Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study

Marit Hegg Reime; Tone Johnsgaard; Fred Ivan Kvam; Morten Aarflot; Marit Breivik; Janecke Merethe Engeberg; Guttorm Brattebø

doi:10.1016/j.nepr.2016.10.003

Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study

Nurse Educ Pract. 2016 Nov:21:75-82. doi: 10.1016/j.nepr.2016.10.003. Epub 2016 Oct 13.

Authors

Marit Hegg Reime¹, Tone Johnsgaard², Fred Ivan Kvam³, Morten Aarflot⁴, Marit Breivik⁵, Janecke Merethe Engeberg⁶, Guttorm Brattebø⁷

Affiliations

¹ Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, 5063, Bergen, Norway. Electronic address: marit.hegg.reime@hib.no.
² Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, 5063, Bergen, Norway. Electronic address: tone.johnsgaard@hib.no.
³ Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, 5063, Bergen, Norway. Electronic address: fik@hib.no.
⁴ Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, 5063, Bergen, Norway; Department of Community Medicine, Faculty of Health Science, University of Tromsø - The Arctic University of Norway, Hansine Hansens Veg 18, 9019, Tromsø, Norway. Electronic address: morten.aarflot@uit.no.
⁵ Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, 5063, Bergen, Norway. Electronic address: marit.breivik@hib.no.
⁶ Department of Anaesthesia & Intensive Care, Haukeland University Hospital, N 5021, Bergen, Norway. Electronic address: janecke.merethe.engeberg@helse-bergen.no.
⁷ Department of Anaesthesia & Intensive Care, Haukeland University Hospital, N 5021, Bergen, Norway. Electronic address: brattebo@helse-bergen.no.

PMID: 27769018
DOI: 10.1016/j.nepr.2016.10.003

Abstract

Poor teamwork is an important factor in the occurrence of critical incidents because of a lack of non-technical skills. Team training can be a key to prevent these incidents. The purpose of this study was to explore the experience of nursing and medical students after a simulation-based interprofessional team training (SBITT) course and its impact on professional and patient safety practices, using a concurrent mixed-method design. The participants (n = 262) were organized into 44 interprofessional teams. The results showed that two training sequences the same day improved overall team performance. Making mistakes during SBITT appeared to improve the quality of patient care once the students returned to clinical practice as it made the students more vigilant. Furthermore, the video-assisted oral debriefing provided an opportunity to strengthen interprofessional teamwork and share situational awareness. SBITT gave the students an opportunity to practice clinical reasoning skills and to share professional knowledge. The students conveyed the importance of learning to speak up to ensure safe patient practices. Simulated settings seem to be powerful arenas for learning patient safety practices and facilitating transference of this awareness to clinical practice.

Keywords: Mixed method; Patient safety; Simulation-based interprofessional team training; Video-assisted oral debriefing.

MeSH terms

Clinical Competence / standards
Curriculum / trends
Focus Groups
Humans
Interprofessional Relations*
Learning*
Patient Care Team / trends*
Patient Safety*
Patient Simulation*
Students, Nursing
Surveys and Questionnaires