BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Clayton, Victoria, Australia.
Centre for Health Policy, University of Melbourne, Parkville, Victoria, Australia.
BMJ Open. 2019 Apr 20;9(4):e025170. doi: 10.1136/bmjopen-2018-025170.
Research indicates that health service boards can influence quality of care. However, government reviews have indicated that board members may not be as effective as possible in attaining this goal. Simulation-based training may help to increase board members' ability to effectively communicate and hold hospital staff to account during board meetings.
To test effectiveness and feasibility, a prospective, cluster-randomised controlled trial will be used to compare simulation-based training with no training. Primary outcome variables will include board members' perceived skill and confidence in communicating effectively during board meetings, and board members' perceptions of board meeting processes. These measures will be collected both immediately before training, and 3 months post-training, with boards randomly assigned to intervention or control arms. Primary analyses will comprise generalised estimating equations examining training effects on each of the primary outcomes. Secondary analyses will examine participants' feedback on the training.
Research ethics approval has been granted by Monash University (reference number: 2018-12076). We aim to disseminate results through peer-reviewed journal publication, conference presentation and social media.
Open Science Framework: http://osf.io/jaxt6/; Pre-results.
研究表明，卫生服务委员会可以影响医疗质量。然而，政府的审查表明，董事会成员在实现这一目标方面可能不是尽可能有效。基于模拟的培训可以帮助董事会成员提高在董事会会议期间进行有效沟通和追究医院工作人员责任的能力。
为了测试有效性和可行性，将采用前瞻性、集群随机对照试验来比较基于模拟的培训与无培训。主要结果变量将包括董事会成员在董事会会议期间有效沟通的感知技能和信心，以及董事会成员对董事会会议流程的看法。这些措施将在培训前和培训后 3 个月进行收集，董事会将被随机分配到干预组或对照组。主要分析将包括广义估计方程，以检查培训对每个主要结果的影响。次要分析将检查参与者对培训的反馈。
莫纳什大学已批准该研究的伦理审查（编号：2018-12076）。我们旨在通过同行评议期刊发表、会议演讲和社交媒体来传播研究结果。
开放科学框架：http://osf.io/jaxt6/；预结果。
