Mindfulness fostering of interprofessional simulation training for collaborative practice

Abstract

Introduction The setting demands imposed by performing in new, interdisciplinary cultures is common for modern healthcare workers. Both health science students and evidence-based workers are required to operate in professional cultures that differ from their own. As health organisations have placed increasing value on mindfulness for improving performance outcomes, so too have educational administrators embraced common, mindful competencies for improving training for improved patient outcomes. The training of future clinicians for diversified care. teams and patient populations has become known as interprofessional education (IPE). Although the goals for IPE suggest that individual differences in trait mindfulness may serve an important determinant for training effectiveness, it has gone unstudied in extant simulation training research. MethodsTo fill this gap, in this paper, we examine trait mindfulness’ predictive power for training outcomes across two IPE cohort samples using two, prospective observational designs. Results Study 1’s Findings supported trait mindfulness’ prediction of perceived teamwork behaviours in training simulations between medical and nursing students (n=136). In study 2’s expanded sample to five health professions (n=232), findings extended trait mindfulness’ prediction of team efficacy and skill transfer, assessed 1 month after training. Conclusion A final, follow-up assessment 16 months later extended mindfulness’ predictive validity to knowledge retention and teamwork attitudes. We discuss the theoretical and practical implication of our findings for advancing mindfulness research and IPE effectiveness assessment.

Interprofessional simulation training’s impact on process and outcome team efficacy beliefs over time

“…In addition, teamwork theorising has postulated team member SE (moderated by status) and team process (moderated by cooperation/competition) as antecedents to TE 21. Given the IP context of the current training programme, which was designed to foster effective working relationships between professions,31 we tested for potential professional composition effects on convergence. Specifically, a fixed-proportion variable was computed for each team and entered into a random intercept model with agreement indices at Time=0 entered as random effects and time and professional proportion entered as fixed effects.…”

Effects of Mindfulness Meditation on Doctors’ Mindfulness, Patient Safety Culture, Patient Safety Competency and Adverse Event

“…In complex medical work, doctors ignore seemingly small problems and unconsciously imitate unsafe behaviours of others, which can lead to adverse events [ 67 ]. Mindfulness, on the other hand, often helps doctors become more alert and aware of changes around them, forming the habit of independent observation and judgment [ 68 ]. The safe behaviour of doctors is controlled by two basic cognitive systems: (1) the unconscious, autonomous and effortless processing system, which is driven by intuition and past experience and runs at a high speed; (2) a conscious, controlled, laborious processing system that uses thought to reason and operates in a slow and continuous manner [ 69 ].…”

Effect of an Intensive Mindful Practice Workshop on Patient-Centered Compassionate Care, Clinician Well-Being, Work Engagement, and Teamwork

“…The marginally significant effect of the intervention on organizational citizenship (teamwork) deserves further investigation with possible extending this intervention to all members of clinical teams working within health care units; recent pilot and qualitative reports suggest that team-based MBIs in interprofessional medical, intensive care, and surgical settings are feasible, acceptable, and show promise in promoting team well-being and functioning. 29,[87][88][89][90][91] Clinician distress is receiving increased attention from medical and health care institutions. Data are accumulating that distress has significant consequences not only for physician mental health, but also for patient safety, quality of patientphysician relationships (including trust), and financial cost to…”

“…The marginally significant effect of the intervention on organizational citizenship (teamwork) deserves further investigation with possible extending this intervention to all members of clinical teams working within health care units; recent pilot and qualitative reports suggest that team-based MBIs in interprofessional medical, intensive care, and surgical settings are feasible, acceptable, and show promise in promoting team well-being and functioning. 29,87–91…”