title: [Clinical simulation as a training tool for clinical teams and care change facilitator].
abstract: OBJECTIVE
  The objective of this article is to describe and show the results of a simulation training interprofesional program to meet a training need of Surgical area professionals in management in cardiovascular surgery emergencies in Valdecilla Hospital.
  
  
  METHODS
  The activity was aimed to train at the 42 nurses in rotation in the surgical area, nursing assistances, cardiovascular surgeons and anesthetists. For it was made a study of the training needs and were designed clinical simulation escenarios, theoretical sessions as well in workshops usual workplace.
  
  
  RESULTS
  The training project was conducted in four phases between May 21 to June 18, 2012, within which were 3 clinical cases for multidisciplinary training in emergency usual CCV. With the full participation of 65 professionals and 17 instructors, after further analysis to cases, results were achieved improved teamwork, and picked up, several changes to be made in the organization of the service.
  
  
  CONCLUSIONS
  Clinical simulation mode responds to adult learning, based on their own experience and personal reflection, and all in an environment that does not risk to patients or professionals. It is really helpful and flexible to meet different institutional challenges and where participants highlighted two key aspects in this activity such as the multidisciplinary team where they could train the professional standard and the possibility of analysis and reflection after the event to share experiences and look for areas of improvement among all the clinical team.
authors.affiliation: Hospital Virtual Valdecilla. amartinez@hvvaldecilla.es
authors.forename: Alejandro
authors.initials: A
authors.lastname: Martínez Arce
authors.affiliation: Hospital Universitario Marqués de Valdecilla.
authors.forename: Elena
authors.initials: E
authors.lastname: Rojo Santos
authors.affiliation: Hospital Virtual Valdecilla.
authors.forename: Jose María
authors.initials: JM
authors.lastname: Maestre Alonso
authors.affiliation: Hospital Universitario Marqués de Valdecilla.
authors.forename: Marta
authors.initials: M
authors.lastname: Labrada Ortiz
authors.affiliation: Hospital Universitario Marqués de Valdecilla.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Calvo Rivas
authors.affiliation: Hospital Universitario Marqués de Valdecilla.
authors.forename: Gema
authors.initials: G
authors.lastname: Valverde Sanjuan
authors.affiliation: Hospital Universitario Marqués de Valdecilla.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Rodríguez Aguirre
authors.affiliation: Hospital Virtual Valdecilla.
authors.forename: Ignacio Del Moral
authors.initials: Idel M
authors.lastname: Vincente-Mazariegos
mesh_terms: D013504:Cardiovascular Surgical Procedures / Q000193:education*; D003198:Computer Simulation; D004638:Emergency Treatment; D006801:Humans; D008348:Manikins