A Scoping Review of Peer-led Education in Patient Safety Training

Walpola, Ramesh; McLachlan, Andrew J.; Chen, Timothy

doi:10.5688/ajpe6110

Cited by 12 publications

(12 citation statements)

References 32 publications

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“…According to Walpola et al. (2018), education has been widely regarded as a basic method to enhance patient safety in healthcare settings. Furthermore, Stefan, the president of the World Federation for Medical Education, ever said: “patient safety is a necessary competency and thus required to be introduced early and then strengthened throughout school education and continuing professional advancement” (Wu & Busch, 2019).…”

Section: Discussionmentioning

confidence: 99%

Assessment and analysis of patient safety competency of Chinese nurses with associate degrees: A cross‐sectional study

Yan

Yao

et al. 2020

Nursing Open

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Aim To analyse the patient safety competency (PSC) of Chinese nurses with associate degrees (ADNs) and explore factors. Design A cross‐sectional study. Methods A convenience sample of 451 ADNs working in 18 hospitals located in Chongqing city of China was investigated using the Patient Safety Competency Nurse Evaluation Scale (PSCNES). Descriptive and inferential statistics were used to analyse the data. Results ADNs had a moderate level of PSC. In terms of the six dimensions of PSC, ADNs performed well in clinical practice and safety risk management, while they performed poorly in patient‐centred care and patient safety culture. Statistically significant differences were reported in two items. Firstly, ADNs who have participated in patient safety training had a higher level in all dimensions of PSC than those who have not participated in related training. Secondly, ADNs without professional titles had a higher level of patient safety culture than those with professional titles.

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Section: Discussionmentioning

confidence: 99%

Assessment and analysis of patient safety competency of Chinese nurses with associate degrees: A cross‐sectional study

Yan

Yao

et al. 2020

Nursing Open

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“…Literature describes peer-led education as a powerful approach to achieving program goals and objectives [26][27][28]. To our knowledge, using a peer-led approach to implementation has not been directly studied, however our case shows the potential for such an approach.…”

Section: Peer-to-peer Implementationmentioning

confidence: 85%

“…In Ontario, a team-based COPD management program (BCC) based in primary care focusing on patient selfmanagement through education, skills training and case management, was spread from the region where it was originally developed and implemented, to a neighbouring region using a peer-to-peer implementation approach. While current literature lacks a clear definition, or common name for peer-to-peer approaches in implementation, in general terms, peer-to-peer approaches involve using peer-led education and peer assessment as a method to support learning about the intervention [26][27][28]. Using a peer-to-peer approach implementation processes can facilitate buy-in and successful uptake/ program implementation [27].…”

Section: Introductionmentioning

confidence: 99%

Evaluating the implementation of a chronic obstructive pulmonary disease management program using the Consolidated Framework for Implementation Research: a case study

Paciocco

Kothari

Licskai

et al. 2021

BMC Health Serv Res

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Background Chronic obstructive pulmonary disease (COPD) is a prevalent chronic disease that requires comprehensive approaches to manage; it accounts for a significant portion of Canada’s annual healthcare spending. Interprofessional teams are effective at providing chronic disease management that meets the needs of patients. As part of an ongoing initiative, a COPD management program, the Best Care COPD program was implemented in a primary care setting. The objectives of this research were to determine site-specific factors facilitating or impeding the implementation of a COPD program in a new setting, while evaluating the implementation strategy used. Methods A qualitative case study was conducted using interviews, focus groups, document analysis, and site visits. Data were deductively analyzed using the Consolidated Framework for Implementation Research (CFIR) to assess the impact of each of its constructs on Best Care COPD program implementation at this site. Results Eleven CFIR constructs were determined to meaningfully affect implementation. Five were identified as the most influential in the implementation process. Cosmopolitanism (partnerships with other organizations), networks and communication (amongst program providers), engaging (key individuals to participate in program implementation), design quality and packaging (of the program), and reflecting and evaluating (throughout the implementation process). A peer-to-peer implementation strategy included training of registered respiratory therapists (RRT) as certified respiratory educators and the establishment of a communication network among RRTs to discuss experiences, collectively solve problems, and connect with the program lead. Conclusions This study provides a practical example of the various factors that facilitated the implementation of the Best Care COPD program. It also demonstrates the potential of using a peer-to-peer implementation strategy. Focusing on these factors will be useful for informing the continued spread and success of the Best Care COPD program and future implementation of other chronic care programs.

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“… Ip et al's (2013) longitudinal study reported that mandatory peer-to-peer consultation in radiology medical management reduced costs by limiting inappropriate use of high-cost imaging studies. A separate scoping review of four studies evaluated the efficacy of peer-led education in improving patient safety ( Walpola, McLachlan, & Chen, 2018 ). Teams in PC utilizing training of peer-to-PCPs (i.e., MDs, nurse practitioners [NPs]) and peer-to-registered nurses (RNs) were able to promote improving deprescribing practices.…”

Section: Peer-led Education As An Intervention To Support Translationmentioning

confidence: 99%

Peer-Led Education Expedites Deprescribing Proton Pump Inhibitors for Appropriate Veterans

Bowman

2020

Gastroenterology Nursing

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Objective To develop an evidence-based guideline to help clinicians make decisions about when and how to safely taper or stop proton pump inhibitors (PPIs); to focus on the highest level of evidence available and seek input from primary care professionals in the guideline development, review, and endorsement processes. Methods Five health professionals (1 family physician, 3 pharmacists, and 1 gastroenterologist) and 5 nonvoting members comprised the overall team; members disclosed conflicts of interest. The guideline process included the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach, with a detailed evidence review in in-person, telephone, and online meetings. Uniquely, the guideline development process included a systematic review of PPI deprescribing trials and examination of reviews of the harm of continued PPI use. Narrative syntheses of patient preferences and resource-implication literature informed recommendations. The team refined guideline content and recommendation wording through consensus and synthesized clinical considerations to address common front-line clinician questions. The draft guideline was distributed to clinicians and then to health care professional associations for review and revisions made at each stage. A decision-support algorithm was developed in conjunction with the guideline. Recommendations This guideline recommends deprescribing PPIs (reducing dose, stopping, or using "on-demand" dosing) in adults who have completed a minimum of 4 weeks of PPI treatment for heartburn or mild to moderate gastroesophageal reflux disease or esophagitis, and whose symptoms are resolved. The recommendations do not apply to those who have or have had Barrett esophagus, severe esophagitis grade C or D, or documented history of bleeding gastrointestinal ulcers. Conclusion This guideline provides practical recommendations for making decisions about when and how to reduce the dose of or stop PPIs. Recommendations are meant to assist with, not dictate, decision making in conjunction with patients. This article is eligible for Mainpro+ certified Self-Learning credits. To earn credits, go to www.cfp.ca and click on the Mainpro+ link. This article has been peer reviewed.

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A Scoping Review of Peer-led Education in Patient Safety Training

Cited by 12 publications

References 32 publications

Assessment and analysis of patient safety competency of Chinese nurses with associate degrees: A cross‐sectional study

Assessment and analysis of patient safety competency of Chinese nurses with associate degrees: A cross‐sectional study

Evaluating the implementation of a chronic obstructive pulmonary disease management program using the Consolidated Framework for Implementation Research: a case study

Peer-Led Education Expedites Deprescribing Proton Pump Inhibitors for Appropriate Veterans

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