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0073 Human Factors - Are Participants’ Perceptions Of The Importance Of Human Factors Altered By Undertaking "critically Ill Patient" Simulations And Debriefs Which Include Both Technical And Non-technical Skills?
  1. Stephanie Gillam,
  2. Wendy Hawkins,
  3. Caroline Cocking
  1. Derby Hospitals NHS Foundation Trust, Derby, UK

Abstract

Context The Resuscitation/Clinical Skills Department, Royal Derby Hospital, routinely runs "Critically Ill Patient" simulation days for final year medical/nursing students. The structure of the day gives participants opportunities for inter-professional learning, examining technical and non-technical skills.

Objectives

  • Demonstrate effective recognition, assessment and management of acutely ill patients

  • Perform appropriate reassessment

  • Demonstrate team-working

  • Discuss/demonstrate effective communication

  • Develop critical evaluation/feedback skills during facilitated debriefs

ObjectivesThe focus of this pilot study is participants’ perception of human factors (HF) in healthcare.¹

Method There were 62 participants; 40 medical students, 22 student nurses over 8 multi-disciplinary sessions. During the introduction participants are asked the following using the Turning Point Audience Response SystemTM

  • Are you a Medical student/Student nurse?

  • Do you feel you know what non-technical skills/human factors are?

  • Please indicate which THREE of the following factors you personally feel are most important.

  1. Assertiveness

  2. Clinical skill

  3. Communication

  4. Decision Making

  5. Knowledge

  6. Leadership

  7. Prioritisation

  8. Situational Awareness

  9. Team-working

The students then participate in 4 simulations/debriefs, including a focussed HF session.² The day culminates in participants repeating their ranking of the three most important factors.

Results 64.5% of participants feel they know what HF/non-technical skills are.

Pre-simulations the 3 most important factors:

  • Communication 54%

  • Team-working 37%

  • Situational Awareness 27%

  • Technical skills - (Clinical Skills 19%, Knowledge 18%) = 37%

  • Post-simulations the 3 most important factors:

  • Communication 58%

  • Situational Awareness 48%

  • Team-working 39%

  • Technical skills - (Clinical Skills, 1% Knowledge 2%) = 3%

Conclusion/Further Recommendations

Participants’ perceptions of the importance of HF have altered by the end of the session, notably between knowledge/clinical skills and situational awareness.

Further recommendations include interrogating data, examining reasoning behind the results. E.g. Do those unfamiliar with HF have a greater shift in priorities following exposure? Are there differences in the shift in priorities between staff groups?

References

  1. Fortune P,. Davis M,. Hanson J,. Phillips B,. (eds) (2013) Human Factors in the Health Care Setting: A Pocket Guide for Clinical Instructors. Advanced Life Support Group. Chichester UK: John Wiley & Sons

  2. NHS Institute for Innovation and Improvement, Just a Routine Operation, Safer Care

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