NTS training programs in ICUs are associated with improved teamwork, situational awareness, leadership and communication behaviors, with varying evidence certainty¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? NTS training adoption correlates with improved teamwork, situational awareness, leadership and communication behaviors among ICU professionals. → Fernandes Pimenta Isac Davidson Santiago et al 2025

Evidence¶

Fernandes Pimenta Isac Davidson Santiago et al 2025¶

Fernandes Pimenta Isac Davidson Santiago et al. (2025). Effectiveness of non-technical skills training in intensive care units: a systematic review. BMC Medical Education. https://doi.org/10.1186/s12909-025-07037-6

q2 · i? · review · r3

Systematic review of 14 studies (11 before-and-after, one RCT, one quasi-experimental) synthesizing behavior outcomes narratively. The review reports "a relationship between the adoption of NTS training programs among ICUs professionals and the improvement of behaviors including teamwork, situational awareness, leadership and communication."

"The findings of this systematic review indicate a relationship between the adoption of NTS training programs among ICUs professionals and the improvement of behaviors including teamwork, situational awareness, leadership and communication, but with varying levels of evidence certainty."

Discussion¶

Learner Variables¶

• Collaboration — outcome: instruction changes it

Related Claims¶

• Only two studies evaluated learning outcomes, with small improvements and very low to moderate certainty — related
• NTS training improves observable team behavioural performance in EDs, including more frequent closed-loop communication, clearer role allocation and prioritisation, improved situational awareness, and higher teamwork ratings (moderate certainty). — related
• NTS training for emergency department professionals is associated with consistent pre- to post-training improvements in knowledge, teamwork attitudes, and self-confidence (low to moderate certainty). — related
• Simulation-based training is associated with communication and teamwork gains of approximately 2–3 points and NOTSS domain means of 2.8–3.5 on 4-point scales — related
• NTS training in ICUs is associated with reduced CPR response time and lower adjusted mortality and complication rates — related
• Participants generally perceive NTS training programs as beneficial despite variations in teaching strategies — related
• NTS training in ICUs shows no significant changes in patient safety culture, length of stay or mortality rates — related
• Evidence that NTS training improves clinical or process outcomes in EDs is limited but generally favourable in single-centre studies, including shorter resuscitation times and improved protocol adherence (low to very low certainty). — related
• Simulation-based emergency open-conversion training reduced time to conversion and improved leadership and role delineation in robotic prostatectomy teams — related
• SBL is associated with wider clinical performance benefits including self-confidence, self-efficacy, clinical reasoning and teamwork — related
• NOTSS was the most used NTS tool with strong validity evidence, but self-assessment without validity evidence was the most frequent form of NTS assessment (n=78) — related