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Designing for Collaboration: A Simulation-Based Interprofessional Team Training Session for Medical and Nursing Students in Norway

  • Ingunn AaseEmail author
  • Karina Aase
Chapter

Abstract

The World Health Organization (WHO) has highlighted interprofessional teamwork as a core component in the recommended skill-set of health care workers. WHO therefore calls for a strengthening of the interprofessional teamwork in educational health care programmes. This study approaches interprofessional team training by using a case study from the Norwegian educational setting for medical and nursing students to exemplify design issues of relevance. Current study programmes have been investigated along with students’ and professionals’ perspectives and training needs, and a simulation-based interprofessional team training session has been implemented. Few studies have explored students’, faculty members’, and clinical practitioners’ conceptualizations of interprofessional teamwork prior to implementation of training measures. The purpose of this chapter is therefore to explain stakeholders’ perceptions, experiences and recommendations of importance for interprofessional teamwork training in healthcare education, with the intention of improving the knowledge base for planning, designing and implementing such training. The results indicate that interprofessional teamwork training should be seen as an important part of clinical training for nursing and medical students. A conceptual framework consisting of three dimensions: clinical professionalism, team performance and a patient-centred perspective may serve as a tool for planning, designing and assessing interprofessional teamwork training in healthcare settings.

Keywords

Interprofessional team training Stakeholders Simulation Healthcare students 

References

  1. Aase, I., Bjørshol, C., Dieckmann, P., Aase, K., & Hansen, B. S. (2016). Interprofessional communication in a simulation-based team training session in healthcare: A student perspective. Journal of Nursing Education and Practice, 6(7), 91–100.  https://doi.org/10.5430/jnep.v6n7p91CrossRefGoogle Scholar
  2. Aase, I., Hansen, B. S., & Aase, K. (2014). Norwegian nursing and medical students’ perception of interprofessional teamwork: A qualitative study. BMC Medical Education, 14, 170–179.CrossRefGoogle Scholar
  3. Aase, I., Hansen, B. S., Aase, K., & Reeves, S. (2015). Interprofessional training for nursing and medical students in Norway: Exploring different professional perspectives. Journal of Interprofessional Care.  https://doi.org/10.3109/13561820.2015.1054478CrossRefGoogle Scholar
  4. Al-Ghareeb, A. Z., & Cooper, S. J. (2016). Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: An integrative review. Nurse Education Today, 36, 281–286.CrossRefGoogle Scholar
  5. Baker, C., Pulling, C., McGraw, R., Dagnone, J. D., Hopkins-Rosseel, D., & Medves, J. (2008). Simulation in interprofessional education for patient-centered collaborative care. Journal of Advanced Nursing, 64(4), 372–379.CrossRefGoogle Scholar
  6. Barr, H., Koppel, I., Reeves, S., Hammick, M., & Freeth, D. (2005). Effective interprofessional education: Argument, assumption and evidence. London: Blackwell Publishing.CrossRefGoogle Scholar
  7. Brewer, M. L., & Stewart-Wynne, E. G. (2013). An Australian hospital-based student training ward delivering safe, client-centered care while developing students’ interprofessional practice capabilities. Journal of Interprofessional Care, 27(6), 482–488.CrossRefGoogle Scholar
  8. Cant, R. P., & Cooper, S. J. (2017). Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Education Today, 49, 63–71.CrossRefGoogle Scholar
  9. Coulter, A. (2011). Engaging patients in healthcare. New York: Open University Press.Google Scholar
  10. Dieckmann, P. (2009). Using simulations for educations, training and research. Lengerich: Pabst Science Publishers. ISBN:978-3-89967-539-9.Google Scholar
