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Simulation-based medical error disclosure training for pediatric healthcare professionals
Karen I Wayman1, Kimberly A Yaeger, Paul J Sharek
1Lucile Packard Children's Hospital, Stanford, Palo Alto, CA, USA.
Summary
Medical error disclosure training significantly improved pediatric oncology nurses' confidence in communicating adverse events to families. Simulation-based training showed high realism and effectiveness, supporting further research.
Area of Science:
- Medical Education
- Patient Safety
- Communication Skills
Background:
- Ethical guidelines mandate medical error disclosure to patients and families.
- Effective communication training for adverse events, especially in pediatric oncology, is understudied.
- Healthcare professionals require specific skills to disclose medical errors sensitively.
Purpose of the Study:
- To evaluate the impact of simulation-based medical error disclosure training on pediatric oncology nurses.
- To assess the effectiveness and realism of a simulated training environment for disclosure communication.
- To measure changes in nurses' self-efficacy regarding medical error disclosure.
Main Methods:
- Pilot study utilizing a preintervention-postintervention design.
- Involved 16 pediatric oncology nurses undergoing simulation-based training.
- Paired t test used to analyze changes in communication self-efficacy.
Main Results:
- Statistically significant increase in nurses' communication self-efficacy for medical disclosure (t = 6.68, p < .001).
- High ratings for simulation realism and effectiveness (21/25 composite score).
- Demonstrated feasibility and positive reception of the training intervention.
Conclusions:
- Simulation-based training is a promising method for enhancing nurses' ability to disclose medical errors.
- Further research is warranted to validate these findings in larger healthcare professional groups.
- Improved disclosure communication can enhance patient safety and family trust.