Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study
IntroductionInterprofessional healthcare teams are important actors in improving patient safety. To train these teams, an interprofessional training program (IPTP) with two interventions (eLearning and blended learning) was developed to cover key areas of patient safety using innovative adult learni...
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| Format: | Article |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1186303/full |
| _version_ | 1797635070109941760 |
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| author | Mirjam Körner Mirjam Körner Julia Dinius Nicole Ernstmann Nicole Ernstmann Lina Heier Lina Heier Corinna Bergelt Corinna Bergelt Antje Hammer Stefanie Pfisterer-Heise Levente Kriston |
| author_facet | Mirjam Körner Mirjam Körner Julia Dinius Nicole Ernstmann Nicole Ernstmann Lina Heier Lina Heier Corinna Bergelt Corinna Bergelt Antje Hammer Stefanie Pfisterer-Heise Levente Kriston |
| author_sort | Mirjam Körner |
| collection | DOAJ |
| description | IntroductionInterprofessional healthcare teams are important actors in improving patient safety. To train these teams, an interprofessional training program (IPTP) with two interventions (eLearning and blended learning) was developed to cover key areas of patient safety using innovative adult learning methods. The aims of this study were to pilot test IPTP regarding its effectiveness and feasibility. The trial was registered with DRKS-ID: DRKS00012818.MethodsThe design of our study included both a pilot investigation of the effectiveness of the two interventions (eLearning and blended learning) and testing their feasibility (effectiveness-implementation hybrid design). For testing the effectiveness, a multi-center cluster-randomized controlled study with a three-arm design [intervention group 1 (IG1): eLearning vs. intervention group 2 (IG2)]: blended learning (eLearning plus interprofessional in-person training) vs. waiting control group (WCG) and three data collection periods (pre-intervention, 12 weeks post-intervention, and 24 weeks follow-up) was conducted in 39 hospital wards. Linear mixed models were used for the data analysis. The feasibility of IPTP was examined in 10 hospital wards (IG1) and in nine hospital wards (IG2) using questionnaires (formative evaluation) and problem-focused interviews with 10% of the participants in the two intervention groups. The collected data were analyzed in a descriptive exploratory manner.ResultsPilot testing of the effectiveness of the two interventions (eLearning and blended learning) showed no consistent differences between groups or a clear pattern in the different outcomes (safety-related behaviors in the fields of teamwork, error management, patient involvement, and subjectively perceived patient safety). Feasibility checks of the interventions showed that participants used eLearning for knowledge activation and self-reflection. However, there were many barriers to participating in eLearning, for example, lack of time or access to computers at the ward. With regard to in-person training, participants stated that the training content sensitized them to patient-safety-related issues in their everyday work, and that awareness of patient safety increased.DiscussionAlthough the interventions were judged to be feasible, no consistent effects were observed. A possible explanation is that the duration of training and the recurrence rate may have been insufficient. Another conceivable explanation would be that participants became more sensitive to patient safety-critical situations due to their knowledge acquired through the IPTP; therefore, their assessment post-intervention was more critical than before. In addition, the participants reported high pre-measurement outcomes. Future studies should examine the evidence of the intervention within a confirmatory study after adapting it based on the results obtained. |
| first_indexed | 2024-03-11T12:17:02Z |
| format | Article |
| id | doaj.art-ca437266e4d142bca6d78796adb7f915 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-11T12:17:02Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj.art-ca437266e4d142bca6d78796adb7f9152023-11-07T08:02:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-11-011410.3389/fpsyg.2023.11863031186303Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot studyMirjam Körner0Mirjam Körner1Julia Dinius2Nicole Ernstmann3Nicole Ernstmann4Lina Heier5Lina Heier6Corinna Bergelt7Corinna Bergelt8Antje Hammer9Stefanie Pfisterer-Heise10Levente Kriston11Medical Faculty, Institute of Medical Psychology and Medical Sociology, University of Freiburg, Freiburg, GermanyDepartment of Health Professions, Competence Centre Interprofessionalism, Bern University of Applied Sciences, Bern, SwitzerlandMedical Faculty, Institute of Medical Psychology and Medical Sociology, University of Freiburg, Freiburg, GermanyInstitute for Patient