Mekail John, Zegeye Ysaac, Lanners Quinn, Anwar Muhammad Farooq, Yi Peter K
Anesthesiology, Division of Pain Medicine, Duke University Hospital, Durham, North Carolina, USA
Duke University School of Medicine, Durham, North Carolina, USA.
BMJ Open Qual. 2025 May 11;14(2):e003199. doi: 10.1136/bmjoq-2024-003199.
Interprofessional collaboration (IPC) is vital for delivering safe, holistic patient care, particularly in outpatient interventional pain clinics where precision and teamwork are crucial. Despite its importance, IPC within outpatient pain medicine remains understudied, and the Readiness for Interprofessional Learning Scale (RIPLS) has not been used longitudinally in outpatient pain medicine.
The primary objective of this quality improvement (QI) project was to evaluate and enhance readiness for interprofessional learning among clinical staff in an outpatient pain clinic, measured over 6 months in an outpatient pain clinic.
This initiative took place from October 2021 to April 2022 in an academic institution's hospital-based outpatient pain clinic. We administered the RIPLS survey to 15 participants of various clinical roles at baseline and again 6 months after a simulation-based intervention. The simulation included small group didactic sessions and immersive clinical scenarios depicting acute complications in interventional pain procedures. We used descriptive statistics to compare preintervention and postintervention survey responses, stratifying by professional role. Qualitative feedback was collected to explore participants' perceptions of the training and its impact.
Both physician and non-physician groups reported high baseline RIPLS scores, with no statistically significant difference between or within groups over 6 months. Although mean RIPLS scores did not significantly change, participants consistently described positive attitudes towards collaborative practice. Qualitative feedback underscored the importance of structured simulation for reinforcing team roles, communication strategies and crisis management skills.
This project demonstrates that simulation-based training can sustain high levels of interprofessional readiness among outpatient pain clinic staff over time, suggesting utility for maintaining collaborative behaviours in a setting where safety and teamwork are paramount. Future efforts could investigate whether similar interventions improve IPC in clinics with lower baseline readiness, as well as explore longer follow-up periods or larger sample sizes to detect nuanced changes in collaboration metrics.
跨专业协作（IPC）对于提供安全、全面的患者护理至关重要，尤其是在门诊介入疼痛诊所，精准度和团队合作至关重要。尽管其重要性，但门诊疼痛医学中的IPC仍未得到充分研究，且跨专业学习准备量表（RIPLS）尚未在门诊疼痛医学中进行纵向使用。
本质量改进（QI）项目的主要目标是评估并提高门诊疼痛诊所临床工作人员的跨专业学习准备度，在门诊疼痛诊所进行为期6个月的测量。
该倡议于2021年10月至2022年4月在一所学术机构的医院门诊疼痛诊所开展。我们在基线时对15名不同临床角色的参与者进行了RIPLS调查，并在基于模拟的干预6个月后再次进行调查。模拟包括小组授课环节和描绘介入疼痛程序急性并发症的沉浸式临床场景。我们使用描述性统计来比较干预前和干预后调查的回复，并按专业角色进行分层。收集定性反馈以探索参与者对培训及其影响的看法。
医生组和非医生组在基线时的RIPLS得分均较高，6个月内组间和组内均无统计学显著差异。尽管RIPLS平均得分没有显著变化，但参与者始终对协作实践持积极态度。定性反馈强调了结构化模拟对于强化团队角色、沟通策略和危机管理技能的重要性。
该项目表明，基于模拟的培训可以随着时间的推移维持门诊疼痛诊所工作人员较高水平的跨专业准备度，这表明在安全和团队合作至关重要的环境中，该培训对于维持协作行为具有实用性。未来的努力可以调查类似干预措施是否能改善基线准备度较低诊所的IPC，以及探索更长的随访期或更大的样本量，以检测协作指标的细微变化。
