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Effect of mental rehearsal on team performance and non-technical skills in surgical teams: systematic review.

Gabbott, B; Tennent, D; Snelgrove, H (2020) Effect of mental rehearsal on team performance and non-technical skills in surgical teams: systematic review. BJS Open, 4 (6). pp. 1062-1071. ISSN 2474-9842 https://doi.org/10.1002/bjs5.50343
SGUL Authors: Tennent, Thomas Duncan

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Abstract

BACKGROUND: Simulation-based training in medical education has become a common method to develop both technical and non-technical skills in teams. Mental rehearsal (MR) is the cognitive act of simulating a task in our heads to pre-experience tasks imaginatively. It has been used widely to improve individual and collective performance in fields outside healthcare, and offers potential for more efficient training in time-pressured surgical and medical team contexts. This study aimed to review the available literature to determine the impact of MR on team performance and non-technical skills in healthcare. METHODS: MEDLINE, Embase, British Educational Index, CINAHL, Web of Science, PsycInfo and Cochrane databases were searched for the period 1994-2018. The primary outcome measure was improvement in team performance and non-technical skills. Study quality of RCTs was assessed using the Medical Education Research Quality Instrument. The reported impacts of MR in all included studies were mapped on to the Kirkpatrick framework for evaluation of educational interventions. RESULTS: Eight studies with 268 participants were identified that met the inclusion criteria, of which there were six randomized trials, one prospective pragmatic trial and one qualitative study. Three studies found MR to be effective in improving team non-technical skills. MR practices were varied and often poorly defined. MR benefited team non-technical skills when it was specifically designed to do so, but was not an automatic consequence of technical MR alone. The majority of studies demonstrated benefits of MR for technical performance, but only three showed positive impacts on teamwork. Overall the studies were of low quality and lacked sufficient discriminatory focus to examine impacts on teamwork dynamics. CONCLUSION: MR can improve technical performance, but the benefits on non-technical skills are less clear. Future research should look at longitudinal mixed-method evaluation designs and focus on real clinical teams.

Item Type: Article
Additional Information: © 2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
SGUL Research Institute / Research Centre: Academic Structure > Institute of Medical & Biomedical Education (IMBE)
Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE )
Journal or Publication Title: BJS Open
ISSN: 2474-9842
Language: eng
Dates:
DateEvent
2 December 2020Published
31 October 2020Published Online
21 July 2020Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 33128427
Web of Science ID: WOS:000591926800001
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/112915
Publisher's version: https://doi.org/10.1002/bjs5.50343

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