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Interprofessional learning in immediate life support training does effect TEAM performance during simulated resuscitation
  1. Jeremy Charles Morse1,
  2. Craig William Brown2,
  3. Ian Morrison1,
  4. Caroline Wood3
  1. 1 Clinical Skills Centre, Suttie Centre for Teaching and Learning in Healthcare, University of Aberdeen, Aberdeen, UK
  2. 2 NHS Grampian, Emergency Department, Aberdeen Royal Infirmary, Aberdeen, UK
  3. 3 School of Nursing and Midwifery, Robert Gordon University, Aberdeen, UK
  1. Correspondence to Dr Jeremy Charles Morse, Clinical Skills Centre, Suttie Centre for Teaching and Learning in Healthcare, University of Aberdeen, Aberdeen AB25 2XG, UK; jerry.morse{at}abdn.ac.uk

Abstract

Aim of the study To assess performance in a simulated resuscitation after participating in either an interprofessional learning (IPL) or uniprofessional learning (UPL) immediate life support (ILS) training course.

Introduction The Team Emergency Assessment Measure (TEAM) is routinely used in Resuscitation Council (UK) Advanced Life Support courses. This study used the psychometrically validated tool to assess if the delivery of an IPL ILS to final year medical and nursing students could improve overall behavioural performance and global TEAM score.

Methods A randomised study of medical (n=48) and nursing (n=48) students, assessing performance in a simulated resuscitation following the IPL or UPL ILS courses. Postcourse completion participants were invited back to undertake a video-recorded simulated-resuscitation scenario. Each of these were reviewed using the TEAM tool, at the time by an experienced advanced life support instructor and subsequently by a clinician, independent to the study and blinded as to which cohort they were reviewing.

Results Inter-rater reliability was tested using a Bland-Altman plot indicating non-proportional bias between raters. Parametric testing and analysis showed statistically significant higher global overall mean TEAM scores for those who had attended the IPL ILS courses.

Conclusion Our results demonstrate that an IPL approach in ILS produced an increased effect on TEAM scores with raters recording a significantly more collaborative team performance. A postscenario questionnaire for students also found a significantly improved experience within the team following the IPL course compared with those completing UPL training. Although this study shows that team behaviour and performance can change and improve in the short-term, we acknowledge further studies are required to assess the long-term effects of IPL interventions. Additionally, through this type of study methodology, other outcomes in regard to resuscitation team performance may be measured, highlighting other potential benefit to patients, at level four of Kirkpatrick’s hierarchy.

  • interprofessional learning
  • teamwork performance
  • cardiopulmonary resuscitation
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Footnotes

  • Contributors JCM: participated in study design, student recruitment, simulation sessions, data analysis and interpretation, drafting and revising the manuscript and approved the final version. CWB: participated in study design, data interpretation, drafting and revising the manuscript and approved the final version. IM: participated in simulation sessions, drafting and revising the manuscript and approved the final version. CW: participated in study design, student recruitment, drafting and revising the manuscript and approved the final version.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors

  • Competing interests None declared.

  • Ethics approval Ethical approval was obtained from the School of Nursing Ethical Review Panel, Robert Gordon University and the College Ethics Review Board, College of Life Sciences and Medicine, University of Aberdeen.

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

  • Data sharing statement The authors are happy to share the data from the original piece of research to further the understanding and body of work surrounding interprofessional team working for the benefit of patient safety.

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