Focused Team Engagements to Enhance Interprofessional Collaboration and Safety Behaviors among Novice Nurses and Medical Residents

Author:

Manuel Rosalyn1,Barber Aisha2,Kern Jeremy2,Myers Kristi3,Neary Tara4,Nicholson Laura1,Walsh Heather1,Zaveri Pavan4,Dwivedi Pallavi5,Maggiotto Claire6,King Simmy137

Affiliation:

1. Simulation Program, Children’s National Hospital, Washington, D.C.

2. Division of Hospital Medicine, Children’s National Hospital, Washington, D.C.

3. Nursing Education and Professional Development, Children’s National Hospital, Washington, D.C.

4. Division of Emergency Medicine, Children’s National Hospital, Washington, D.C.

5. Division of Biostatistics & Study Methodology, Children’s National Hospital, Washington, D.C.

6. Division of Pediatric Critical Care, Children’s Hospital of Wisconsin, Milwaukee, Wis.

7. Division of Nursing, Children’s National Hospital and Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, D.C.

Abstract

Background: Team communication remains a challenge in hospital settings. Hospital-based teams are diverse, team composition changes daily, and team members are frequently not co-located. Novice nurses and medical residents entering the workforce during the coronavirus 2019 pandemic experienced higher communication challenges than before and lacked adequate opportunities for interprofessional learning and communication. Method: We evaluated perceptions of safety and communication among novice nurses and medical residents after a 1-hour focused team engagement consisting of an interprofessional virtual simulation and debrief. We conducted a retrospective pre/post survey to measure perceptions of interprofessional collaboration using the Interprofessional Socialization and Valuing Scale. Results: Sixty-eight pediatric nurse residents and medical residents participated in the survey. Overall, the focused team engagements significantly improve participants’ perceptions of interprofessional collaboration, with participants showing statistically significant improvement in seven of nine retrospective pre/post survey questions. When analyzing by discipline, nurse residents show stronger gains than medical residents. Conclusions: The interprofessional structured debriefings encourage nurses and medical residents to collaborate and discuss important safety topics away from bedside stressors. After completing the virtual simulation, the outcomes show improved perceptions of interprofessional collaboration and enhanced knowledge of safety techniques.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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