Building patient safety culture by using interprofessional simulation with nursing, paramedic and emergency telecommunication students: A mixed-methods research study

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2024-10-16 DOI:10.1016/j.nepr.2024.104166

Margot Rykhoff, Rebecca Pereira, Sarah Wilkinson

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引用次数: 0

Abstract

Aim

The aim of this study was to investigate student attitudes toward interprofessional education and collaborative practice and their perceptions of simulation design elements after participating in an interprofessional simulation educational activity.

Background

Patient safety continues to be an international healthcare priority. However, critical incidents to patients continue to persist due to poor communication between professionals and poor teamwork.

Design

A mixed methods design.

Method

The study sample consisted of Bachelor of Nursing (n=81), Paramedic (n=38) and Emergency Telecommunication (n=11) students randomized into interprofessional groups. Following the interprofessional learning experience, students completed two standardized self-reporting instruments, Students Perceptions of Interprofessional Clinical Education, National League for Nursing Simulation Design Scale and open-ended questions of their perceptions on teamwork and collaboration, communication skills, transfer of care and patient safety.

Results

Students in each program reported high scores for attitudes toward the importance of teamwork and collaborative practice. There were significant differences in scores between programs for the ranking factors ‘Teamwork and Team-Based Practice’ (BN=4.74 SD 0.72, PM=4.66 SD 0.81, ET=4.95 SD 0.15 *; p = 0.00005) and ‘Roles & Responsibilities’ (BN=3.78 SD 1.12, PM=3.55 SD 0.92, ET=4.67 SD 0.85*; p= 0.012). Themes included: communication and collaboration in teamwork; roles, responsibilities and leadership; patient-centred care and safety; and emotional dynamics and professional growth.

Conclusion

An interprofessional simulation is an effective strategy to practice teamwork and collaboration and communication skills during transfer of care. Ensuring earlier education of roles and responsibilities during transfer of care needs review as do strategies for structured handover communication tools.

查看原文本刊更多论文

通过对护理、辅助医疗和急救电信专业的学生进行跨专业模拟，建立患者安全文化：混合方法研究。

目的：本研究旨在调查学生对跨专业教育和合作实践的态度，以及他们在参加跨专业模拟教育活动后对模拟设计元素的看法：背景：患者安全一直是国际医疗保健领域的优先事项。背景：患者安全一直是国际医疗保健领域的优先考虑事项，然而，由于专业人员之间沟通不畅和团队合作不力，危及患者安全的事件仍屡禁不止：设计：混合方法设计：研究样本包括护理学学士（81 人）、辅助医务人员（38 人）和急救电信人员（11 人），他们被随机分为跨专业小组。在跨专业学习体验结束后，学生们填写了两份标准化的自我报告工具，即《学生对跨专业临床教育的看法》、《全国护理联盟模拟设计量表》，以及有关他们对团队合作与协作、沟通技巧、护理转移和患者安全看法的开放式问题：结果：每个专业的学生都对团队合作和协作实践的重要性报以高分。在 "团队合作与团队实践"（BN=4.74 SD 0.72，PM=4.66 SD 0.81，ET=4.95 SD 0.15 *；P=0.00005）和 "角色与责任"（BN=3.78 SD 1.12，PM=3.55 SD 0.92，ET=4.67 SD 0.85*；P=0.012）这两个排名因子上，各专业之间的得分存在明显差异。主题包括：团队合作中的沟通与协作；角色、责任与领导力；以病人为中心的护理与安全；情感动力与专业成长：结论：跨专业模拟是在护理转移过程中练习团队合作、协作和沟通技能的有效策略。需要对确保护理转运期间角色和责任的早期教育以及结构化交接沟通工具的策略进行审查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.