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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Interprofessional simulation-based team-training and self-efficacy in emergency medicine situations.
A Kiessling1, C Amiri1, J Arhammar1
1Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
Journal of Interprofessional Care
|March 28, 2022
Summary
Simulation-based team-training (SBTT) significantly boosts confidence and interprofessional communication skills in emergency medicine professionals. These positive effects on team quality are sustained for at least six months.
Area of Science:
- Medical Education
- Patient Safety
- Emergency Medicine
Background:
- Teamwork quality is crucial for patient safety in healthcare.
- Simulation-based team-training (SBTT) is effective for enhancing teamwork.
- Long-term effects of SBTT on healthcare professionals are understudied.
Purpose of the Study:
- To evaluate the long-term impact of interprofessional SBTT in emergency medicine.
- To assess changes in global confidence, self-efficacy in interprofessional communication, and emergency medicine skills.
Main Methods:
- Interprofessional SBTT was conducted using four emergency medicine scenarios based on the A-B-C-D-E strategy.
- Participants included newly graduated doctors, nurses, auxiliary nurses, and medical/nursing students.
- Outcomes measured global confidence and self-efficacy before and after training, with a six-month follow-up.
Main Results:
- Participants showed significant increases in global confidence (5.3 to 6.8) and interprofessional communication confidence (5.3 to 7.0) post-training (p < .0001).
- Self-efficacy in the A-B-C-D-E strategy improved from 4.9 to 6.6.
- Students demonstrated the greatest gains in confidence and self-efficacy; newly graduated doctors showed superior confidence increases compared to nurses and auxiliary nurses.
Conclusions:
- Interprofessional SBTT positively impacts competence development and sustains these effects for at least six months.
- SBTT has the potential to enhance team quality in emergency medicine.
- Newly graduated doctors highly recommend SBTT, indicating its perceived value.
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