Interprofessional simulation-based team-training and self-efficacy in emergency medicine situations

Interprofessional simulation-based team-training and self-efficacy in emergency medicine situations

Teamwork quality has been shown to influence patient safety, and simulation-based team-training (SBTT) is an effective means to increase this quality. However, long-term effects are rarely studied. This study aims to investigate the long-term effects of interprofessional SBTT in emergency medicine i...

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Bibliographic Details
Published in:Journal of interprofessional care Vol. 36; no. 6; pp. 873 - 881
Main Authors: Kiessling, A, Amiri, C, Arhammar, J, Lundbäck, M, Wallingstam, C, Wikner, J, Svensson, Rm, Henriksson, P, Kuhl, J
Format: Journal Article
Language:English
Published: England Taylor & Francis 2022
Taylor & Francis Ltd
Subjects:
Communication
Confidence
Emergency medical care
emergency medicine management
Interdisciplinary aspects
Interprofessional communication
Long term
medical education
Medical students
Medicin och hälsovetenskap
Medicine
Multidisciplinary teams
Nurses
Physicians
Self-efficacy
Simulation
simulation-based team-training
Standardized patients
Teamwork
simulation-based team-training
medical education
Interprofessional communication
emergency medicine management
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Summary:Teamwork quality has been shown to influence patient safety, and simulation-based team-training (SBTT) is an effective means to increase this quality. However, long-term effects are rarely studied. This study aims to investigate the long-term effects of interprofessional SBTT in emergency medicine in terms of global confidence, self-efficacy in interprofessional communication and in emergency medicine situations. Newly graduated doctors, nurses, auxiliary nurses, and medical and nursing students participated. Four emergency medicine scenarios focused on teamwork according to the A-B-C-D-E-strategy. All participants increased their global confidence from 5.3 (CI 4.9-5.8) before to 6.8 (CI 6.4-7.2; p < .0001) after SBTT. Confidence in interprofessional communication increased from 5.3 (CI 4.9-5.8) to 7.0 (CI 6.6-7.4; p < .0001). Students had the greatest gain. The self-efficacy following the A-B-C-D-E strategy increased from 4.9 (CI 4.4-5.3) to 6.6 (CI 6.2-7.0). Again, students had the steepest increase. Newly graduated doctors achieved a superior increase in global confidence as compared to nurses and auxiliary nurses (p < .0001). Their propensity to recommend SBTT to colleagues was 9.9 (CI 9.8-10.0). The positive effects were sustained over a six-month period, indicating that interprofessional SBTT had a positive impact on competence development, and a potential to contribute to increased team quality in emergency medicine care.
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ISSN:1356-1820
1469-9567
1469-9567
DOI:10.1080/13561820.2022.2038103