Does interprofessional simulation increase self-efficacy: a comparative study

Objectives In this work, we have compared uniprofessional and interprofessional versions of a simulation education intervention, in an attempt to understand more about whether it improves trainees’ self-efficacy.Background Interprofessionalism has been climbing the healthcare agenda for over 50 year...

Full description

Saved in:
Bibliographic Details
Main Authors: Peter Jaye, Gabriel Reedy, Alastair Ross, Colm Watters, Nicola J Morgan, Rhodri Handslip
Format: Article
Language:English
Published: BMJ Publishing Group 2015-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/5/1/e005472.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823858587800174592
author Peter Jaye
Gabriel Reedy
Alastair Ross
Colm Watters
Nicola J Morgan
Rhodri Handslip
author_facet Peter Jaye
Gabriel Reedy
Alastair Ross
Colm Watters
Nicola J Morgan
Rhodri Handslip
author_sort Peter Jaye
collection DOAJ
description Objectives In this work, we have compared uniprofessional and interprofessional versions of a simulation education intervention, in an attempt to understand more about whether it improves trainees’ self-efficacy.Background Interprofessionalism has been climbing the healthcare agenda for over 50 years. Simulation education attempts to create an environment for healthcare professionals to learn, without potential safety risks for patients. Integrating simulation and interprofessional education can provide benefits to individual learners.Setting The intervention took place in a high-fidelity simulation facility located on the campus of a large urban hospital. The centre provides educational activities for an Academic Health Sciences Centre. Approximately 2500 staff are trained at the centre each year.Participants One hundred and fifteen nurses and midwives along with 156 doctors, all within the early years of their postgraduate experience participated. All were included on the basis of their ongoing postgraduate education.Methods Each course was a one-day simulation course incorporating five clinical and one communication scenarios. After each a facilitated debriefing took place. A mixed methods approach utilised precourse and postcourse questionnaires measuring self-efficacy in managing emergency situations, communication, teamwork and leadership.Results Thematic analysis of qualitative data showed improvements in communication/teamwork and leadership, for doctors and nurses undergoing simulation training. These findings were confirmed by statistical analysis showing that confidence ratings improved in nurses and doctors overall (p<0.001). Improved outcomes from baseline were observed for interprofessional versus uniprofessional trained nurses (n=115; p<0.001). Postcourse ratings for doctors showed that interprofessional training was significantly associated with better final outcomes for a communication/teamwork dimension (n=156; p<0.05).Conclusions This study provides evidence that simulation training enhances participants’ self-efficacy in clinical situations. It also leads to increases in their perceived abilities relating to communication/teamwork and leadership/management of clinical scenarios. Interprofessional training showed increased positive effects on self-efficacy for nurses and doctors.
format Article
id doaj-art-df5325e3180e4b92bf9626202c4f8d14
institution Kabale University
issn 2044-6055
language English
publishDate 2015-01-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-df5325e3180e4b92bf9626202c4f8d142025-02-11T10:40:09ZengBMJ Publishing GroupBMJ Open2044-60552015-01-015110.1136/bmjopen-2014-005472Does interprofessional simulation increase self-efficacy: a comparative studyPeter Jaye0Gabriel Reedy1Alastair Ross2Colm Watters3Nicola J Morgan4Rhodri Handslip5Simulation and Interactive Learning (SaIL) Centre at St Thomas House, Kings Health Partners, London, UK2 Faculty of Life Sciences and Medicine, King`s College London, London, UKSchool of Medicine, Dentistry, and Nursing, University of Glasgow, Glasgow, UKSimulation and Interactive Learning (SaIL) Centre at St Thomas House, Kings Health Partners, London, UKSimulation and Interactive Learning (SaIL) Centre at St Thomas House, Kings Health Partners, London, UKSimulation and Interactive Learning (SaIL) Centre at St Thomas House, Kings Health Partners, London, UKObjectives In this work, we have compared uniprofessional and interprofessional versions of a simulation education intervention, in an attempt to understand more about whether it improves trainees’ self-efficacy.Background Interprofessionalism has been climbing the healthcare agenda for over 50 years. Simulation education attempts to create an environment for healthcare professionals to learn, without potential safety risks for patients. Integrating simulation and interprofessional education can provide benefits to individual learners.Setting The intervention took place in a high-fidelity simulation facility located on the campus of a large urban hospital. The centre provides educational activities for an Academic Health Sciences Centre. Approximately 2500 staff are trained at the centre each year.Participants One hundred and fifteen nurses and midwives along with 156 doctors, all within the early years of their postgraduate experience participated. All were included on the basis of their ongoing postgraduate education.Methods Each course was a one-day simulation course incorporating five clinical and one communication scenarios. After each a facilitated debriefing took place. A mixed methods approach utilised precourse and postcourse questionnaires measuring self-efficacy in managing emergency situations, communication, teamwork and leadership.Results Thematic analysis of qualitative data showed improvements in communication/teamwork and leadership, for doctors and nurses undergoing simulation training. These findings were confirmed by statistical analysis showing that confidence ratings improved in nurses and doctors overall (p<0.001). Improved outcomes from baseline were observed for interprofessional versus uniprofessional trained nurses (n=115; p<0.001). Postcourse ratings for doctors showed that interprofessional training was significantly associated with better final outcomes for a communication/teamwork dimension (n=156; p<0.05).Conclusions This study provides evidence that simulation training enhances participants’ self-efficacy in clinical situations. It also leads to increases in their perceived abilities relating to communication/teamwork and leadership/management of clinical scenarios. Interprofessional training showed increased positive effects on self-efficacy for nurses and doctors.https://bmjopen.bmj.com/content/5/1/e005472.full
spellingShingle Peter Jaye
Gabriel Reedy
Alastair Ross
Colm Watters
Nicola J Morgan
Rhodri Handslip
Does interprofessional simulation increase self-efficacy: a comparative study
BMJ Open
title Does interprofessional simulation increase self-efficacy: a comparative study
title_full Does interprofessional simulation increase self-efficacy: a comparative study
title_fullStr Does interprofessional simulation increase self-efficacy: a comparative study
title_full_unstemmed Does interprofessional simulation increase self-efficacy: a comparative study
title_short Does interprofessional simulation increase self-efficacy: a comparative study
title_sort does interprofessional simulation increase self efficacy a comparative study
url https://bmjopen.bmj.com/content/5/1/e005472.full
work_keys_str_mv AT peterjaye doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy
AT gabrielreedy doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy
AT alastairross doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy
AT colmwatters doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy
AT nicolajmorgan doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy
AT rhodrihandslip doesinterprofessionalsimulationincreaseselfefficacyacomparativestudy