Impact of simulation-based teamwork training on COVID-19 distress in healthcare professionals
Beneria, Anna (Hospital Universitari Vall d'Hebron)
Arnedo, Mireia (Hospital Universitari Vall d'Hebron)
Contreras, Sofia (Hospital Universitari Vall d'Hebron)
Pérez-Carrasco, Marcos (Hospital Universitari Vall d'Hebron)
Garcia-Ruiz, Itziar (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Rodríguez-Carballeira, Mónica (Hospital Universitari Vall d'Hebron)
Radua, Joaquim (Karolinska Institutet (Estocolm, Suècia))
Bañeras, Jordi (Hospital Universitari Vall d'Hebron)

Date:	2020
Abstract:	Non-technical skills such as leadership, communication, or situation awareness should lead to effective teamwork in a crisis. This study aimed to analyse the role of these skills in the emotional response of health professionals to the COVID-19 pandemic. Before the COVID-19 outbreak, 48 doctors and 48 nurses participated in a simulation-based teamwork training program based on teaching non-technical skills through simulation. In May 2020, this group of professionals from a COVID-19 referral hospital was invited to participate in a survey exploring stress, anxiety, and depression, using the PSS-14 (Perceived Stress Scale) and the HADS (Hospital Anxiety and Depression Scale) measures. A control group that did not receive the training was included. We conducted a logistic regression to assess whether having attended a simulation-based teamwork training program modified the probability of presenting psychological distress (PSS-14 > 18 or HADS> 12). A total of 141 healthcare professionals were included, 77 in the intervention group and 64 in the control group. Based on the PSS-14, 70. 1% of the intervention group and 75% of the control group (p = 0. 342) had symptoms of stress. Having contact with COVID-19 patients [OR 4. 16(1. 64-10. 52)]; having minors in charge [OR 2. 75 (1. 15-6. 53)]; working as a doctor [0. 39(0. 16-0. 95)], and being a woman [OR 2. 94(1. 09-7. 91)] were related with PSS14 symptoms. Based on the HADS, 54. 6% of the intervention group and 42. 2% of the control group (p = 0. 346) had symptoms of anxiety or depression. Having contact with COVID-19 patients [OR 2. 17(1. 05-4. 48)] and having minors in charge [OR 2. 14(1. 06-4. 32)] were related to HADS symptoms. Healthcare professionals who attended COVID-19 patients showed higher levels of anxiety and depression [OR 2. 56(1. 03-6. 36) (p = 0. 043)]. Healthcare professionals trained in non-technical skills through simulation tended towards higher levels of anxiety and depression and fewer levels of stress, during the COVID-19 pandemic.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	COVID19 distress ; Healthcare workers wellbeing ; Simulation and teamwork
Published in:	BMC Medical Education, Vol. 20 (december 2020) , ISSN 1472-6920

DOI: 10.1186/s12909-020-02427-4
PMID: 33349248

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