Building patient safety culture by using interprofessional simulation with nursing, paramedic, and emergency telecommunication students: A mixed-methods research study

Purpose: Healthcare, allied health, and social service professionals have an essential role in fostering student’s attitudes, skills, and behaviours that support safe care. The aim of this study was to offer new insights into assessments of interprofessional education by evaluating student’s perceptions of an interprofessional simulation experience.

Principal results: Teams comprised of nursing (n=81), paramedic (n=38), and emergency telecommunication students (n=11) were involved in a high acuity simulated scenario involving a client with a high-risk pregnancy and her family. Both quantitative and qualitative data were evaluated. The findings suggest that the students found the experience important in developing communication, teamwork and collaboration skills that are essential for effective handover communication and patient safety.

Major conclusions: Based on thematic coding, 4 themes emerged from the data: communication and collaboration in teamwork; roles and responsibilities, and leadership; patient-centred care and safety; and emotional dynamics and professional growth. Emergency telecommunication students noted ‘feedback being constructive and timely’ as the most important in the simulation design while nursing and paramedic students rated ‘opportunity to obtain feedback from teacher to build knowledge to another level’ as the most important. Students wanted earlier and more frequent interprofessional education experiences. Areas that students identified as needing more clarity included role clarification and collaborative leadership.

Key Words: patient safety, interprofessional education, simulation, health professional students, handover communication, mixed methods

Please find Quantitative Survey Results for the Simulation Design & Simulation Design Importance Rating Tools.
An ANOVA was completed to compare the mean scores for this tool by program.

目的：医疗保健、相关健康和社会服务专业人员对于培养学生支持安全护理的价值观、技能和行为发挥着至关重要的角色。本研究旨在通过评估学生对跨学科模拟体验的认知，为跨学科教育的评估提供新的见解。主要结果：由护理专业（n=81）、急救人员（n=38）和紧急电信专业学生（n=11）组成的团队参与了一个涉及高风险孕妇及其家庭的急性模拟场景。对定量和定性数据进行了评估。研究结果指出，学生们认为这一体验对于发展沟通、团队协作能力至关重要，这些能力对于有效的交接沟通和患者安全至关重要。主要结论：基于主题编码，数据中浮现出四个主题：团队合作中的沟通与协作；角色与责任及领导力；以患者为中心的护理与安全；以及情绪动态与专业成长。紧急电信专业的学生指出‘反馈的及时性和建设性’是模拟设计中最重要的，而护理和急救专业的学生则将‘从教师处获得反馈以构建知识至更高层次的机会’视为最重要的。学生们希望有更多且更早的跨学科教育体验。学生们认为需要更多明确性的领域包括角色界定和协作领导力。关键词：患者安全、跨学科教育、模拟、健康专业学生、交接沟通、混合方法。请查阅模拟设计与模拟设计重要性评分工具的定量调查结果。完成了方差分析，以比较不同项目对于该工具平均分数的差异。