Evidence map›Paper›PMID 34078432›Full record

Trial reportScandinavian journal of trauma, resuscitation and emergency medicine2021

Do team and task performance improve after training situation awareness? A randomized controlled study of interprofessional intensive care teams.

Karin Jonsson, Christine Brulin, Maria Härgestam, Marie Lindkvist, Magnus Hultin

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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  11. Non-technical skills needed by medical disaster responders- a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Karin JonssonDepartment of Nursing and Department of Surgical and Perioperative Sciences, Anesthesiology and Critical Care Medicine, Umeå University, S-901 87, Umeå, Sweden. karin.jonsson@umu.se.ORCID http://orcid.org/0000-0001-7974-6777
Christine BrulinDepartment of Nursing, Umeå University, S-901 87, Umeå, Sweden.
Maria HärgestamDepartment of Nursing, Umeå University, S-901 87, Umeå, Sweden.ORCID https://orcid.org/0000-0003-0680-9962
Marie LindkvistDepartment of Epidemiology and Global Health, Umeå University, S-901 87, Umeå, Sweden.
Magnus HultinDepartment of Surgical and Perioperative Sciences, Anesthesiology and Critical Care Medicine, Umeå University, S-901 87, Umeå, Sweden.ORCID https://orcid.org/0000-0003-2935-7161
Umeå University · SE

Funding

Region Norrbotten NLL-765981Västerbotten Läns Landsting VLL-663801Västerbotten Läns Landsting (SE) RVB- 930528Västerbotten Läns Landsting (SE) VLL-836931
6 · The paper itself

Abstract

backgroundWhen working in complex environments with critically ill patients, team performance is influenced by situation awareness in teams. Moreover, improved situation awareness in the teams will probably improve team and task performance. The aim of this study is to evaluate an educational programme on situation awareness for interprofessional teams at the intensive care units using team and task performance as outcomes.

methodTwenty interprofessional teams from the northern part of Sweden participated in this randomized controlled intervention study conducted in situ in two intensive care units. The study was based on three cases (cases 0, 1 and 2) with patients in a critical situation. The intervention group (n = 11) participated in a two-hour educational programme in situation awareness, including theory, practice, and reflection, while the control group (n = 9) performed the training without education in situation awareness. The outcomes were team performance (TEAM instrument), task performance (ABCDE checklist) and situation awareness (Situation Awareness Global Assessment Technique (SAGAT)). Generalized estimating equation were used to analyse the changes from case 0 to case 2, and from case 1 to case 2.

resultsEducation in situation awareness in the intervention group improved TEAM leadership (p = 0.003), TEAM task management (p = 0.018) and TEAM total (p = 0.030) when comparing cases 1 and 2; these significant improvements were not found in the control group. No significant differences were observed in the SAGAT or the ABCDE checklist.

conclusionsThis intervention study shows that a 2-h education in situation awareness improved parts of team performance in an acute care situation. Team leadership and task management improved in the intervention group, which may indicate that the one or several of the components in situation awareness (perception, comprehension and projection) were improved. However, in the present study this potential increase in situation awareness was not detected with SAGAT. Further research is needed to evaluate how educational programs can be used to increase situation awareness in interprofessional ICU teams and to establish which components that are essential in these programs.

trial registrationThis randomized controlled trial was not registered as it does not report the results of health outcomes after a health care intervention on human participants.

Indexed as

AwarenessIntensive Care UnitsInterprofessional RelationsAdultChecklistClinical CompetenceCritical CareFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Care TeamResearch DesignSimulation TrainingSwedenCritical careInterdisciplinary health teamLeadershipPatient safetySimulation trainingSituation awarenessTeam performance

Identifiers

PMID34078432
PMCPMC8170734
OpenAlexW3164334461

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.