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Int J Qual Health Care. 2013 Jul;25(3):314-21. doi: 10.1093/intqhc/mzt027. Epub 2013 Apr 2.

Classroom and simulation team training: a randomized controlled trial.

Author information

1
Faculty of Medicine, Centre for Clinical Governance Research, Australian Institute of Health Innovation, University of New South Wales, Sydney NSW 2052, Australia. r.clay-williams@unsw.edu.au

Abstract

OBJECTIVE:

To test the hypotheses that classroom and simulation-based crew resource management (CRM) training interventions improve teamwork attitudes and behaviours of participants and that classroom training combined with simulation-based training provide synergistic improvements.

DESIGN:

A randomized controlled trial.

SETTING:

Area Health Service in New South Wales, Australia.

PARTICIPANTS:

A total of 157 doctors, nurses and midwives randomized into one of four groups, consisting of three intervention groups and a control group.

INTERVENTION:

One-day CRM-based classroom course; one-day CRM style simulation-based training or classroom training followed by simulation-based training.

MAIN OUTCOME MEASURES:

Pre- and post-test quantitative participant teamwork attitudes, and post-test quantitative trainee reactions, knowledge and behaviour.

RESULTS:

Ninety-four doctors, nurses and midwives completed pre-intervention attitude questionnaires and 60 clinicians completed post-intervention assessments. No positive changes in teamwork attitudes were found associated with classroom or simulation training. Positive changes were found in knowledge (mean difference 1.50, 95% confidence interval (CI) 0.58-2.43, P = 0.002), self-assessed teamwork behaviour (mean difference 2.69, 95% CI 0.90-6.13, P = 0.009) and independently observed teamwork behaviour (mean difference 2.30, 95% CI 0.30-4.30, P = 0.027) when classroom-only trained group was compared with control; however, these changes were not found in the group that received classroom followed by simulation training.

CONCLUSIONS:

Classroom-based training alone resulted in improvements in participant knowledge and observed teamwork behaviour. The study found no additional impact of simulation training.

KEYWORDS:

competency-based education; crew resource management; needs assessment; teamwork

PMID:
23548443
DOI:
10.1093/intqhc/mzt027
[Indexed for MEDLINE]

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