Capability to identify and manage critical conditions: effects of an interprofessional training intervention.

Autor: Santesson I; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, 631 88, Sweden.; Department of Patient Safety, Region Sörmland, Eskilstuna, 631 88, Sweden., Schell CO; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, 631 88, Sweden.; Department of Global Public Health, Karolinska Institutet, Stockholm, 171 77, Sweden.; Department of Medicine, Nyköping Hospital, Nyköping, 611 88, Sweden., Bjurling-Sjöberg P; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, 631 88, Sweden. petronella.bjurling-sjoberg@pubcare.uu.se.; Department of Patient Safety, Region Sörmland, Eskilstuna, 631 88, Sweden. petronella.bjurling-sjoberg@pubcare.uu.se.; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, 752 37, Sweden. petronella.bjurling-sjoberg@pubcare.uu.se.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2024 May 28; Vol. 24 (1), pp. 584. Date of Electronic Publication: 2024 May 28.
DOI: 10.1186/s12909-024-05567-z
Abstrakt: Background: The burden of critical illness is a global issue. Healthcare systems often fail to provide essential emergency and critical care for deteriorating patients, and the optimal strategy for ensuring safe care is not fully known. This study aimed to explore the capability to identify and manage critical conditions and to evaluate how an interprofessional training intervention that included theory as well as high-fidelity simulation (proACT) in the short and long term affected the capability.
Methods: A questionnaire study was performed. A cross-sectional survey of all in-hospital nurses and physicians in a Swedish region (n538) and a longitudinal cohort of participants entering the proACT course during a six-month period (n99) were included. Descriptive and comparative statistics were generated. Additionally, qualitative content analysis was performed for free text answers.
Results: The findings demonstrated that the intervention improved the individual healthcare professionals' competence with a sustained effect over time. The coverage of proACT trained staff increased from 13.2% to 26.5%, but no correlation was observed with workplace conditions that support safe care. Collaboration and workplace climate were perceived to be mainly positive, but for safer care, an overall need for improved competence and staffing was emphasized.
Conclusions: The present study confirms previously identified issues and the need for improvements in the care of critically ill patients in general hospital wards. It supports the notion that a training intervention, such as proACT, can increase the capability to identify and manage patients with critical conditions. All healthcare professions increased the competence. Hence, more effort is needed to enable staff of all professions to participate in such training. Studies of interventions cover higher number of trained staff in the setting are warranted to clarify whether the training can also improve workplace conditions that support safe care of deteriorating and critically ill patients.
(© 2024. The Author(s).)
Databáze: MEDLINE
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