Patient Safety Improvement through In Situ Simulation Interdisciplinary Team Training

Klipfel, Janee M.; Carolan, Bridget J; Brytowski, Nathan; Mitchell, C; Gettman, Matthew T.; Jacobson, Therese

doi:10.7257/1053-816x.2014.34.1.39

Cited by 32 publications

(22 citation statements)

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“…Often, communicating safety concerns does not afford the luxury of extended pauses where templates can be utilized to harness and document relevant thoughts. Safety challenges in the form of respectful assertiveness and advocacy must occur in real time . Another relevant shortcoming with existing communication models is the presence of asymmetry in that they focus on only 1 actor in the exchange.…”

Section: Introductionmentioning

confidence: 99%

Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork

Sculli¹,

Fore²,

Sine³

et al. 2015

J of Healthc Risk Manag

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In healthcare, the sustained presence of hierarchy between team members has been cited as a common contributor to communication breakdowns. Hierarchy serves to accentuate either actual or perceived chains of command, which may result in team members failing to challenge decisions made by leaders, despite concerns about adverse patient outcomes. While other tools suggest improved communication, none focus specifically on communication skills for team followers, nor do they provide techniques to immediately challenge authority and escalate assertiveness at a given moment in real time. This article presents data that show one such strategy, called the Effective Followership Algorithm, offering statistically significant improvements in team communication across the professional continuum from students and residents to experienced clinicians.

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Section: Introductionmentioning

confidence: 99%

Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork

Sculli¹,

Fore²,

Sine³

et al. 2015

J of Healthc Risk Manag

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“…Consideration of the mental health nursing perspective in any MET training redesign may enhance the acceptability and suitability for mental health team members (Halupa, Halupa, & Warren, ). Equally some MET staff were perceived to carry stigmatising attitudes towards mental illness; perhaps a collaborative interdisciplinary model of education could be used to address the confidence level of mental health staff and potential stigmatisation held by MET staff (Klipfel et al, ; McGaughey, O'halloran, Porter, Trinder, & Blackwood, ; Murphy, Curtis, & McCloughen, ).…”

Section: Discussionmentioning

confidence: 99%

Clarity, confidence and complexity: Learning from mental health nurses' experiences of events involving physiological deterioration of consumers in acute inpatient mental health settings

Brunero

Everett

Ramjan

et al. 2020

Journal of Clinical Nursing

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Aims and objective To capture the experiences of nurses in relation to the acutely physiologically deteriorating consumer. Background Improving the physical health care of consumers with mental illness has been widely adopted as a priority for mental health nursing. Much of the effort thus far has focused on routine screening, prevention and treatment of common comorbidities including cardiovascular disease, diabetes mellitus and cancer. There has been less focus on the acutely physiologically deteriorating consumer in the mental health setting. Further study is warranted since this issue poses a set of highly complex challenges for nurses within the inpatient setting. Method An exploratory, descriptive study was employed using focus groups to gather narrative data, which was then subject to qualitative analysis. Eleven mental health inpatient wards within a local health district in Sydney, Australia, were studied, comprising ward‐based nurses (n = 64) and nurse unit managers (n = 8). This paper follows the COREQ guidelines for reporting qualitative health research. Results Qualitative data analysis revealed three themes central to the nurses' experience: (a) lack of clarity (subthemes: procedures and leadership accountability); (b) confidence in the workforce (subthemes: knowledge and skills, training needs, relevant experience, collaboration with emergency and medical teams, stigmatising attitudes); and (c) complexity (subthemes: complexity as the new norm and suitability of the mental health environment). Conclusion The themes found in this study can be used to guide and inform healthcare policy, protocols, education and processes around building a more confident nurse workforce for the acutely physiologically deteriorating consumer. Relevance to clinical practice Findings provide a rich data set for the generation of measurement tools and protocols to guide physical health care and evaluate performance.

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“…Simulation provides a safe environment for participants given that the "patient" is not at risk for adverse real-life events, and the natural spill-over effect is that medical errors are reduced and participants learn valuable collaborative practice skills (Baker et al, 2008;Klipfel et al, 2014;Robertson and Bandali, 2008). Simulation also provides a platform for students to practice the skills necessary for building effective communication, working in teams, and gaining a better understanding of health professional roles and responsibilities (Panzarella et al, 2013).…”

Section: Interprofessional Simulation Curriculummentioning

confidence: 99%

Outcomes of an interprofessional simulation curriculum

DeMarco

Panzarella

Ferro

et al. 2015

Journal of Applied Research in Higher Education

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Purpose -Interprofessional education (IPE) is a method to create an environment that fosters interprofessional communication, understanding the roles and responsibilities of each profession, learning the skills to organize and communicate information for patients, families and members of the health care team. Providing IPE to health professional students can prepare them in the workforce to have the necessary skills to function in a collaborative practice ready environment. The purpose of this paper is to demonstrate the methods used in developing IPE curriculum, faculty training as debriefers/ facilitators, identify learning objectives and outcomes. Design/methodology/approach -The faculty and student surveys utilized a Likert scale. Learning objectives for the student survey assessed learning objective including communication of roles and responsibilities, communication and organization of information, engagement of other health professions (HP) in shared patient-centered problem solving, interprofessional assessment of patient status, and preparation of patients from transition of care to home. The faculty survey assessed faculty experience levels in IPE, role as facilitator/debriefer, and future needs for sustainability of the program.Findings -Student evaluation of IPE simulation experience revealed students believed they improved their interprofessional communication skills and had a better understanding of health professional roles and responsibilities. Faculty feedback indicated that HP students achieved learning objectives and their continued commitment to IPE however additional training and development were identified as areas of need. Practical implications -This paper can assist other educational institutions in developing IPE and structuring IPE assessment particularly in the HPs. Social implications -The public health care will be impacted positively by having health care providers specifically trained to work in teams and understand collaborative care. Student graduates in the HPs will be better prepared to function as a team in real clinical care following their participation in interprofessional simulation. Originality/value -This interprofessional simulation curriculum involves student learners from eight different HPs and participation of over 30 faculty from differing professions. This curriculum is unique in its bread and depth of collaboration and true teamwork across disciplines.

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Patient Safety Improvement through In Situ Simulation Interdisciplinary Team Training

Cited by 32 publications

References 0 publications

Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork

Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork

Clarity, confidence and complexity: Learning from mental health nurses' experiences of events involving physiological deterioration of consumers in acute inpatient mental health settings

Outcomes of an interprofessional simulation curriculum

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