  11. Dieckmann, P., Gaba, D., & Rall, M. (2007). Deepening the theoretical foundations of patient simulation as a social practice. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 2(3), 183–193.CrossRefGoogle Scholar
  12. Dieckmann, P., Molin Friis, S., Lippert, A., & Østergaard, D. (2012). Goals, success factors, and barriers for simulation-based learning. A qualitative interview study in health care. Simulation Gaming, 43(5), 627–697.CrossRefGoogle Scholar
  13. Dieckmann, P., et al. (2017). Variation and adaptation: Learning from success in patient safety-oriented simulation training. Advances in Simulation, 2, 21.  https://doi.org/10.1186/s41077-017-0054-1CrossRefGoogle Scholar
  14. Flanagan, B. (2008). Debriefing: Theory and technique. In R. H. Riley (Ed.), Manual of simulation in healthcare (pp. 155–170). Oxford: Oxford University Press.Google Scholar
  15. Freeth, D., Hammick, M., Reeves, S., Koppel, I., & Barr, H. (2005). Effective interprofessional education. Development, delivery & evaluation. Blackwell Publishing Ltd. UK. CAIPE.Google Scholar
  16. Fung, L., et al. (2015). Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: A systematic review. Journal of Interprofessional Care, 29(5), 433–444.CrossRefGoogle Scholar
  17. Gjeraa, K., Møller, T. P., & Østergaard, D. (2014). Efficacy of simulation-based trauma team training of non-technical skills. A systematic review. Acta Anaesthesiologica Scandinavica, 58, 775–787.CrossRefGoogle Scholar
  18. Haig, K., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. Joint Commission Journal on Quality and Patient Safety, 32(3), 167–175.CrossRefGoogle Scholar
  19. Health Personnel Act. (1999). Lov om helsepersonell m.v. (Helsepersonelloven). Retrieved from https://lovdata.no/dokument/NL/lov/1999-07-02-64 (in Norwegian).
  20. IOM (Institute of Medicine). (2003). Health professions education: A bridge to quality (A. Greiner & E. Knebel, Eds.). Washington, DC: The National Academies Press.Google Scholar
  21. IOM (Institute of medicine). (2015). Measuring the impact of interprofessional education on collaborative practice and patient outcomes. Washington, DC: The National Academies Press. Retrieved from http://iom.nationalacademies.org/reports/2015/impact-of-ipe.aspx
  22. Jeffries, P. R. (2007). Simulation in nursing education. From conceptualization to evaluation. New York: The National League for Nursing.Google Scholar
  23. Jeffs, L., Abramovich, I. A., Hayes, C., Smith, O., Tregunno, D., Chan, W. H., & Reeves, S. (2013). Implementing an interprofessional patient safety learning initiative: Insights from participants, project leads and steering committee members. BMJ Quality & Safety, 22, 923–930.  https://doi.org/10.1136/bmjqs-2012-001720CrossRefGoogle Scholar
  24. Kirkpatrick, D. L., & Kirkpatrick, J. D. (2008). Evaluating training programs. The four levels. San Francisco, CA: Berrett-Koehler Publishers, Inc.Google Scholar
  25. Kraiger, K. (2008). Transforming our models of learning and development: Web-based instruction as enabler of third-generation instruction. Industrial and Organizational Psychology, 1, 454–467.CrossRefGoogle Scholar
  26. Manser, T. (2009). Teamwork and patient safety in dynamic domains of healthcare: A review of the literature. Acta Anaesthesiologica Scandinavica, 53(2), 143–151.  https://doi.org/10.1111/j.1399-6576.2008.01717CrossRefGoogle Scholar
  27. Marshall, S., & Flanagan, B. (2010). Simulation-based education for building clinical teams. Journal of Emergencies, Trauma and Shock, 3(4), 360–368.CrossRefGoogle Scholar
  28. Mduma, E. R., et al. (2015). Frequent brief on-site simulation training and reduction in 24h neonatal mortality—An educational intervention study. Resuscitation, 93, 1–7.CrossRefGoogle Scholar
  29. Motola, I., et al. (2013). Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Medical Teacher, 35, 1511–1530.CrossRefGoogle Scholar
  30. M.St. nr. 10. (2012–2013). God kvalitet—Trygge tjenester. Retrieved from http://www.regjeringen.no/no/dokumrnt/meld-st-10-20122013/id7090251 (in Norwegian).
