This preprint is under consideration at BMC Medical Education. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
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Research article
Markus Flentje
Medizinische Hochschule Hannover
Corresponding Author
ORCiD: https://orcid.org/0000-0003-3686-8998
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Teamwork is an important success factors for treatment of patients. The willingness of a healthcare provider to work in a team can be descripted with the construct of “Collective Orientation” (CO). The level of CO can be trained and is related to team performance. In this study, we investigated the effect of a simulator-based interprofessional training on the subject of patient fall in a hospital setting upon participations CO. To evaluate whether the course could be integrated into a longitudinal education concept, the participants were medical students and student nurses. Since effects of simulations can be influenced by the perceived reality, the results were measured as a function of Presence.
Method: In this observation study 62 medical students and student nurses took part in a total of six one-day interprofessional simulations training with the topic patient fall. The primary outcome was the mean difference between the CO measured immediately before (T1) and after the training. Presence of the participants in the scenarios was measured by questionnaire immediately after the course. (T2).
Results: Cronbach´s alpha for all scales and measurement points was higher than .69. CO increases over all professional groups from M=3.42 (SD=.39) to M=3.68 (SD=.54) significantly (p<.00; r=.5). Only the subscale “Dominance” in the professional group of the student nurses did not increase significantly. There was no correlation between presence and the change in CO.
Conclusion The questionnaires of CO and Presence can be applied to medical students and student nurses. The simulation course with the topic patient fall influences the CO and can be integrated in a longitudinal curriculum of teamwork training. The subscale “Dominance” of student nurses did not change. Preparatory learning units may increase the effects. The perceived reality of the scenario is not a main success factor.
Keywords
Patient fall, non-technical skill, interprofessional teamwork, collective orientation, student learning, simulation
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Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 15 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 21 Apr, 2021
Review #2 received
Received 08 Apr, 2021
Reviewer #2 agreed
On 29 Mar, 2021
Review #1 received
Received 07 Jan, 2021
Reviewer #1 agreed
On 05 Jan, 2021
Reviewers invited
Invitations sent on 13 Dec, 2020
Editor assigned
On 10 Dec, 2020
Submission checks complete
On 10 Dec, 2020
Editor invited
On 10 Dec, 2020
First submitted
On 30 Nov, 2020
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This preprint is under consideration at BMC Medical Education. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Markus Flentje
Medizinische Hochschule Hannover
Corresponding Author
ORCiD: https://orcid.org/0000-0003-3686-8998
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 15 Dec, 2020
No community comments so far
Editorial decision: Major revision
On 21 Apr, 2021
Review #2 received
Received 08 Apr, 2021
Reviewer #2 agreed
On 29 Mar, 2021
Review #1 received
Received 07 Jan, 2021
Reviewer #1 agreed
On 05 Jan, 2021
Reviewers invited
Invitations sent on 13 Dec, 2020
Editor assigned
On 10 Dec, 2020
Submission checks complete
On 10 Dec, 2020
Editor invited
On 10 Dec, 2020
First submitted
On 30 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Teamwork is an important success factors for treatment of patients. The willingness of a healthcare provider to work in a team can be descripted with the construct of “Collective Orientation” (CO). The level of CO can be trained and is related to team performance. In this study, we investigated the effect of a simulator-based interprofessional training on the subject of patient fall in a hospital setting upon participations CO. To evaluate whether the course could be integrated into a longitudinal education concept, the participants were medical students and student nurses. Since effects of simulations can be influenced by the perceived reality, the results were measured as a function of Presence.
Method: In this observation study 62 medical students and student nurses took part in a total of six one-day interprofessional simulations training with the topic patient fall. The primary outcome was the mean difference between the CO measured immediately before (T1) and after the training. Presence of the participants in the scenarios was measured by questionnaire immediately after the course. (T2).
Results: Cronbach´s alpha for all scales and measurement points was higher than .69. CO increases over all professional groups from M=3.42 (SD=.39) to M=3.68 (SD=.54) significantly (p<.00; r=.5). Only the subscale “Dominance” in the professional group of the student nurses did not increase significantly. There was no correlation between presence and the change in CO.
Conclusion The questionnaires of CO and Presence can be applied to medical students and student nurses. The simulation course with the topic patient fall influences the CO and can be integrated in a longitudinal curriculum of teamwork training. The subscale “Dominance” of student nurses did not change. Preparatory learning units may increase the effects. The perceived reality of the scenario is not a main success factor.
Figure 1
Figure 1
Figure 2
Figure 2
Figure 3
Figure 3
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