From the Departments of Nursing (K.J., M.Ha., C.B.), Surgical and Perioperative Sciences, Anesthesiology and Critical Care Medicine (K.J., M.Hu.), and Epidemiology and Global Health (M.L.), Umeå University, Umeå, Sweden.
Simul Healthc. 2021 Feb 1;16(1):29-36. doi: 10.1097/SIH.0000000000000462.
Healthcare teams and their performance in a complex environment such as that of intensive care units (ICUs) are influenced by several factors. This study investigates the relationship between team background characteristics and team as well as task performance.
This study included 105 professionals (26 teams), working at the ICUs of 2 hospitals in Northern Sweden. The team-based simulation training sessions were video recorded, and thereafter, team performance and task performance were analyzed based on ratings of the TEAM instrument and the ABCDE checklist.
The final analyses showed that a higher age was significantly associated with better total team performance (β = 0.35, P = 0.04), teamwork (β = 0.04, P = 0.04), and task management (β = 0.04, P = 0.05) and with a higher overall rating for global team performance (β = 0.09, P = 0.02). The same pattern was found for the association between age and task performance (β = 0.02, P = 0.04). In addition, prior team training without video-facilitated reflection was significantly associated with better task performance (β = 0.35, P = 0.04). On the other hand, prior team training in communication was significantly associated with worse (β = -1.30, P = 0.02) leadership performance.
This study reveals that a higher age is important for better team performance when caring for a severely ill patient in a simulation setting in the ICU. In addition, prior team training had a positive impact on task performance. Therefore, on a team level, this study indicates that age and, to some extent, prior team training without video-facilitated reflection have an impact on team performance in the care of critically ill patients.
在重症监护病房（ICU）等复杂环境中，医疗团队及其表现受到多种因素的影响。本研究调查了团队背景特征与团队和任务表现之间的关系。
本研究包括来自瑞典北部 2 家医院 ICU 的 105 名专业人员（26 个团队）。对基于团队的模拟培训课程进行了录像，然后根据 TEAM 工具和 ABCDE 清单的评分分析团队表现和任务表现。
最终分析表明，较高的年龄与更好的团队整体表现（β=0.35，P=0.04）、团队合作（β=0.04，P=0.04）和任务管理（β=0.04，P=0.05）以及整体团队表现的更高评价显著相关（β=0.09，P=0.02）。年龄与任务表现之间的关联也呈现出相同的模式（β=0.02，P=0.04）。此外，没有视频促进反思的先前团队培训与更好的任务表现显著相关（β=0.35，P=0.04）。另一方面，先前的沟通团队培训与较差的领导表现显著相关（β=-1.30，P=0.02）。
本研究表明，在 ICU 模拟环境中照顾重病患者时，较高的年龄对于更好的团队表现很重要。此外，先前的团队培训对任务表现有积极影响。因此，在团队层面上，本研究表明，年龄在一定程度上，没有视频促进反思的先前团队培训对危重病患者护理的团队表现有影响。
