title: Attitudinal changes resulting from repetitive training of operating room personnel using of high-fidelity simulation at the point of care.
abstract: We investigated the impact of repetitive training using high-fidelity simulation (HFS) at the point of care on the teamwork attitudes of operating room (OR) personnel. Members of the general surgical OR teams at an academic medical center participated in two half-day point-of-care HFS team training sessions. Module 1 targeted teamwork competencies; Module 2 included a preoperative briefing strategy. Modules were separated by 1 month. For each training, participants completed pre- and postsession questionnaires that included a 15-item self-efficacy tool targeting teamwork competencies using a 6-point Likert-type scale. Pre- and postsession mean scores were compared with a t test. Matched pre- and postsessions questionnaires were collected from 38 and 39 participants for Module 1 and Module 2, respectively. Mean item improvement from pre- to posttraining was 0.43 units (range, 0.23 to 0.69 units) for Module 1 and 0.42 units (range, 0.15 to 0.53 units) for Module 2. After Bonferroni adjustment, statistically significant improvement in scores from pre- to posttraining increased from four items after Module 1 to nine items after Module 2. Repetitive training of interdisciplinary OR teams through HFS at the point of care increases the effectiveness of promoting attitudinal change toward team-based competencies among participants.
authors: Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA. jpaige@lsuhsc.edu
authors: John T
authors: JT
authors: Paige
authors: Valeriy
authors: V
authors: Kozmenko
authors: Tong
authors: T
authors: Yang
authors: Ramnarayan Paragi
authors: RP
authors: Gururaja
authors: Charles W
authors: CW
authors: Hilton
authors: Isidore
authors: I
authors: Cohn
authors: Sheila W
authors: SW
authors: Chauvin
mesh_terms: D001291:Attitude of Health Personnel; D015331:Cohort Studies; D003194:Computer-Assisted Instruction; D013502:General Surgery / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D009871:Operating Room Nursing / Q000193:education*; D009872:Operating Room Technicians / Q000193:education* / Q000523:psychology; D010348:Patient Care Team / Q000458:organization & administration*; D011214:Practice, Psychological; D011361:Professional Competence; D015397:Program Evaluation; D020377:Self Efficacy