Qualitative Simulation and Team Development

Thursday, 16 July 2009: 10:30 AM

Lydia L. Forsythe, PhD, MA, MSN
Perioperative Services and Administration, Oklahoma University Medical Centers, Oklahoma City, OK

Learning Objective 1: describe the use of qualitative simulation in research and team development

Learning Objective 2: develop and understand how to design a qualitative simulation research project

Purpose:

In healthcare professionals usually function in a time constrained paradigm due the nature of care delivery functions and due to the acute patient populations usually in need of emergent and urgent care, which leaves little, if no time for team reflection, or team processing as a collaborative action. Simulation can used to create a safe space as a structure for recognition and innovation to continue to develop a culture of safety for healthcare delivery and patient care.

Methods:

To create and develop a safe space four qualitative action research IRB approved studies were developed to explore team communication as an unfolding in the acute care environment of the operating room. In an effort to further develop a culture of safety the study participants used an action heuristic related to narrative in the form of collaborative recall and reflection to standardize task, process and language.

Results:

During the qualitative simulation events the team participants identified and changed multiple tasks, process and language items contributing to positive changes for task and efficiencies, team interactions and overall functionality of team processes.    

Conclusion:

The studies demonstrated that simulation can be used in healthcare to develop safe spaces to practice, reflect, and develop collaborative relationships which contribute to the realization of a culture of safety.