Hellier Cyril, Tully Vicki, Forrest Sandra, Jaggard Pamela, MacRae Morag, Habicht Dirk, Greene Alexandra, Collins Karen
Tayside Patient Safety UK.
BMJ Qual Improv Rep. 2015 Feb 11;4(1). doi: 10.1136/bmjquality.u206968.w2801. eCollection 2015.
The priority to ensure patient safety and use resources effectively, demands attention and innovation. Video enhanced reflective practice (VERP) provides training based upon analysis of film clips of one's professional practice to develop practical insight into the processes of communication, so that effective changes can be made to ongoing behaviour and practice. In this case the focus was on multi-disciplinary communication within daily board rounds on an acute medicine and care of the elderly ward. Baseline assessment and post intervention testing of perceptions of change by both full and core team were undertaken to establish the impact of VERP training. In addition pre and post focus group discussion and film analysis supplemented evaluation. The findings support the view that after VERP training of a core team, board rounds were seen as consistently easier to participate in, providing improved focus, were more efficient in goal setting and resulting in better care for patients as well as improved pathways to discharge. This suggests benefits to the communication "culture" of a multidisciplinary team resulting in increased benefits for the wider team. It is concluded that the use of tailored VERP training for personal, professional and team development is relevant, feasible, and worthy of further testing and investigation.
确保患者安全并有效利用资源这一要务，需要关注和创新。视频强化反思性实践（VERP）基于对个人专业实践视频片段的分析提供培训，以培养对沟通流程的实际洞察力，从而能够对正在进行的行为和实践做出有效的改变。在这种情况下，重点是急性内科和老年护理病房日常查房中的多学科沟通。对全体团队和核心团队进行了基线评估以及干预后对变化认知的测试，以确定VERP培训的影响。此外，焦点小组讨论和视频分析的前后对比补充了评估。研究结果支持这样一种观点，即对核心团队进行VERP培训后，查房被认为始终更容易参与，注意力更集中，目标设定更高效，从而为患者提供更好的护理，并改善出院途径。这表明对多学科团队的沟通“文化”有益，进而为更广泛的团队带来更多益处。得出的结论是，使用量身定制的VERP培训促进个人、专业和团队发展是相关的、可行的，并且值得进一步测试和研究。
