Outcomes of a classroom-based team training intervention for multi-professional hospital staff

Team-training in healthcare: a narrative synthesis of the literature

“…Several reviews have examined simulation-based team-training exclusively 15 24 30. In terms of outcomes, previous reviews examining simulation-based team-training15 24 30 and classroom-based team-training27 separately reported similar positive effects on learner reactions, knowledge or skills, and clinical practices. In terms of patient outcomes, both simulation studies and classroom-based studies have shown a positive impact on patient outcomes.…”

“…For example, one systematic review of interventions to improve team effectiveness in healthcare found that the majority involved some form of team-training (42 of 48 reviewed studies) 13. Other reviews investigated the effectiveness of team-training for obstetric emergencies,33 for enhancing communication in surgery and anaesthesia,20 25 31 classroom-based interventions27 and simulation-based interventions 15 24 30. Additionally, several reviews investigated the content, design and delivery of team-training and the impact of team processes on clinical processes and outcomes 2 14 24 26 29 31 32 34.…”

“…Previous reviews highlight that team-training has been implemented across a broad range of acute care contexts 2 13 14 27 30. This includes academic hospitals35 and community-based hospitals,36 37 as well as medical centres affiliated with the Veterans Administration (VA) and the Military Health System 38–40.…”

“…Several reviews of team-training and team processes in healthcare have also examined training design and delivery 13 14 24 27 31. These reviews find variation among programmes in the teamwork competencies targeted, curriculum used, how much time learners spend in training, how often clinicians and staff are participating, and other details regarding content, delivery strategies and evaluation efforts.…”

“…Previous reviews found communication, situational awareness, leadership and situation monitoring as the most common teamwork competencies targeted 14 27 Table 2. emphasises that similar competencies have also been the focus of more recent primary studies, particularly as the adoption of teamwork training curriculums built around these competencies (eg, TeamSTEPPS, CRM, VA Medical Team Training (VA MTT)) has grown.…”