Simulation-Based Training Promotes Higher Levels of Cognitive Control in Acute and Unforeseen Situations

Abstract Background Simulation-based training has been recommended to improve patient safety. This study summarizes intensive care nurses' perceptions of what facilitates learning during simulation-based team training in preparation for acute and unforeseen situations. Methods This study is a literature review with thematic analysis. Results Seven qualitative articles were included. Synthesis with a cognitive perspective revealed six key factors for intensive care nurses' learning: (a) relational coordination, (b) analytical cognition in task management, (c) situational awareness, (d) self-awareness, (e) cognitive control, and (f) high-quality communication within the team. Conclusions The main factor that contributes to learning in simulation-based training is that nurses have cognitive control when time allows the use of analytical thinking.