Team cognition in healthcare simulation: a framework for deliberate measurement

Abstract Introduction Team mental models and team situational awareness are key components of healthcare team simulation. Human factors and organizational psychology researchers have developed clear definitions and theories about these concepts that are at times ‘lost in translation’ within the prev...

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Bibliographic Details
Main Authors: J. Colin Evans, M. Blair Evans, Lorelei Lingard
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Advances in Simulation
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Online Access:https://doi.org/10.1186/s41077-025-00333-7
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Summary:Abstract Introduction Team mental models and team situational awareness are key components of healthcare team simulation. Human factors and organizational psychology researchers have developed clear definitions and theories about these concepts that are at times ‘lost in translation’ within the prevailing forms of measurement and training utilized in healthcare. Simulation research to date has often relied upon indirect and imprecise measures and a conceptualization of team cognition that ill equips simulation educators as they endeavour to optimize healthcare team performance. Methods We present a narrative review that examines how team cognition is assessed in healthcare team simulation, critically consider assessment strategies described in key studies, and contrast them to advances in human factors and organizational psychology. Results This study presents a framework that reconceptualizes how we measure team cognition in healthcare simulation along the matrices of directness and timing of evaluation. We pair this framework with a table that exemplifies extant measurement techniques and highlight how simulation educators may decide between different ‘types’ of assessment based upon their needs. Discussion We offer recommendations for educators to consider capturing team cognition before, during, and after simulation. We also offer recommendations for researchers to develop tools that may be more readily applied across key settings. Conclusion Here, we present a framework of team cognition for healthcare action teams that advances healthcare simulation to better align with human factors and organizational psychology literature. This work will guide healthcare simulation educators and researchers on their quest to optimize team performance through improved team cognition. Trial registration None.
ISSN:2059-0628