Nurses’ experiences in a rural interprofessional simulation course
DOI:
https://doi.org/10.11157/fohpe.v24i1.577Keywords:
Key words, Registered nurse, Rural healthcare, Inter-professional education, SimulationAbstract
Introduction: The Rural Inter-Professional Simulation Course (RiSC) in New Zealand is a 3-day immersive course that brings rural doctors and nurses together to practise emergency and trauma skills using workshops and a simulation-enhanced interprofessional experience (SEIPE). The course aims to increase practitioners’ psychomotor skills, communication, teamwork and leadership skills through simulation-based learning and translate this into the management of trauma in rural settings.
Methods: This study employed an exploratory, descriptive design to explore transfer of learning from RiSC into clinical practice 8 months post course participation. Six registered nurses who participated in RiSC took part in semi-structured interviews. The transcribed interviews were analysed using a general inductive approach.
Results: The nurses valued the learning experience in RiSC and used the skills they learnt in clinical practice, however factors such as their perception of the authenticity of the scenario and performance anxiety impacted the SEIPE. The nurses also observed interprofessional dynamics playing out during the SEIPE.
Conclusions: RiSC is effective for rural trauma team training, however some aspects of the use of simulation in interprofessional education could be further enhanced.
References
Abe, Y., Kawahara, C., Yamashina, A., & Tsuboi, R. (2013). Repeated scenario simulation to improve competency in critical care: A new approach for nursing education. American Journal of Critical Care, 22(1), 33–40. https://doi.org/10.4037/ajcc2013229
Baker, L., Egan-Lee, E., Martimianakis, M. A., & Reeves, S. (2011). Relationships of power: Implications for interprofessional education. Journal of Interprofessional Care, 25(2), 98–104. https://doi.org/10.3109/13561820.2010.505350
Brown, L. L., & MacKinnon, R. J. (2016). Simulation for rural communities. In V. J. Grant & A. Cheng (Eds.), Comprehensive healthcare simulation: Pediatrics (pp. 299–313). Springer, Cham. https://doi.org/10.1007/978-3-319-24187-6_24
Dunnack, H. J. (2020). Health care providers’ perceptions of interprofessional simulation: A meta-ethnography. Journal of Interprofessional Education & Practice, 21, Article 100394. https://doi.org/10.1016/j.xjep.2020.100394
Eddy, K., Jordan, Z., & Stephenson, M. (2016). Health professionals’ experience of teamwork education in acute hospital settings: A systematic review of qualitative literature. JBI Database of Systematic Reviews and Implementation Reports, 14(4), 96–137. https://doi.org/10.11124/JBISRIR-2016-1843
Egenberg, S., Oian, P., Eggebo, T. M., Arsenovic, M. G., & Bru, L. E. (2017). Changes in self-efficacy, collective efficacy and patient outcome following interprofessional simulation training on postpartum haemorrhage. Journal of Clinical Nursing, 26(19–20), 3174–3187. https://doi.org/10.1111/jocn.13666
Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19, 36–40. https://doi.org/10.1016/j.nepr.2016.04.005
Gergerich, E., Boland, D., & Scott, M. A. (2019). Hierarchies in interprofessional training. Journal of Interprofessional Care, 33(5), 528–535. https://doi.org/10.1080/13561820.2018.1538110
Gutenstein, M., & Kiuru, S. (2018). The Matthew effect in New Zealand rural hospital trauma and emergency care: Why rural simulation-based education matters. New Zealand Medical Journal, 131(1476), 81–84.
