Original Article
Getting Better Together: The Two-Team Training Approach in Simulation-Based Education
Published Online:September 01, 2021https://doi.org/10.3928/00220124-20210804-07
Abstract
Most clinical cases involve more than one nurse and one profession in the patient care plan, and so it can be stated that health care is very often a team event. In this article, I describe a two-team training approach that is very effective for maximizing learning and preparing high-performing teams in several team-based courses. This strategy exemplifies the power of vicarious learning and learning through imitation. Benefits of the two-team training approach in simulation-based education may include: (1) improved use of training time; (2) increased training volume; (3) recognition, correction, and immediate application of desired behaviors; (4) an improved simulation do-over process; (5) improvement in self-efficacy; and (6) applicable use of research and evidence-based educational practices. The two-team approach is an educational strategy that is supported by research and sound educational learning theories and should be considered for inclusion in organizational continuing education training plans. [J Contin Educ Nurs. 2021;52(9):417–422.]
- (1992). Theory in practice: Increasing professional effectiveness (Reprinted). Jossey-Bass. Google Scholar
- (1962). Social learning through imitation. In (Ed.), Nebraska Symposium on Motivation, 1962 (pp. 211–274). University of Nebraska Press. Google Scholar
- (1965). Vicarious processes: A case of no-trial learning. Advances in Experimental Social Psychology, 2, 1–55.
10.1016/S0065-2601(08)60102-1 CrossrefGoogle Scholar - (2001). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52, 1–26.
10.1146/annurev.psych.52.1.1 PMID:11148297 Crossref MedlineGoogle Scholar - (2014). Applying Social Learning Theory to the observer role in simulation. Clinical Simulation in Nursing, 10(2), e65–e69.
10.1016/j.ecns.2013.08.002 CrossrefGoogle Scholar - (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(1), 2
10.1186/s12960-019-0411-3 PMID:31915007 Crossref MedlineGoogle Scholar - (2013,
Spring ). Saturation in training. Patient Safety In-Sight. https://www.researchgate.net/publication/257881230_Saturation_in_Training Google Scholar - (2014). Situational interest and instructional design: A guide for simulation facilitators. Simulation & Gaming, 45(2), 167–182.
10.1177/1046878113518482 CrossrefGoogle Scholar - (2015). Cooperative-based learning and the zone of proximal development. Simulation & Gaming, 46(2), 148–158.
10.1177/1046878115569044 CrossrefGoogle Scholar - (2018a). Capitalizing on the most important part of a learning session: The experience. Simulation & Gaming, 49(1), 3–7.
10.1177/1046878118755155 CrossrefGoogle Scholar - (2018b). Theoretical principles to effective simulation. In (Eds.), Simulation champions: Courage, caring, and connection (pp. 337–350). Wolters Kluwer. Google Scholar
- (2019). A TeamSTEPPS® implementation plan for recently assigned interns and nurses. Journal of Interprofessional Care, 33(6), 823–827.
10.1080/13561820.2019.1566217 PMID:30628509 Crossref MedlineGoogle Scholar - (2018). A saturated approach to the four-phase, brain-based simulation framework for TeamSTEPPS® in a pediatric medicine unit. Pediatric Quality & Safety, 3(4), e086
10.1097/pq9.0000000000000086 PMID:30229197 Crossref MedlineGoogle Scholar - (2020). Incorporating the reflective pause in simulation: A practical guide. The Journal of Continuing Education in Nursing, 51(1), 32–38.
10.3928/00220124-20191217-07 PMID:31895468 LinkGoogle Scholar - (2012). Gauging the effectiveness of brain-based learning and simulation in an airway management course for emergency medicine interns. Journal of Emergency & Disaster Medicine, 1(1), 1–4. www.jedm.org; JEDM2012.6 Google Scholar
- (2013). Why your TeamSTEPPS program may not be working. Clinical Simulation in Nursing, 9(8), e287–e292.
10.1016/j.ecns.2012.03.007 CrossrefGoogle Scholar - (2018). A brain-based instruction simulation approach to improve code team response in an internal medicine unit. Simulation & Gaming, 49(5), 479–496.
10.1177/1046878118794992 CrossrefGoogle Scholar - (2014). Engaging (in) Gameplay and (in) Debriefing. Simulation & Gaming, 45(4–5), 416–427.
10.1177/1046878114559879 CrossrefGoogle Scholar - (2019). Comparing the learning effectiveness of healthcare simulation in the observer versus active role: Systematic review and meta-analysis. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 14(5), 318–332.
10.1097/SIH.0000000000000377 Crossref MedlineGoogle Scholar - (2015). Meta-analysis of simulation debriefing research. Dissertation Abstracts International. B, The Sciences and Engineering, 76(2-B(E)). Google Scholar
- (2018). Are young children able to learn exploratory strategies by observation? Psychological Research, 82(6), 1212–1223.
10.1007/s00426-017-0896-0 PMID:28725993 Crossref MedlineGoogle Scholar - (2012). Eyes on, hands on: Vicarious observational learning as an enhancement of direct experience. Academy of Management Learning & Education, 11(4), 591–608. http://www.jstor.org/stable/23412347
10.5465/amle.2010.0102 CrossrefGoogle Scholar - (2010). Simulation-based education for building clinical teams. Journal of Emergencies, Trauma and Shock, 3(4), 360–368.
10.4103/0974-2700.70750 PMID:21063559 Crossref MedlineGoogle Scholar - (2016). What is the impact of multidisciplinary team simulation training on team performance and efficiency of patient care? An integrative review. Australasian Emergency Nursing Journal, 19(1), 44–53.
10.1016/j.aenj.2015.10.001 PMID:26614537 Crossref MedlineGoogle Scholar - (2016). Observer roles that optimise learning in healthcare simulation education: A systematic review. Advances in Simulation (London, England), 1.
10.1186/s41077-015-0004-8 PMID:29449973 Crossref MedlineGoogle Scholar - . (2020). Simulation in nursing education: A literature review on debriefing. Nursing Masters Papers. 373. https://openriver.winona.edu/nursingmasters/373 Google Scholar
- (2017). Learning by viewing versus learning by doing: A comparative study of observer and participant experiences during an interprofessional simulation training. Journal of Interprofessional Care, 31(1), 51–58.
10.1080/13561820.2016.1233390 PMID:27849424 Crossref MedlineGoogle Scholar - (2008). Does team training improve team performance? A meta-analysis. Human Factors, 50(6), 903–933.
10.1518/001872008X375009 PMID:19292013 Crossref MedlineGoogle Scholar - (1978). Mind in society: The development of higher psychological processes. Harvard University Press. Google Scholar
- (2016). Implementation of interprofessional education (IPE) in 16 U.S. medical schools: Common practices, barriers and facilitators. Journal of Inter-professional Education & Practice, 4, 41–49.
10.1016/j.xjep.2016.05.002 PMID:28184380 Crossref MedlineGoogle Scholar
