title: Using high-fidelity simulation to develop nurse-physician teams.
abstract: BACKGROUND
  This study was undertaken to determine whether interdisciplinary high-fidelity simulation training improves group cohesion in nurse-physician teams. In addition, perceptions of collaboration and satisfaction with patient care decisions were measured in nurse-physician participants.
  
  
  METHODS
  Clinical scenarios relevant to the general surgical urology inpatient unit were conducted in an interdisciplinary high-fidelity simulation center. Participants included physicians and staff nurses.
  
  
  RESULTS
  Participants reported a positive shift in group cohesion over time. In addition, the results suggested a positive shift in perceptions of collaboration and satisfaction with patient care decisions over time. The youngest participants (Millennial Generation, born in the 1980s and 1990s) showed the most significant growth in response to the training.
  
  
  CONCLUSIONS
  This study provides evidence of benefits of high-fidelity simulation that extend beyond the training. Simulation training may be a strategy to build and strengthen relationships across nurse-physician teams. In addition, this type of training may positively affect collaboration and satisfaction with patient care decisions. When data were analyzed by generational grouping, the most significant growth occurred in the Millennial Generation participants. These influences need to be explored further.
authors.affiliation: Department of Nursing, Surgical Division, Mayo Clinic, Rochester, MN 55905, USA. klipfel.janee@mayo.edu
authors.forename: Janee M
authors.initials: JM
authors.lastname: Klipfel
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Gettman
authors.forename: Kristine M
authors.initials: KM
authors.lastname: Johnson
authors.forename: Marianne E
authors.initials: ME
authors.lastname: Olson
authors.forename: Della J
authors.initials: DJ
authors.lastname: Derscheid
authors.forename: Pamela M
authors.initials: PM
authors.lastname: Maxson
authors.forename: Jacqueline J
authors.initials: JJ
authors.lastname: Arnold
authors.forename: Darcie E
authors.initials: DE
authors.lastname: Moehnke
authors.forename: Elise A S
authors.initials: EA
authors.lastname: Nelson
authors.forename: Helen T
authors.initials: HT
authors.lastname: Vierstraete
mesh_terms: D000328:Adult; D004509:Education, Nursing, Continuing / Q000379:methods* / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D008875:Middle Aged; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education*; D010348:Patient Care Team; D016544:Patient Simulation; D013192:Staff Development / Q000379:methods / Q000458:organization & administration