Gutenstein, M., Kiuru, S., & Withington, S. (2019). Development of a rural inter-professional simulation course: An initiative to improve trauma and emergency team management in New Zealand rural hospitals. Journal of Primary Health Care, 11(1), 16–23. https://doi.org/10.1071/HC18071
Gum, L., Greenhill, J., & Dix, K. (2010). Clinical simulation in maternity (CSiM): Interprofessional learning through simulation team training. Quality & Safety in Health Care, 19(5), 19–19. https://doi.org/10.1136/qshc.2008.030767
Hamstra, S. J., Brydges, R., Hatala, R., Zendejas, B., & Cook, D. A. (2014). Reconsidering fidelity in simulation-based training. Academic Medicine, 89(3), 387–392. https://doi.org/10.1097/ACM.0000000000000130
Janes, T. L., Rees, J. L., & Zupan, B. (2022). Is interprofessional education a valued contributor to interprofessional practice and collaboration within allied health in Australia and New Zealand: A scoping review. Journal of Interprofessional Care, 36(5), 750–760. https://doi.org/10.1080/13561820.2021.1975666
Kenaszchuk, C., MacMillan, K., van Soeren, M., & Reeves, S. (2011). Interprofessional simulated learning: Short-term associations between simulation and interprofessional collaboration. BMC Medicine, 9, Article 29. https://doi.org/10.1186/1741-7015-9-29
Madsgaard, A., Smith‐Strøm, H., Hunskår, I., & Røykenes, K. (2022). A rollercoaster of emotions: An integrative review of emotions and its impact on health professional students' learning in simulation‐based education. Nursing Open, 9(1), 108–121. https://doi.org/10.1002/nop2.1100
Martin, P., Pighills, A., Burge, V., Argus, G., & Sinclair, L. (2021). Promoting interprofessional education and collaborative practice in rural health settings: Learnings from a state-wide multi-methods study. International Journal of Environmental Research and Public Health, 18(10), Article 5162. https://doi.org/10.3390/ijerph18105162
Muckler, V. C. (2017). Exploring suspension of disbelief during simulation-based learning. Clinical Simulation in Nursing, 13(1), 3–9. https://doi.org/10.1016/j.ecns.2016.09.004
Oseni, Z., Than, H. H., Kolakowska, E., Chalmers, L., Hanboonkunupakarn, B., & McGready, R. (2017). Video-based feedback as a method for training rural healthcare workers to manage medical emergencies: A pilot study. BMC Medical Education, 17, Article 149. https://doi.org/10.1186/s12909-017-0975-3
Perron, D., Parent, K., Gaboury, I., & Bergeron, D. A. (2022). Characteristics, barriers and facilitators of initiatives to develop interprofessional collaboration in rural and remote primary healthcare facilities: A scoping review. Rural and Remote Health, 22(4), 756–7566. http://doi.org/10.22605/rrh7566
Prentice, D., Taplay, K., Horsley, E., Payeur-Grenier, S., & Belford, D. (2011). Interprofessional simulation: An effective training experience for health care professionals working in community hospitals. Clinical Simulation in Nursing, 7(2), 61–67. https://doi.org/10.1016/j.ecns.2010.03.001
Reeves, S., Boet, S., Zierler, B., & Kitto, S. (2015). Interprofessional education and practice guide No. 3: Evaluating interprofessional education. Journal of Interprofessional Care, 29(4), 305–312. https://doi.org/10.3109/13561820.2014.1003637
Reed, K., Reed, B., Bailey, J., Beattie, K., Lynch, E., Thompson, J., Vines, R., Wong, K. C., McCrossin, T., & Wilson, R. (2021). Interprofessional education in the rural environment to enhance multidisciplinary care in future practice: Breaking down silos in tertiary health education. Australian Journal of Rural Health, 29(2), 127–136. https://doi.org/10.1111/ajr.12733
Rudolph, J., Raemer, D., & Simon, R. (2014). Establishing a safe container for learning in simulation: The role of the presimulation briefing. Simulation in Healthcare, 9(6), 339–349. https://doi.org/10.1097/SIH.0000000000000047
