Robertson Kathryn, Ju Mindy, O'Brien Bridget C, van Schaik Sandrijn M, Bochatay Naike
Department of Pediatrics, University of California, San Francisco, CA, USA.
Department of Pediatrics, Kaiser Permanente, Santa Clara, CA, USA.
J Interprof Care. 2022 Feb 2:1-9. doi: 10.1080/13561820.2022.2029371.
Interprofessional simulation aims to improve teamwork and patient care by bringing participants from multiple professions together to practice simulated patient care scenarios. Yet, power dynamics may influence interprofessional learning during simulation, which typically occurs during the debriefing. This issue has received limited attention to date but may explain why communication breakdowns and conflicts among healthcare teams persist despite widespread adoption of interprofessional simulation. This study explores the role of power during interprofessional simulation debriefings. We collected data through observations of seven interprofessional simulation sessions and debriefings, four focus groups with simulation participants, and four interviews with simulation facilitators. We identified ways in which power dynamics influenced discussions during debriefing and sometimes limited participants' willingness to share feedback and speak up. We also found that issues related to power that arose during interprofessional simulations often went unacknowledged during the debriefing, leaving healthcare professionals unprepared to navigate power discrepancies with other members of healthcare teams in practice. Given that the goal of interprofessional simulation is to allow professionals to learn together about each other, explicitly addressing power in debriefing after interprofessional simulation may enhance learning.
跨专业模拟旨在通过将来自多个专业的参与者聚集在一起，练习模拟患者护理场景，以改善团队合作和患者护理。然而，权力动态可能会影响模拟过程中的跨专业学习，这种学习通常发生在汇报环节。到目前为止，这个问题受到的关注有限，但这可能解释了为什么尽管跨专业模拟已被广泛采用，医疗团队之间的沟通故障和冲突仍然存在。本研究探讨了权力在跨专业模拟汇报中的作用。我们通过观察七次跨专业模拟会议和汇报、与模拟参与者进行四次焦点小组讨论以及对模拟促进者进行四次访谈来收集数据。我们确定了权力动态在汇报过程中影响讨论的方式，有时还限制了参与者分享反馈和直言不讳的意愿。我们还发现，跨专业模拟中出现的与权力相关的问题在汇报过程中往往未得到承认，这使得医疗专业人员在实践中没有准备好应对与医疗团队其他成员的权力差异。鉴于跨专业模拟的目标是让专业人员相互学习，在跨专业模拟后明确在汇报中讨论权力问题可能会增强学习效果。
