Handover education improves skill and confidence

Stojan, Jennifer; Mullan, Patricia B.; Fitzgerald, James T.; Lypson, Monica L.; Christner, Jennifer; Haftel, Hilary M.; Schiller, Jocelyn

doi:10.1111/tct.12461

Cited by 13 publications

(16 citation statements)

References 10 publications

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“… 9 These factors, fortunately, seem to be amenable to training. 10 The World Health Organization specifically suggested improving interprofessional collaboration as an important way to reduce medical error. 11 The recent “Call to Action for Emergency Medicine” by Wilbur 12 highlights the importance of this collaboration, advocating for the implementation of interprofessional education and its evaluation in emergency medicine.…”

Section: Introductionmentioning

confidence: 99%

Interprofessional Emergency Training Leads to Changes in the Workplace

Eisenmann¹,

Stroben²,

Gerken³

et al. 2018

WestJEM

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IntroductionPreventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED) is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care. The objective was to sensitize participants to barriers for their team skills and communication across professional borders.MethodsWe developed a longitudinal simulation-enhanced training format for interprofessional teams, consisting of final-year medical students, advanced trainees of emergency nursing and student paramedics. The training format consisted of several one-day training modules, which took place twice in 2016 and 2017. Each training module started with an introduction to share one’s roles, professional self-concepts, common misconceptions, and communication barriers. Next, we conducted different simulated cases. Each case consisted of a prehospital section (for paramedics and medical students), a handover (everyone), and an ED section (medical students and emergency nurses). After each training module, we assessed participants’ “Commitment to Change.” In this questionnaire, students were anonymously asked to state up to three changes that they wished to implement as a result of the course, as well as the strength of their commitment to these changes.ResultsIn total, 64 of 80 participants (80.0%) made at least one commitment to change after participating in the training modules. The total of 123 commitments was evenly distributed over four emerging categories: communication, behavior, knowledge and attitude. Roughly one third of behavior- and attitude-related commitments were directly related to interprofessional topics (e.g., “acknowledge other professions’ work”), and these were equally distributed among professions. At the two-month follow-up, 32 participants (50%) provided written feedback on their original commitments: 57 of 62 (91.9%) commitments were at least partly realized at the follow-up, and only five (8.1%) commitments lacked realization entirely.ConclusionA structured simulation-enhanced intervention was successful in promoting change to the practice of emergency care, while training teamwork and communication skills jointly.

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Section: Introductionmentioning

confidence: 99%

Interprofessional Emergency Training Leads to Changes in the Workplace

Eisenmann¹,

Stroben²,

Gerken³

et al. 2018

WestJEM

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show abstract

“…We excluded another 10 reports 41 – 50 because they included insufficient data to judge whether they should be included, and their authors did not respond to multiple attempts to contact them. Ultimately, 18 reports of intervention studies 9 , 25 , 27 , 51 – 65 met our inclusion criteria (see Figure 1 ). Appendix 1 and Appendix 2 provide a general overview of the 18 reports and the 17 interventions they describe (2 reports 63 , 64 describe the same study).…”

Section: Resultsmentioning

confidence: 99%

Educational Interventions to Improve Handover in Health Care: An Updated Systematic Review

et al. 2018

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“…At the same time, the students have to sign an information sheet on the legal issues. Exercises regarding hospital hygiene (based on [ 68 ]) Management of chronic wounds Introduction into the hospital information system Structured handover (based on ISOBAR standards [ 79 ]) …”

Section: Resultsmentioning

confidence: 99%