Forsythe Lydia
Department of Perioperative Services, Oklahoma University Medical Center, Oklahoma City, Oklahoma, USA.
Simul Healthc. 2009 Fall;4(3):143-8. doi: 10.1097/SIH.0b013e3181986814.
In healthcare, professionals usually function in a time-constrained paradigm because of the nature of care delivery functions and the acute patient populations usually in need of emergent and urgent care. This leaves little, if no time for team reflection, or team processing as a collaborative action. Simulation can be 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.
To create and develop a safe space, three qualitative modified action research institutional review board-approved studies were developed using simulation to explore team communication as an unfolding in the acute care environment of the operating room. An action heuristic was used for data collection by capturing the participants' narratives in the form of collaborative recall and reflection to standardize task, process, and language.
During the qualitative simulations, the team participants identified and changed multiple tasks, process, and language items. The simulations contributed to positive changes for task and efficiencies, team interactions, and overall functionality of the team.
The studies demonstrated that simulation can be used in healthcare to define safe spaces to practice, reflect, and develop collaborative relationships, which contribute to the realization of a culture of safety.
在医疗保健领域，由于护理交付功能的性质以及通常需要紧急和加急护理的急性病患者群体，专业人员通常在时间受限的模式下工作。这使得团队反思或作为协作行动的团队处理几乎没有时间（如果不是完全没有时间的话）。模拟可用于创建一个安全空间，作为一种结构，以促进认知和创新，从而继续发展医疗保健交付和患者护理的安全文化。
为了创建和开发一个安全空间，开展了三项经机构审查委员会批准的定性改良行动研究，利用模拟来探索手术室急性护理环境中展开的团队沟通。通过以协作回忆和反思的形式捕捉参与者的叙述来收集数据，以规范任务、流程和语言，采用了一种行动启发法。
在定性模拟过程中，团队参与者识别并改变了多项任务、流程和语言项目。模拟为任务和效率、团队互动以及团队的整体功能带来了积极变化。
这些研究表明，模拟可用于医疗保健领域，以定义用于实践、反思和发展协作关系的安全空间，这有助于实现安全文化。
