Comparison of Two TeamSTEPPS® Training Methods on Nurse Failure-to-Rescue Performance.

Abstract: Background: Registered nurses are the frontline of defense against unrecognized changes in patients' condition to prevent failure-to-rescue events, reducing mortality and morbidity in hospitalized patients. This study explores the impact of two types of evidence-based training methodologies, in situ simulation-based training (SBT) versus case study review, both incorporating TeamSTEPPS^® training, on practicing nurse early warning sign knowledge, confidence, teamwork, and clinical skill performance. Methods: A quasi-experimental, two-group comparison, pre/post intervention study. Results: Increased knowledge and teamwork skills after education were seen in both groups (p < .05). The SBT group showed greater improvement in all areas except knowledge, with greatest significance found in teamwork skills (p < .05). Conclusions: High-quality, in situ, simulation-based team training may have its greatest impact on improvement in nurse confidence in and performance of teamwork skills. However, the study indicates that, regardless of the method, well-designed educational programs are effective in improving nursing knowledge of care of complex patients. [Copyright &y& Elsevier]