TeamSTEPPS-based clinical simulation training program for critical care professionals: A mixed-methodology study

Introduction: The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS (R)) programme has been shown to improve interprofessional work among healthcare professionals by enhancing teamwork. Intensive care professionals were trained in this methodology through the course << Simulation Trainer: Improving Teamwork through TeamSTEPPS (R)>>. Objectives: To analyse the teamwork performance and good practice in simulation of the intensive care professionals attending the course and to explore their perceptions of the training experience carried out during the course. Methods: A cross-sectional descriptive and phenomenological study was carried out using a mixed methodology. The 18 course participants were administered the questionnaires << TeamSTEPPSTM 2.0 Team Performance Observation Tool >> to evaluate teamwork performance and << Educational Practices Questionnaire >> for good practices in simulation after the simulated scenarios. Subsequently, a group interview was conducted through a focus group with 8 attendees using the ZoomTM videoconferencing platform. A thematic and content analysis of the discourses was carried out using the interpretative paradigm. Quantitative and qualitative data were analysed using IBM SPSS StatisticsTM 27.0 and MAXQDA Analytics ProTM, respectively. Results: Both the level of teamwork performance (mean = 96.25; SD = 8.257) and good practice in simulation (mean = 75; SD = 1.632) following the simulated scenarios were adequate. The following main themes were identified: satisfaction with the TeamSTEPPS (R) methodology, usefulness of the methodology, barriers to methodology implementation and non-technical skills improved through TeamSTEPPS (R). Conclusions: TeamSTEPPS (R) methodology can be a good interprofessional education strategy for the improvement of communication and teamwork in intensive care professionals, both at the care level (through on-site simulation strategies) and at the teaching level (through its inclusion in the students' curriculum). (c) 2022 The Author(s). Published by Elsevier Espana, S.L.U. on behalf of Sociedad Espanola de Enfermena Intensiva y Unidades Coronarias (SEEIUC). This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).