Rutherford-Hemming, T., & Alfes, C. M. (2017). The use of hospital-based simulation in nursing education: A systematic review. Clinical Simulation in Nursing, 13(2), 78–89. https://doi.org/10.1016/j.ecns.2016.12.007
Sharma, S., Boet, S., Kitto, S., & Reeves, S. (2011). Interprofessional simulated learning: The need for “sociological fidelity.” Journal of Interprofessional Care, 25(2), 81–83. https://doi.org/10.3109/13561820.2011.556514
Sittner, B. J., Aebersold, M. L., Paige, J. B., Graham, L. L., Schram, A. P., Decker, S. I., & Lioce, L. (2015). INACSL standards of best practice for simulation: Past, present, and future. Nursing Education Perspectives, 36(5), 294–298. https://journals.lww.com/neponline/fulltext/2015/09000/INACSL_Standards_of_Best_Practice_for_Simulation_.5.aspx
So, H. Y., Chen, P. P., Wong, G. K. C., & Chan, T. T. N. (2019). Simulation in medical education. Journal of the Royal College of Physicians of Edinburgh, 49(1), 52–57. https://doi.org/10.4997/JRCPE.2019.112
Stein, C. (2020). The effect of clinical simulation assessment on stress and anxiety measures in emergency care students. African Journal of Emergency Medicine, 10(1), 35–39. https://doi.org/10.1016/j.afjem.2019.12.001
Sunguya, B. F., Hinthong, W., Jimba, M., & Yasuoka, J. (2014). Interprofessional education for whom? Challenges and lessons learned from its implementation in developed countries and their application to developing countries: A systematic review. PloS One, 9(5), Article e96724. https://doi.org/10.1371/journal.pone.0096724
Tang, C., Chan, S., Zhou, W., & Liaw, S. Y. (2013). Collaboration between hospital physicians and nurses: An integrated literature review. International Nursing Review, 60(3), 291–302. https://doi.org/10.1111/inr.12034
Tilley, C. P., Roitman, J., Zafra, K. P., & Brennan, M. (2021). Real-time, simulation-enhanced interprofessional education in the care of older adults with multiple chronic comorbidities: A utilization-focused evaluation. mHealth, 7(3). https://doi.org/10.21037/mhealth-19-216
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237–246. https://doi.org/10.1177/1098214005283748
Van Schaik, S., Plant, J., & O'Brien, B. (2015). Challenges of interprofessional team training: A qualitative analysis of residents' perceptions. Education for Health, 28(1), 52–57. https://doi.org/10.4103/1357-6283.161883
Watters, C., Reedy, G., Ross, A., Morgan, N. J., Handslip, R., & Jaye, P. (2015). Does interprofessional simulation increase self-efficacy: A comparative study. BMJ Open, 5(1), Article e005472. https://doi.org/10.1136/bmjopen-2014-005472
Wehbe-Janek, H., Lenzmeier, C. R., Ogden, P. E., Lambden, M. P., Sanford, P., Herrick, J., Song, J., Pliego, J. F, & Colbert, C. Y. (2012). Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. Journal of Nursing Care Quality, 27(1), 43–50. https://doi.org/10.1097/NCQ.0b013e3182303c95
Wong, A., Gang, M., Szyld, D., & Mahoney, H. (2016). Making an “attitude adjustment”: Using a simulation enhanced interprofessional education strategy to improve attitudes toward teamwork and communication. Simulation in Healthcare, 11(2), 117–125. https://doi.org/10.1097/SIH.0000000000000133
Yang, C. W., Yen, Z. S., McGowan, J. E., Chen, H. C., Chiang, W. C., Mancini, M. E., Soar, J., Lai, M. S., & Ma, M. H.-M. (2012). A systematic review of retention of adult advanced life support knowledge and skills in healthcare providers. Resuscitation, 83(9), 1055–1060. https://doi.org/10.1016/j.resuscitation.2012.02.027
Zhang, C., Thompson, S., & Miller, C. (2011). A review of simulation-based interprofessional education. Clinical Simulation in Nursing, 7(4), 117–126. https://doi.org/10.1016/j.ecns.2010.02.008
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