{'fraction_non_alphanumeric': 0.0646900269541779, 'fraction_numerical': 0.06401617250673855, 'mean_word_length': 4.778210116731517, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Implementation and Evaluation of a Team Simulation Training Program

Background:Care of the trauma patient requires a well-coordinated intensive effort during the golden hour to optimize survival. Purpose:We hypothesized that this program would improve knowledge, satisfaction, self-confidence, and simulated team performance. Methods:A pre-, post-test design with N = 7 BSN nurses, 21 years of age, less than 2 years of intensive care unit and nursing experience. Setting:Trauma intensive care unit, single-center academic Level 1 trauma center. Results:Improvement was shown in perception of team structure (paired t test 13.71–12.57; p = .0001) and communication (paired t test 14.85–12.14; p = .009). Improvement was shown in observed situation monitoring (paired t test 17.42–25.28; p = .000), mutual support (paired t test 12.57–18.57; p = .000), and communication (paired t test 15.42–25.00; p = .001). A decrease was shown in attitudes of mutual support (paired t test 25.85–19.71; p = .04) and communication (paired t test 26.14–23.00; p = .001). Mean satisfaction scores were 21.5 of a possible 25 points. Mean self-confidence scores were 38.83 out of a possible 40 points. Discussion:Simulation-based team training improved teamwork attitudes, perceptions, and performance. Team communication demonstrated significant improvement in 2 of the 3 instruments. Most participants agreed or strongly agreed that they were satisfied with simulation and had gained self-confidence.