Change of collective orientation through an interprofessional training with medical students and student nurses depending on presence and professional group

Abstract

Background Teamwork is an important success factors for patient treatment. The willingness of a healthcare provider to work in a team can be descripted with the construct of “Collective Orientation” (CO). The level of CO can be trained and is related to team performance. In this study, we investigated the effect of a simulator-based interprofessional training on the subject of patient fall in a hospital setting upon participations CO. To evaluate whether the course could be integrated into a longitudinal education concept, the participants were medical students and student nurses. Since effects of simulations can be influenced by the perceived reality, the results were measured as a function of Presence. Method In this observation study, 62 medical students and student nurses took part in six one-day interprofessional simulation trainings with the topic patient fall. The primary outcome was the mean difference between the CO measured immediately before (T1) and after the training (T2). The Presence of the participants was measured by questionnaire immediately after the course (T2). Results Cronbach´s alpha for all scales and measurement points was higher than 0.69. CO increases over all professional groups from M = 3.42 (SD = 0.39) to M = 3.68 (SD = 0.54) significantly (p < .00; r = .5). Only the subscale “Dominance” in the professional group of the student nurses did not increase significantly. There was no correlation between Presence and the change in CO. Conclusion The questionnaires of CO and Presence can be applied to medical students and student nurses. The simulation course with the topic patient fall influences the CO and can be integrated in a longitudinal curriculum of teamwork training. The subscale “Dominance” of student nurses did not change. Preparatory learning units may increase the effects. The perceived reality of the scenario is not a main success factor.

Knowledge mobilization in critical care and the evolving communication role of nurses

“…Unclear communication negatively impacts all staff 73 . Instead of focussing on individual competency, training sessions need to replicate the collaboration needed within the workplace by including both nursing and medical staff, regardless of some expressing a preference for the professions to be taught separately 74,75 . Any post‐pandemic training or resources that do not use team settings would fail to address the issues found here, which contribute to both psychological safety and moral distress.…”

Further development of crew resource management training

“…The impact scenario and training design have on the effect of simulation training are not always the same [ 11 ]. TAKAI can be an additional way to better adapt training to the focus group by analyzing the teamwork context.…”

“…Such an analysis also seems necessary, considering that for effective training relevance for daily work, an open mind towards training is important [ 28 ]. Looking at changes in collective orientation (a concept to measure the willingness to work together in teams) we could identify multiple impacts of simulation training on different cohorts specific to the occupational groups [ 6 , 8 , 11 ].…”