Effectiveness of a training intervention to improve communication between/awareness of team roles: A randomized clinical trial. 2021

Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
School of Nursing, University of Barcelona, C/de la Feixa Llarga, s/n, 08907 L'Hospitalet de Llobregat, Barcelona, Spain. Electronic address: mraurell@ub.edu.

BACKGROUND Interprofessional teamwork training of nursing undergraduates is essential to improving healthcare. The absence of clear role definitions and poor interprofessional communications have been listed as the main reasons behind abandonment of the profession by recently graduated nurses. OBJECTIVE The aim of this parallel randomized clinical trial was to evaluate the impact of Situation-Background-Assessment-Recommendation (SBAR) role-play training on interprofessional teamwork skills (role-related and communication-related) and non-technical skills (patient assessment, patient intervention, patient safety, and critical thinking). METHODS The intervention group were taught teamwork skills, role and task assignment skills, and use of the SBAR worksheet in a 1-hour role-play training session, while the control group received conventional lecture-based training. Teamwork and non-technical skills were then assessed in high-fidelity simulation scenarios using the KidSIM Team Performance Scale (teamwork skills) and the Clinical Simulation Evaluation Tool (non-technical skills). Cohen's d (d) was used to examine effect size differences. RESULTS Compared to the control group, the intervention group improved in 4 teamwork items - 'verbalize out loud' (p < 0.001, d = 0.99), 'paraphrase' (p < 0.001, d = 0.77), 'cross-monitoring' (p < 0.001, d = 0.72), and 'role clarity' (p = 0.002, d = 0.66) - and in a single non-technical skill (patient intervention: p = 0.004, d = 0.66), while also reporting greater confidence in performing patient assessments (p = 0.02, d = 0.56). CONCLUSIONS Role-play and SBAR training for undergraduate nurses improved patient intervention, enhanced information sharing in an interprofessional team, and raised awareness of their own and other team members' roles.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D010348 Patient Care Team Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient. Health Care Team,Interdisciplinary Health Team,Medical Care Team,Multidisciplinary Care Team,Multidisciplinary Health Team,Healthcare Team,Care Team, Health,Care Team, Medical,Care Team, Multidisciplinary,Care Team, Patient,Care Teams, Health,Care Teams, Patient,Health Care Teams,Health Team, Interdisciplinary,Health Team, Multidisciplinary,Healthcare Teams,Interdisciplinary Health Teams,Medical Care Teams,Multidisciplinary Care Teams,Multidisciplinary Health Teams,Patient Care Teams,Team, Health Care,Team, Healthcare,Team, Interdisciplinary Health,Team, Medical Care,Team, Multidisciplinary Care,Team, Multidisciplinary Health,Team, Patient Care,Teams, Interdisciplinary Health
D002983 Clinical Competence The capability to perform acceptably those duties directly related to patient care. Clinical Skills,Competence, Clinical,Clinical Competency,Clinical Skill,Competency, Clinical,Skill, Clinical,Skills, Clinical,Clinical Competencies,Competencies, Clinical
D003142 Communication The exchange or transmission of ideas, attitudes, or beliefs between individuals or groups. Miscommunication,Misinformation,Social Communication,Communication Programs,Communications Personnel,Personal Communication,Communication Program,Communication, Personal,Communication, Social,Communications, Social,Miscommunications,Misinformations,Personnel, Communications,Program, Communication,Programs, Communication,Social Communications
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
June 2023, JAMA internal medicine,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
January 2005, Diabetes care,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
March 2024, BMC cardiovascular disorders,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
May 2004, Journal of clinical oncology : official journal of the American Society of Clinical Oncology,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
October 2018, Maternal and child health journal,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
March 2021, Patient education and counseling,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
March 2024, Nursing & health sciences,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
March 2023, Clinical journal of the American Society of Nephrology : CJASN,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
January 2021, Journal for healthcare quality : official publication of the National Association for Healthcare Quality,
Marta Raurell-Torredà, and Carolina Rascón-Hernán, and Carmen Malagón-Aguilera, and Anna Bonmatí-Tomás, and Cristina Bosch-Farré, and Sandra Gelabert-Vilella, and Angel Romero-Collado
June 2010, Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS,
Copied contents to your clipboard!