Effectiveness of Interprofessional Manikin-Based Simulation Training on Teamwork Among Real Teams During Trauma Resuscitation in Adult Emergency Departments

Abstract

This systematic review synthesizes the relevant evidence about the effectiveness of interprofessional manikin-based simulation training on teamwork among real teams during trauma resuscitation in adult civilian emergency departments. A systematic literature search was conducted in MEDLINE, CINAHL, EMBASE, EBM reviews, PsycINFO, and Web of Science with no time limit. Only experimental and quasi-experimental studies were included. Effects of the simulation intervention on teamwork were categorized according a modified version of the Kirkpatrick's model. From the 1120 studies found, 11 studies were included for synthesis. All studies showed immediate improvement in teamwork after training, but divergent results were found regarding skills retention. Although this review focused on interprofessional manikin-based simulations in real trauma teams, the results are similar to previous systematic reviews including different types of simulation. This raises significant questions regarding the importance of simulation design characteristics to improve teamwork in trauma care.

Trauma Team High-Fidelity Simulation Training in a Rural Level III Trauma Center: An Interprofessional Experience

“…A team of stakeholders, including emergency department educators and the trauma program coordinator, selected interprofessional simulation training to enhance trauma team functioning. Simulation (hands-on training that allows learners to think through realistic scenarios) (Lapierre et al, 2020), when combined with interprofessional education (collaborative learning between disciplines) (Buring et al, 2009), is ideal for trauma team training.…”

Examining non-technical skills for ad hoc resuscitation teams: a scoping review and taxonomy of team-related concepts

“…One observation from this review involves contrasting the attention directed toward interpersonal and cognitive skills over time. As evident in Table 2 [ 4 , 6 , 8 , 10 , 20 – 76 ], interpersonal skills were the exclusive focus of analyzed articles until 2007—after which articles increasingly focused on both interpersonal and cognitive skills. This expansion of focus coincides with the 2006 release of the Yule et al taxonomy [ 77 ]; however, our citation analysis found that only 5 (8%) articles [ 4 , 46 , 51 , 62 , 70 ] cited this taxonomy directly.…”

Teams managing civilian and military complex trauma: What are the competencies required in austere environments and the potential of simulation technology to address them?

“…The systematic reviews concluded that simulation training can have a positive impact on acquisition of non-technical skills of trauma teams, 30,31,33 but only one of them focused specifically on one type of simulation (manikin-based simulation) even though without a clear distinction between low and high-fidelity manikins. 32 Future reviews should examine the linkage of specific simulation types and competencies.…”

“…To validate the structured list of challenges, we triangulated the data with content from relevant published literature using a backward reference tracing technique 29 (p. 353). In particular, four previous systematic literature reviews about simulation training for trauma teams were identified, [30][31][32][33] and their references were further examined to validate the identified competencies, as well as to identify suggested simulation technologies that have the potential to train the competencies. Furthermore, in order to gain an overview of recent technologies used in simulation, relevant literature was identified with a purposive sampling in MEDLINE using the search phrases: "Trauma training" AND "simulation" filtered for the years 2018-2021.…”