Safety, University Hospital Bonn, Bonn, GermanyChair of Health Services Research, Faculty of Medicine and University Hospital Cologne, Institute of Medical Sociology, Health Services Research and Rehabilitation Science, University of Cologne, Cologne, GermanyInstitute for Patient Safety, University Hospital Bonn, Bonn, GermanyDepartment for Psychosomatic Medicine and Psychotherapy, Center for Health Communication and Health Services Research, University Hospital Bonn, Bonn, GermanyDepartment of Medical Psychology, University Medicine Greifswald, Greifswald, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyInstitute for Patient Safety, University Hospital Bonn, Bonn, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyIntroductionInterprofessional healthcare teams are important actors in improving patient safety. To train these teams, an interprofessional training program (IPTP) with two interventions (eLearning and blended learning) was developed to cover key areas of patient safety using innovative adult learning methods. The aims of this study were to pilot test IPTP regarding its effectiveness and feasibility. The trial was registered with DRKS-ID: DRKS00012818.MethodsThe design of our study included both a pilot investigation of the effectiveness of the two interventions (eLearning and blended learning) and testing their feasibility (effectiveness-implementation hybrid design). For testing the effectiveness, a multi-center cluster-randomized controlled study with a three-arm design [intervention group 1 (IG1): eLearning vs. intervention group 2 (IG2)]: blended learning (eLearning plus interprofessional in-person training) vs. waiting control group (WCG) and three data collection periods (pre-intervention, 12 weeks post-intervention, and 24 weeks follow-up) was conducted in 39 hospital wards. Linear mixed models were used for the data analysis. The feasibility of IPTP was examined in 10 hospital wards (IG1) and in nine hospital wards (IG2) using questionnaires (formative evaluation) and problem-focused interviews with 10% of the participants in the two intervention groups. The collected data were analyzed in a descriptive exploratory manner.ResultsPilot testing of the effectiveness of the two interventions (eLearning and blended learning) showed no consistent differences between groups or a clear pattern in the different outcomes (safety-related behaviors in the fields of teamwork, error management, patient involvement, and subjectively perceived patient safety). Feasibility checks of the interventions showed that participants used eLearning for knowledge activation and self-reflection. However, there were many barriers to participating in eLearning, for example, lack of time or access to computers at the ward. With regard to in-person training, participants stated that the training content sensitized them to patient-safety-related issues in their everyday work, and that awareness of patient safety increased.DiscussionAlthough the interventions were judged to be feasible, no consistent effects were observed. A possible explanation is that the duration of training and the recurrence rate may have been insufficient. Another conceivable explanation would be that participants became more sensitive to patient safety-critical situations due to their knowledge acquired through the IPTP; therefore, their assessment post-intervention was more critical than before. In addition, the participants reported high pre-measurement outcomes. Future studies should examine the evidence of the intervention within a confirmatory study after adapting it based on the results obtained.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1186303/fullpatient safetyteamworkpatient involvementerror managementhealthcaretraining |
| spellingShingle | Mirjam Körner Mirjam Körner Julia Dinius Nicole Ernstmann Nicole Ernstmann Lina Heier Lina Heier Corinna Bergelt Corinna Bergelt Antje Hammer Stefanie Pfisterer-Heise Levente Kriston Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study Frontiers in Psychology patient safety teamwork patient involvement error management healthcare training |
| title | Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study |
| title_full | Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study |
| title_fullStr | Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study |
| title_full_unstemmed | Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study |
| title_short | Effectiveness and feasibility of an interprofessional training program to improve patient safety—A cluster-randomized controlled pilot study |
| title_sort | effectiveness and feasibility of an interprofessional training program to improve patient safety a cluster randomized controlled pilot study |
| topic | patient safety teamwork patient involvement error management healthcare training |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1186303/full |
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