The Impact of Interprofessional Clinical Simulation Education on Interprofessional Care

Monday, November 2, 2009: 3:30 PM

Mary H. van Soeren, RN, PhD
Canadian Health Care Innovations, Guelph, ON, Canada
Scott Reeves
Centre for Faculty Development, University of Toronto, Toronto, ON, Canada
Kathleen MacMillan, RN, MA, MSc, PhD
School of Health Sciences, Humber Institute of Technology & Advanced Learning, Toronto, ON, Canada
Sandra Cop, RN, MScN
School of Health Sciences, Humber Institute of Advanced Learning and Technology, Toronto, ON, Canada
Chris Kenaszchuk
Li Ka Shing Knowledge Institute, Toronto, ON, Canada
Lindsay Baker
Li Ka Shing Knowledge Institute of St Michael's Hospital, Centre for Faculty Development, Toronto, ON, Canada

Learning Objective 1: Understand how simulation may be used to develop greater skill in IPC practices and communication

Learning Objective 2: distinguish qualitative and quantitative methods were used as a comprehensive evaluation of interprofessional simulation education.

Background:
Interprofessional care (IPC) practices are a key patient safety strategy that enhances quality of care.  Yet there remains limited understanding of the processes undertaken for successful transfer of interprofessional knowledge that results in a change in delivery to IPC.
Objectives:
The competencies of IPC should not be left to an ad hoc process, but rather one that is structured to achieve specific outcomes, including improved communication and problem solving. Therefore we investigated (1) how interprofessional clinical simulation education changed knowledge, communication and attitudes to other roles among health care students; (2) whether clinical simulation education changed the ability of clinicians’ to work in IPC teams; (3) if IPC practices were sustained over time; and, (4) whether clinical simulation to improve IPC practices can be adopted in the clinical setting on an ongoing basis.
Methods:
Health Science students (n=90) and clinical staff from a community hospital (n=270) were recruited to attend one day IPE sessions. The maximum group size was 24. Clinical simulation exercises and cooperative learning enabled participants to practice IP communication and role understanding. Evaluation included: pre- and post-questionnaires of knowledge, attitudes and communication, video taping of the simulation exercises for evaluation by clinical experts and focus group interviews using a semi-structured interview guide to provide qualitative data on barriers and facilitators of IPC.
Results:
The impact of IPE on nurses’ understanding of collaborative practice was demonstrated. Nurses suggested it was difficult to attend interpofessional rounds due to workload and sought strategies to develop alternative communication methods. How this translated into practice will be reviewed and recommendations for others will be discussed.