College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu, 42601, Republic of Korea.
Nursing department, Keimyung University Dongsan Hospital, Daegu, Republic of Korea.
BMC Med Educ. 2024 May 31;24(1):602. doi: 10.1186/s12909-024-05581-1.
The role of effective interprofessional teamwork is especially vital in the Neonatal Intensive Care Unit (NICU) where infants facing emergency situations are admitted. Proper neonatal resuscitation, facilitated by comprehensive resuscitation training, can significantly decrease the mortality rates associated with neonatal asphyxia and respiratory failure. This study aimed to develop a simulation-based interprofessional education (IPE) programme for medical staff working in a nursery and NICU and to assess its effectiveness on teamwork, communication skills, clinical performance, clinical judgement, interprofessional attitudes, and education satisfaction.
Through a demand survey, neonatal resuscitation was selected as the theme, and an IPE team comprised of one doctor and two nurses was formed. The education programme consisted of three sessions lasting a total of 140 min: two simulation exercises and one theoretical education session. Data were collected from 18 nurses working in the nursery and NICU and 9 doctors working in the paediatrics department.
A comparison of the metrics before and after applying simulation-based IPE programmes revealed teamwork (Z=-2.67, p = .008), communication skills (Z=-2.68, p = .007), clinical performance (Z=-2.52, p = .012), clinical judgement (Z=-4.52, p < .001), and interprofessional attitude (Z=-3.64, p < .001) to have significantly improved. Education satisfaction scores were 4.73 points on average out of a maximum of 5. The simulation-based IPE programme was effective in improving the teamwork, communication, and clinical performance of resuscitation teams, individual clinical judgement, and interprofessional attitude.
Simulation-based IPE is effective for enhancing teamwork, team communication, clinical judgement skills, and clinical performance in neonatal resuscitation. This programme has the potential to contribute to the improvement of patient safety and the quality of neonatal care. Additional studies are needed to longitudinally examine the effects of the programme on patient safety and quality of neonatal care.
在新生儿重症监护病房（NICU）中，有效跨专业团队合作的角色尤为重要，因为这里会收治面临紧急情况的婴儿。通过全面的复苏培训进行适当的新生儿复苏，可以显著降低与新生儿窒息和呼吸衰竭相关的死亡率。本研究旨在为新生儿病房和 NICU 的医务人员开发基于模拟的跨专业教育（IPE）计划，并评估其对团队合作、沟通技巧、临床表现、临床判断、跨专业态度和教育满意度的影响。
通过需求调查，选择新生儿复苏作为主题，并组建了一个由一名医生和两名护士组成的 IPE 团队。该教育计划由三个持续 140 分钟的课程组成：两个模拟练习和一个理论教育课程。数据来自 18 名在新生儿病房和 NICU 工作的护士和 9 名在儿科工作的医生。
应用基于模拟的 IPE 计划前后的指标比较显示，团队合作（Z=-2.67，p=.008）、沟通技巧（Z=-2.68，p=.007）、临床表现（Z=-2.52，p=.012）、临床判断（Z=-4.52，p<.001）和跨专业态度（Z=-3.64，p<.001）均有显著改善。教育满意度平均得分为 5 分满分中的 4.73 分。基于模拟的 IPE 计划在提高复苏团队的团队合作、沟通和临床表现、个人临床判断和跨专业态度方面是有效的。
基于模拟的 IPE 对提高新生儿复苏的团队合作、团队沟通、临床判断技能和临床表现是有效的。该计划有可能有助于提高患者安全性和新生儿护理质量。需要进一步的研究来纵向观察该计划对患者安全性和新生儿护理质量的影响。
