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.
Demonstrate effective recognition, assessment and management of acutely ill patients
Perform appropriate reassessment
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.
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:
Situational Awareness 27%
Technical skills - (Clinical Skills 19%, Knowledge 18%) = 37%
Post-simulations the 3 most important factors:
Situational Awareness 48%
Technical skills - (Clinical Skills, 1% Knowledge 2%) = 3%
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?
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
NHS Institute for Innovation and Improvement, Just a Routine Operation, Safer Care
- Category: Course or curriculum evaluation/innovation/integration
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