Department of Perioperative Care, Cardiff and Vale University Health Board, Cardiff, UK; TALK© Foundation, Cardiff, UK.
TALK© Foundation, Cardiff, UK; Simulation and Innovation Unit, Universidad San Sebastián, Providencia, Santiago, Chile.
Arch Med Res. 2024 Nov;55(7):103060. doi: 10.1016/j.arcmed.2024.103060. Epub 2024 Sep 26.
Healthcare systems must adapt iteratively in response to external and local challenges while keeping patients and staff safe. Clinical debriefing is a cost-effective contributor to safety culture, facilitating learning and team adaptations that lead to improved processes, patient outcomes, and staff resilience. In the aftermath of the COVID-19 pandemic, an interest has emerged in adopting TALK© to guide clinical debriefing to promote safety, mutual support, and cultural change within healthcare teams in Latin American contexts.
To evaluate the quality and applicability of TALK© debriefing training in Latin American settings and the willingness to debrief after an educational intervention.
Retrospective and descriptive study, examining anonymous data collected over 18 months after completing a "TALK© Debriefing Course for Healthcare Professionals" face-to-face or online. Data collected included participant characteristics, course details, quality and applicability of the intervention, and willingness to debrief.
Five hundred and forty-five participants were enrolled, most from Argentina and Mexico. The overall quality of the intervention scored 19.62/20 points, obtaining 4.86/5 points for applicability. There were no significant differences between virtual and face-to-face sessions. After the intervention, ≥93.76% of participants felt able to engage in clinical debriefing, and 97.06% reported willingness to debrief.
Dissemination of multi-professional clinical debriefing training in Latin America is feasible and easily scalable. The quality of the educational intervention was rated excellent in both virtual and face-to-face settings, supporting the value of remote educational diffusion. Most participants in this study intervention felt prepared and willing to debrief following the intervention.
医疗保健系统必须不断适应外部和本地挑战，同时确保患者和员工的安全。临床汇报是安全文化的一种具有成本效益的贡献，可以促进学习和团队适应，从而改进流程、改善患者结局和提高员工的适应能力。在 COVID-19 大流行之后，人们对采用 TALK© 来指导临床汇报产生了兴趣，以促进拉丁美洲医疗保健团队中的安全、相互支持和文化变革。
评估 TALK© 汇报培训在拉丁美洲环境中的质量和适用性，以及教育干预后进行汇报的意愿。
回顾性和描述性研究，检查在完成面对面或在线“TALK© 医疗保健专业人员汇报课程”后 18 个月收集的匿名数据。收集的数据包括参与者特征、课程详细信息、干预措施的质量和适用性以及汇报意愿。
共有 545 名参与者入组，他们主要来自阿根廷和墨西哥。干预措施的整体质量得分为 19.62/20 分，适用性得分为 4.86/5 分。虚拟和面对面课程之间没有显著差异。干预后，≥93.76%的参与者认为自己能够进行临床汇报，97.06%的参与者表示愿意汇报。
在拉丁美洲传播多专业临床汇报培训是可行的，并且易于扩展。无论是虚拟还是面对面设置，教育干预的质量都被评为优秀，这支持了远程教育传播的价值。本研究干预措施的大多数参与者在干预后感到有准备并有意愿进行汇报。
