Focused Team Engagements to Enhance Interprofessional Collaboration and Safety Behaviors among Novice Nurses and Medical Residents.

IF 1.2 Q3 PEDIATRICS Pediatric quality & safety Pub Date : 2024-09-09 eCollection Date: 2024-09-01 DOI:10.1097/pq9.0000000000000767
Rosalyn Manuel, Aisha Barber, Jeremy Kern, Kristi Myers, Tara Neary, Laura Nicholson, Heather Walsh, Pavan Zaveri, Pallavi Dwivedi, Claire Maggiotto, Simmy King
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Abstract

Background: Team communication remains a challenge in hospital settings. Hospital-based teams are diverse, team composition changes daily, and team members are frequently not co-located. Novice nurses and medical residents entering the workforce during the coronavirus 2019 pandemic experienced higher communication challenges than before and lacked adequate opportunities for interprofessional learning and communication.

Method: We evaluated perceptions of safety and communication among novice nurses and medical residents after a 1-hour focused team engagement consisting of an interprofessional virtual simulation and debrief. We conducted a retrospective pre/post survey to measure perceptions of interprofessional collaboration using the Interprofessional Socialization and Valuing Scale.

Results: Sixty-eight pediatric nurse residents and medical residents participated in the survey. Overall, the focused team engagements significantly improve participants' perceptions of interprofessional collaboration, with participants showing statistically significant improvement in seven of nine retrospective pre/post survey questions. When analyzing by discipline, nurse residents show stronger gains than medical residents.

Conclusions: The interprofessional structured debriefings encourage nurses and medical residents to collaborate and discuss important safety topics away from bedside stressors. After completing the virtual simulation, the outcomes show improved perceptions of interprofessional collaboration and enhanced knowledge of safety techniques.

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集中团队参与,加强新手护士和医学住院医师的跨专业协作和安全行为。
背景:在医院环境中,团队沟通仍然是一项挑战。以医院为基础的团队是多样化的,团队组成每天都在变化,团队成员经常不在同一地点。在 2019 年冠状病毒大流行期间,初入职场的护士和住院医生经历了比以往更高的沟通挑战,并且缺乏足够的跨专业学习和沟通机会:我们评估了新手护士和住院医师在经过 1 小时的团队集中参与(包括跨专业虚拟模拟和汇报)后对安全和沟通的看法。我们进行了一项前后回顾性调查,使用 "跨专业社会化和评价量表 "来测量对跨专业合作的看法:68名儿科护士住院医师和医学住院医师参与了调查。总体而言,集中团队参与大大提高了参与者对专业间合作的认知,在九个回顾性前后调查问题中,参与者在七个问题上都有统计学意义上的显著提高。如果按学科进行分析,住院护师比住院医师的进步更大:结论:跨专业结构化汇报鼓励护士和医学住院医师在远离床边压力的情况下合作并讨论重要的安全话题。在完成虚拟模拟后,结果显示专业间合作的观念得到了改善,安全技术知识得到了提高。
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CiteScore
2.20
自引率
0.00%
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0
审稿时长
20 weeks
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