacy and intrinsic motivation after the training. Analysis of the qualitative data showed that training in one’s profession and in authentic multiprofessional teams was important factors for motivation. Participating staff described an awareness of undesirable communication barriers in surgical teams that can lead to risks for patients. Systematic training was definitely perceived as a means to reduce barriers and improve communication and collaboration. Conclusion Simulation-based training was equally well received by all professional groups. Our results confirm the feasibility of this type of training for professional teams and promising opportunities for improving teamwork skills. The qualitative data reveal both opportunities and limitations for transferring the learning experiences to the workplace. |
| first_indexed | 2024-03-12T22:18:55Z |
| format | Article |
| id | doaj.art-8badb7fb3eda41ddafa813b15fdc6a61 |
| institution | Directory Open Access Journal |
| issn | 2059-0628 |
| language | English |
| last_indexed | 2024-03-12T22:18:55Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Advances in Simulation |
| spelling | doaj.art-8badb7fb3eda41ddafa813b15fdc6a612023-07-23T11:09:45ZengBMCAdvances in Simulation2059-06282023-07-01811910.1186/s41077-023-00257-0All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teamsCecilia Escher0Hans Rystedt1Johan Creutzfeldt2Lisbet Meurling3Leif Hedman4Li Felländer-Tsai5Ann Kjellin6Center for Advanced Medical Simulation and Training (CAMST), Karolinska University HospitalSimulator Centre West, Region Västra GötalandCenter for Advanced Medical Simulation and Training (CAMST), Karolinska University HospitalCenter for Advanced Medical Simulation and Training (CAMST), Karolinska University HospitalDepartment of Clinical Science Intervention and Technology (CLINTEC), Karolinska InstitutetCenter for Advanced Medical Simulation and Training (CAMST), Karolinska University HospitalCenter for Advanced Medical Simulation and Training (CAMST), Karolinska University HospitalAbstract Background Operating rooms have become more technically complex due to new advanced procedures, which has increased demands on teamwork in the operating room. In response, team training has been proposed to improve team performance, workplace culture, and patient safety. We developed and delivered a simulation-based team training course for entire professional surgical teams. This type of intervention has been proposed by researchers but has not been widely published. The aims of this intervention study were to examine participants’ reactions to the course in terms of their motivation for the training and their self-efficacy in relation to their performance, as well as their views on transferring the lessons learned in the course to their workplace. Methods In a prospective mixed-methods intervention study, operating room professionals participated in a full-day simulation-based teamwork training course. Learning objectives were nontechnical skills, specifically communication and collaboration across the team. Seventy-one staff members representing 5 operating room professions were included, and the average work experience of participants was 6 years. Quantitative data on self-efficacy and situational motivation were collected by questionnaires before and after training. Qualitative data were collected through 5 focus group interviews that took place in direct relation to the courses and included a total of 31 participants. Transcripts were coded and analyzed using thematic analysis. Results All occupations showed a similar pattern in terms of increases in self-efficacy and intrinsic motivation after the training. Analysis of the qualitative data showed that training in one’s profession and in authentic multiprofessional teams was important factors for motivation. Participating staff described an awareness of undesirable communication barriers in surgical teams that can lead to risks for patients. Systematic training was definitely perceived as a means to reduce barriers and improve communication and collaboration. Conclusion Simulation-based training was equally well received by all professional groups. Our results confirm the feasibility of this type of training for professional teams and promising opportunities for improving teamwork skills. The qualitative data reveal both opportunities and limitations for transferring the learning experiences to the workplace.https://doi.org/10.1186/s41077-023-00257-0 |
| spellingShingle | Cecilia Escher Hans Rystedt Johan Creutzfeldt Lisbet Meurling Leif Hedman Li Felländer-Tsai Ann Kjellin All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams Advances in Simulation |
| title | All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams |
| title_full | All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams |
| title_fullStr | All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams |
| title_full_unstemmed | All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams |
| title_short | All professions can benefit — a mixed-methods study on simulation-based teamwork training for operating room teams |
| title_sort | all professions can benefit a mixed methods study on simulation based teamwork training for operating room teams |
| url | https://doi.org/10.1186/s41077-023-00257-0 |
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