title: Two Hours of Teamwork Training Improves Teamwork in Simulated Cardiopulmonary Arrest Events.
abstract: OBJECTIVE
  Teamwork during cardiopulmonary arrest events is important for resuscitation. Teamwork improvement programs are usually lengthy. This study assessed the effectiveness of a 2-hour teamwork training program.
  
  
  METHODS
  A prospective, pretest/posttest, quasi-experimental design assessed the teamwork training program targeted to resident physicians, nurses, and respiratory therapists.
  
  
  METHODS
  Participants took part in a simulated cardiac arrest. After the simulation, participants and trained observers assessed perceptions of teamwork using the Team Emergency Assessment Measure (TEAM) tool (ratings of 0 [low] to 4 [high]). A debriefing and 45 minutes of teamwork education followed. Participants then took part in a second simulated cardiac arrest scenario. Afterward, participants and observers assessed teamwork.
  
  
  RESULTS
  Seventy-three team members participated-resident physicians (25%), registered nurses (32%), and respiratory therapists (41%). The physicians had significantly less experience on code teams (P < .001). Baseline teamwork scores were 2.57 to 2.72. Participants' mean (SD) scores on the TEAM tool for the first and second simulations were 3.2 (0.5) and 3.7 (0.4), respectively (P < .001). Observers' mean (SD) TEAM scores for the first and second simulations were 3.0 (0.5) and 3.7 (0.3), respectively (P < .001). Program evaluations by participants were positive.
  
  
  CONCLUSIONS
  A 2-hour simulation-based teamwork educational intervention resulted in improved perceptions of teamwork behaviors. Participants reported interactions with other disciplines, teamwork behavior education, and debriefing sessions were beneficial for enhancing the program.
authors: Author Affiliations: Clinical Nurse Specialist (Ms Mahramus); Director, Center for Nursing Research (Dr Penoyer); Manager for Nursing & Special Projects and Magnet Program (Mr Waterval), Orlando Health; Dean and Professor, University of Central Florida College of Nursing (Dr Sole); and National Clinical and Compliance Manager, DySIS Medical, Tampa, Florida (Ms Bowe).
authors: Tara L
authors: TL
authors: Mahramus
authors: Daleen A
authors: DA
authors: Penoyer
authors: Eugene M E
authors: EM
authors: Waterval
authors: Mary L
authors: ML
authors: Sole
authors: Eileen M
authors: EM
authors: Bowe
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002983:Clinical Competence; D003299:Cooperative Behavior; D003479:Curriculum; D006282:Health Personnel / Q000193:education*; D006323:Heart Arrest / Q000451:nursing*; D006801:Humans; D008297:Male; D009746:Nursing, Team / Q000592:standards*; D016544:Patient Simulation; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011446:Prospective Studies