Republished: Interprofessional education in team communication: working together to improve patient safety

Postgraduate Medical Journal - Tập 89 Số 1057 - Trang 642-651 - 2013
Douglas M. Brock1, Erin Abu-Rish Blakeney2, Chia-Ru Chiu2, Dana P. Hammer3, Sharon Wilson2, Linda J. Vorvick1, Katherine Blondon4, Douglas C. Schaad5, Debra Liner2, Brenda K. Zierler2
1Department of Family Medicine and MEDEX Northwest, University of Washington , Seattle, Washington, USA
2Department of Biobehavioral Nursing, University of Washington , Seattle, Washington, USA
3Department of Pharmacy University of Washington, Seattle, Washington, USA
4Department of Health Services, University of Washington, Seattle, Washington, USA
5Department of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington, USA

Tóm tắt

Abstract Background Communication failures in healthcare teams are associated with medical errors and negative health outcomes. These findings have increased emphasis on training future health professionals to work effectively within teams. The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) communication training model, widely employed to train healthcare teams, has been less commonly used to train student interprofessional teams. The present study reports the effectiveness of a simulation-based interprofessional TeamSTEPPS training in impacting student attitudes, knowledge and skills around interprofessional communication. Methods Three hundred and six fourth-year medical, third-year nursing, second-year pharmacy and second-year physician assistant students took part in a 4 h training that included a 1 h TeamSTEPPS didactic session and   three 1 h team simulation and feedback sessions. Students worked in groups balanced by a professional programme in a self-selected focal area (adult acute, paediatric, obstetrics). Preassessments and postassessments were used for examining attitudes, beliefs and reported opportunities to observe or participate in team communication behaviours. Results One hundred and forty-nine students (48.7%) completed the preassessments and postassessments. Significant differences were found for attitudes toward team communication (p<0.001), motivation (p<0.001), utility of training (p<0.001) and self-efficacy (p=0.005). Significant attitudinal shifts for TeamSTEPPS skills included, team structure (p=0.002), situation monitoring (p<0.001), mutual support (p=0.003) and communication (p=0.002). Significant shifts were reported for knowledge of TeamSTEPPS (p<0.001), advocating for patients (p<0.001) and communicating in interprofessional teams (p<0.001). Conclusions Effective team communication is important in patient safety. We demonstrate positive attitudinal and knowledge effects in a large-scale interprofessional TeamSTEPPS-based training involving four student professions.

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Postgraduate Medical Journal

Tập 89 Số 1057

642-651

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