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Could low Safety Attitudes Questionnaire scores be indicative of an environment where it may be difficult to get new training practices established?
  1. Sarah Channing1,
  2. Neil Ryan1,
  3. Sophie Barnes2,
  4. Kate Collins1,
  5. Helen van der Nelson1,
  6. Jane Mears1,
  7. Dimitrios Siassakos1,2
  1. 1North Bristol NHS Foundation Trust, Bristol, UK
  2. 2University of Bristol, Bristol, UK
  1. Correspondence to Dr Sarah Channing, c/o Dimitrios Siassakos, The Chilterns, North Bristol NHS Foundation Trust, Westbury-on-Trym, Bristol BS10 5NB, UK; sarahchanning1984{at}


Introduction Simulation-based, multiprofessional team training (SBMPTT) is used widely in healthcare, with evidence that it can improve clinical outcomes and be associated with a positive safety culture. Our aim was to explore the impact of introducing this type of training to a gynaecological team.

Methods In this interrupted time-series study, ‘Safety Attitudes Questionnaire’ (SAQ) data was collected both before and after SBMPTT was introduced to a gynaecological team.

Results Low baseline SAQ scores coincided with difficulty in establishing the training, meaning that at the end of our study period only a small proportion of staff had actually attended a training session. Despite trends towards improvement in scores for safety climate, teamwork climate and job satisfaction, no statistically significant difference was observed. There was however an improved perception of the level of collaboration between nursing staff and doctors after the introduction of training.

Conclusions and Discussion In this paper we explore a hypothesis that low baseline SAQ scores may highlight that the multiprofessional teams most in need of training work in environments where it is more challenging to implement. There is evidence from other specialties that multiprofessional team training works, now we need to understand how to address the barriers to getting it started. In this paper we suggest how the SAQ could be used as a directive tool for improvement; using the detailed analysis of the local safety culture it provides to both inform future training design and also provide management with an objective marker of progress.

  • Multiprofessional
  • simulation
  • team-training
  • safety culture
  • gynaecology
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  • Contributors SC, JM and DS together conceived the idea for this study. SC, SB, KC and JM all taught on the training day, for which JM is the lead clinician. SC, NR and SB collected the data and NR provided statistical analysis. SC, NR, KC, HvdN, JM and DS were all involved in interpretation of the data and development of the main themes for this paper. DS provided overall supervision of the study and together with SC acts as guarantor of this paper. All authors were involved in the drafting and revising of this work and gave their final approval for publication.

  • Competing interests DS is a member of the PROMPT Maternity Foundation. He has no financial interest from this association.

  • Ethics approval North Bristol NHS Trust Research and Innovation.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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