Short 2-H in Situ Trauma Team Simulation Training Effectively Improves Non-Technical Skills of Hospital Trauma Teams

Scand J Surg. 2019 Jun;108(2):117-123. doi: 10.1177/1457496918789006. Epub 2018 Jul 20.

Abstract

Background and aims: As conducting the regular trauma team simulation training is expensive and time-consuming, its effects must be explored. The objective was to evaluate the efficacy of a structured 2-h in situ multiprofessional trauma team simulation training course on non-technical skills.

Materials and methods: This prospective study comprised 90 trauma teams with 430 participants. The structured, 2-h course consisted of an introductory lecture and two different simulations with debriefings. Data were collected using a pre-post self-assessment questionnaire. In addition, the expert raters used the T-NOTECHS scale.

Results: The following non-technical skills improved significantly among both medical doctors and nurses: knowledge of the trauma resuscitation guidelines, problem identification, decision making, situation awareness/coping with stress, communication and interaction, time management, being under authority, and confidence in one's role in a team. The teams improved significantly in leadership, cooperation and resource management, communication and interaction, assessment and decision making, and situation awareness/coping with stress.

Conclusion: A short, structured 2-h in situ trauma team simulation training course is effective in improving non-technical skills.

Keywords: Advanced Trauma Life Support care; crew resource management; patient care team; simulation training.

MeSH terms

  • Adult
  • Communication
  • Curriculum*
  • Decision Making
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Care Team*
  • Practice Guidelines as Topic
  • Professional Competence*
  • Prospective Studies
  • Self-Assessment
  • Simulation Training*
  • Time Management
  • Traumatology / education*
  • Young Adult