Enhancing nurse and physician collaboration in clinical decision making through high-fidelity interdisciplinary simulation training

Pamela M. Maxson, Eric J. Dozois, Stefan D. Holubar, Diane M. Wrobleski, Joyce A.Overman Dube, Janee M. Klipfel, Jacqueline J. Arnold

Research output: Contribution to journalArticle

46 Scopus citations

Abstract

Objective: To determine whether interdisciplinary simulation team training can positively affect registered nurse and/or physician perceptions of collaboration in clinical decision making. Participan ts and Methods: Between March 1 and April 21, 2009, a convenience sample of volunteer nurses and physicians was recruited to undergo simulation training consisting of a team response to 3 clinical scenarios. Participants completed the Collaboration and Satisfaction About Care Decisions (CSACD) survey before training and at 2 weeks and 2 months after training. Differences in CSACD summary scores between the time points were assessed with paired t tests. Results: Twenty-eight health care professionals (19 nurses, 9 physicians) underwent simulation training. Nurses were of similar age to physicians (27.3 vs 34.5 years; p=.82), were more likely to be women (95.0% vs 12.5%; p<.001), and were less likely to have undergone prior simulation training (0% vs 37.5%; p=.02). The pretest showed that physicians were more likely to perceive that open communication exists between nurses and physicians (p=.04) and that both medical and nursing concerns influence the decision-making process (p=.02). Pretest CSACD analysis revealed that most participants were dissatisfied with the decisionmaking process. The CSACD summary score showed significant improvement from baseline to 2 weeks (4.2 to 5.1; p<.002), a trend that persisted at 2 months (p<.002). Conclusion: Team training using high-fidelity simulation scenarios promoted collaboration between nurses and physicians and enhanced the patient care decision-making process.

Original languageEnglish (US)
Pages (from-to)31-36
Number of pages6
JournalMayo Clinic proceedings
Volume86
Issue number1
DOIs
StatePublished - Jan 2011

ASJC Scopus subject areas

  • Medicine(all)

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