title: Intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care: a descriptive qualitative study.
abstract: OBJECTIVE
  To describe intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care.
  
  
  BACKGROUND
  Failures in team processes are found to be contributory factors to incidents in an intensive care environment. Simulation-based training is recommended as a method to make health-care personnel aware of the importance of team working and to improve their competencies.
  
  
  METHODS
  The study uses a qualitative descriptive design.
  
  
  METHODS
  Individual qualitative interviews were conducted with 18 intensive care nurses from May to December 2009, all of which had attended a simulation-based team training programme. The interviews were analysed by qualitative content analysis.
  
  
  RESULTS
  One main category emerged to illuminate the intensive care nurse perception: "training increases awareness of clinical practice and acknowledges the importance of structured work in teams". Three generic categories were found: "realistic training contributes to safe care", "reflection and openness motivates learning" and "finding a common understanding of team performance".
  
  
  CONCLUSIONS
  Simulation-based team training makes intensive care nurses more prepared to care for severely ill patients. Team training creates a common understanding of how to work in teams with regard to patient safety.
authors.affiliation: Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, 651 88 Karlstad, Sweden; Faculty of Health, Care and Nursing, Gjøvik University College, Teknologivn. 22, 2815 Gjøvik, Norway. Electronic address: randi.ballangrud@hig.no.
authors.forename: Randi
authors.initials: R
authors.lastname: Ballangrud
authors.affiliation: Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, 651 88 Karlstad, Sweden; Faculty of Health, Care and Nursing, Gjøvik University College, Teknologivn. 22, 2815 Gjøvik, Norway. Electronic address: Marie-Louise.Hall-Lord@kau.se.
authors.forename: Marie Louise
authors.initials: ML
authors.lastname: Hall-Lord
authors.affiliation: Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, 651 88 Karlstad, Sweden. Electronic address: mona.persenius@kau.se.
authors.forename: Mona
authors.initials: M
authors.lastname: Persenius
authors.affiliation: Faculty of Health, Care and Nursing, Gjøvik University College, Teknologivn. 22, 2815 Gjøvik, Norway. Electronic address: birgitta.hedelin@hig.no.
authors.forename: Birgitta
authors.initials: B
authors.lastname: Hedelin
mesh_terms: D000328:Adult; D000367:Age Factors; D001291:Attitude of Health Personnel; D003422:Critical Care / Q000379:methods / Q000523:psychology*; D064648:Critical Care Nursing / Q000193:education* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009664:Norway; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology*; D009746:Nursing, Team / Q000379:methods; D061214:Patient Safety / Q000592:standards*; D036301:Qualitative Research; D000066908:Simulation Training
keywords: Intensive care; Nursing; Patient safety; Simulation-based training; Team performance