Simulation-based interprofessional education within acute ward teams to improve the management of the deteriorating patient.

Safe management of deteriorating patients requires the specialty skills of multiple disciplines working together, otherwise known as interprofessional practice. Teamwork and interprofessional practice competencies are necessary for interprofessional practice, yet acute care settings continue to prim...

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Publicado en:Journal of Interprofessional Care Vol. 40; no. 2; pp. 301 - 310
Autores principales: Newman, Deb, Woods, Andrew, Aggar, Christina, Bowen, Karen, Sorwar, Golam, Clark, David, Naumann, Fiona
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar/Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2026
      vid: 40
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2025.2609070
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        atl: Simulation-based interprofessional education within acute ward teams to improve the management of the deteriorating patient.
      aug:
        au:
          Newman, Deb
          Woods, Andrew
          Aggar, Christina
          Bowen, Karen
          Sorwar, Golam
          Clark, David
          Naumann, Fiona
        affil: Nursing and Midifery Services, Northern New South Wales Local Health District, Ballina, NSW, Australia
      sug:
        subj:
          Simulations
          Education, Interdisciplinary
          Clinical Deterioration
          Hospital Units
          Personnel, Health Facility Education
          Acute Care
          Education, Continuing
          Human
          Teamwork
          Communication Skills
          Multidisciplinary Care Team
          Pretest-Posttest Design
          Clinical Competence
          New South Wales
          Wilcoxon Rank Sum Test
          Data Analysis Software
          Professional Development
      ab: Safe management of deteriorating patients requires the specialty skills of multiple disciplines working together, otherwise known as interprofessional practice. Teamwork and interprofessional practice competencies are necessary for interprofessional practice, yet acute care settings continue to primarily offer siloed discipline-specific continuing education. Simulation-based interprofessional education provides healthcare professionals with the opportunity to engage in interprofessional practice, build relationships within the team, and improve communication and teamwork skills across multidisciplinary teams. A pre–posttest study was designed using the Jefferson Teamwork Observation Guide to evaluate the effectiveness of simulation-based interprofessional education on teamwork functionality. Healthcare professionals' observations of interprofessional practice competencies were measured pre- and post-immersive mixed reality deteriorating patient scenarios. Nurses, allied health, and medical officers working in four wards within an acute healthcare setting were invited to participate in the study. From 124 participants, data analysis of 52 post-intervention, matched pairs revealed a statistically significant increase in the overall JTOG score at post-intervention (p = <.001), with a moderate effect size (d =.37). Median scores showed an increase from pre- to post-intervention for all disciplines; however, statistically significant increase in the overall Jefferson Teamwork Observation Guide score (p =.001) was only found for the discipline of nursing. Statistically significant increases were also found for the nursing discipline across four subscales: roles and responsibilities (p =.013), communication (p = <.001), values and ethics (p = <.001), and teamwork (p =.004), with moderate effect sizes. The results from this study provide evidence that an interprofessional education program using immersive mixed reality technology can positively influence nurses' interprofessional practice competencies to identify, escalate, and manage the deteriorating patient. Further research is required to explore the impact on allied health and improve engagement with medical officers.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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