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Summary

This study evaluated interprofessional education (IPE) teamwork during a large-scale simulation using competency-based instruments. Self- and patient-based assessments were more effective than observation for measuring collaborative practice.

Keywords:
assessmentdisaster preparednessinterprofessional teamstraining

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Area of Science:

  • Healthcare simulation
  • Interprofessional education
  • Teamwork assessment

Background:

  • Healthcare team function directly impacts patient safety and quality of care.
  • Interprofessional education (IPE) team training is crucial for developing collaborative care models.
  • A large-scale simulation, 'Disaster Day,' was implemented involving diverse healthcare students and standardized patients.

Purpose of the Study:

  • To investigate the multidimensional measurement of interprofessional (IPE) teamwork during a large-scale simulation.
  • To evaluate collaborative practice using competency-based instruments.
  • To assess student learning outcomes in an IPE simulation setting.

Main Methods:

  • Developed and utilized three competency-based instruments: an IPE Team Observation Instrument, a Standardized Patient IPE Team Evaluation Instrument, and an IPE Team's Perception of Collaborative Care Questionnaire.
  • Collected data from 20 faculty/staff observers, 166 standardized patients, and 188 students across various healthcare professions.
  • Assessed interprofessional teamwork based on Interprofessional Education Collaborative (IPEC) competencies.

Main Results:

  • The IPE Team Observation Instrument showed good reliability (0.80), with observers noting demonstration of most competencies.
  • The IPE Team's Perception of Collaborative Care Instrument (reliability 0.95) and the Standardized Patient IPE Team Evaluation Instrument (reliability 0.87) yielded high mean scores.
  • Significant differences were found in 5 shared items, with students rating their performance higher than standardized patients did.

Conclusions:

  • Multidimensional, competency-based instruments offer a robust evaluation of IPE teamwork.
  • Self- and standardized patient-based assessments were more effective than observation in this large-scale simulation.
  • Adjustments to the rating scale and reexamination of interrater reliability are planned for future simulations.