  31. M.St. nr 13. (2011–2012). Utdanning for velferd. Samspill i praksis. Retrieved from https://www.regjeringen.no/contentassets/ac91ff2dedee43e1be825fb097d9aa22/no/pdfs/stm201120120013000dddpdfs.pdf (in Norwegian).
  32. Nelson, S., Tassone, M., & Hodge, B. D. (2014). Creating the healthcare team of the future. The Toronto model for interprofessional education and practice. Ithaca, NY: Cornell University Press.Google Scholar
  33. Østergaard, D., Dieckmann, P., & Lippert, A. (2011). Simulation and CRM. Best Practice & Research Clinical Anaesthesiology, 25, 239–249.CrossRefGoogle Scholar
  34. Paige, J. B., & Morin, K. H. (2013). Simulation fidelity and cueing: A systematic review of the literature. Clinical Simulation in Nursing, 9, 481–489.CrossRefGoogle Scholar
  35. Ponzer, S., Hylin, U., Kusoffsky, A., Lauffs, M., Lonka, K., Mattiasson, A. C., & Nordström, G. (2004). Interprofessional training in the context of clinical practice: Goals and students’ perceptions on clinical education wards. Medical Education, 38, 727–736.CrossRefGoogle Scholar
  36. Reeves, S., Lewin, S., Espin, S., & Zwarenstein, M. (2010). Interprofessional teamwork for health and social care. Chichester, UK: Wiley-Blackwell.CrossRefGoogle Scholar
  37. Reeves, S., Perrier, L., Goldman, J., Freeth, D., & Zwarenstein, M. (2013). Interprofessional education: Effects on professional practice and healthcare outcomes (update). Cochrane Database of Systematic Reviews, 2013(3), Art. No.: CD002213.Google Scholar
  38. Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Hammick, M., & Koppel, I. (2009). Interprofessional education: Effects on professional practice and health care outcomes (Review). Cochrane Database Systematic Reviews, 23(1), 1–22, CD002213.Google Scholar
  39. Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: Key findings from a systematic review. Journal of Interprofessional Care, 24(3), 230–241.CrossRefGoogle Scholar
  40. Salas, E., Tannenbaum, S. I., Kraiger, K., & Smith-Jentsch, K. A. (2012). The science of training and development in organizations: What matters in practice. Psychological Science, 13(2), 74–101.  https://doi.org/10.1177/1529100612436661CrossRefGoogle Scholar
  41. Sawyer, T., et al. (2016). More than one way to debrief: A critical review of healthcare simulation debriefing methods. Journal of Society for Simulation in Healthcare, 11(3), 209–217.CrossRefGoogle Scholar
  42. Sharma, S., Boet, S., Kitto, S., & Reeves, S. (2011). Interprofessional simulated learning: The need for “sociological fidelity”. Editorial. Journal of Interprofessional Care, 25, 81–83.CrossRefGoogle Scholar
  43. Stocker, M., Burmester, M., & Allen, M. (2014). Optimisation of simulated team training through the application of learning theories: A debate for conceptual framework. BMC Medical Education, 14, 69.Google Scholar
  44. Thistlethwaite, J. (2012). Interprofessional education: A review of the context, learning and the research agenda. Medical Education, 46, 58–70.CrossRefGoogle Scholar
  45. Thistlethwaite, J., & Moran, M. (2010). Learning outcomes for interprofessional education (IPE): Literature review and synthesis. Journal of Interprofessional Care, 24(5), 503–513.CrossRefGoogle Scholar
  46. Warren, J. N., et al. (2016). A systematic review of the effectiveness of simulation-based education on satisfaction and learning outcomes in nurse practitioner programs. Nurse Education Today, 46, 98–108.CrossRefGoogle Scholar
  47. Wenger, E. (1998). Communities of practice: Learning, meaning, and identity. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
  48. World Health Organization. (2010). Framework for action on interprofessional education and collaboration practice. Geneva: S & B Graphic Design.Google Scholar
  49. World Health Organization. (2011). Patient safety curriculum guide: Multi- professional Edition. Malta. ISBN 9789241501958.Google Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Faculty of Health SciencesCentre for Resilience in Healthcare, University of StavangerStavangerNorway

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