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BACKGROUND: Training in communication skills between nursing and medical students during interprofessional paediatric emergency simulation training represents a significant aspect of safe patient care. Evidence highlights that poor communication in paediatric emergency scenarios jeopardises patient safety. Through realistic simulations, students practice the communication strategies of crisis resource management (CRM), such as "closed-loop communication", "speaking up", and "team time-out". AIMS: In this study, we aimed to evaluate the impact of interprofessional simulation on enhancing teamwork and communication skills. Additionally, we sought to assess the occurrence of contexts for the three CRM communication strategies during simulations. METHODS: Employing a mixed methods research design, the analysed students completed pre- and post-simulation online questionnaires. To measure attitudes towards interprofessional collaboration, we used the German version of the University of West England Interprofessional Questionnaire (UWE-IP_german), and to measure interprofessional attitudes, we used the Greifswald Questionnaire for the Measurement of Interprofessional Attitudes (Greif Mie), also in German, for both pre- and post-simulation. For qualitative video analysis, we utilised Grounded Theory Methodology (GTM). RESULTS: Following simulation training, we observed a significant improvement (p > 0.001) in the subscale "attitude towards interprofessional learning" of the UWE-IP_german among nursing and medical students. Medical students consistently exhibited a significantly (p < 0.001) more positive attitude towards other professionals in both the pre- and post-simulation assessments. Overall, all the students expressed satisfaction with the interprofessional simulation training. In the qualitative selective coding process, the central phenomenon "participation" could be identified in the coding paradigm. CONCLUSION: This study presents substantial evidence of the learning impact of interprofessional paediatric simulation training on nursing and medical students.
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Quality characteristics in 24-hour care from the perspective of those affected. Results of a pilot study in Austria Abstract. Background: Of the almost 460 000 recipients of care allowance in Austria, 80 % are cared for at home. In 2018, more than 32 000 people were cared for at home by a total of almost 65 000 24-hour caregivers. Isolated work situations in combination with complex illnesses of the clients, often inadequate training and a lack of language skills of the personal carers have a challenging effect on the quality of care. Aim: The aim of the pilot study is to describe quality characteristics in 24-hour personal care from the perspective of the actors involved. The research question relates firstly to the individual experience and secondly to the desired quality of care. Methods: The survey method used is an individual survey along a guideline; the summarising content analysis has been chosen as the evaluation method. Results: A total of 32 interviews were conducted (14 relatives, 1 client, 8 caregivers and 9 DGKP). In the analysis process, it was possible to map all the aspects mentioned using the developed main category "field of action-oriented quality characteristics". These relate to comprehensive everyday care, specialist nursing and medical activities, individual care, language skills and communication, as well as initial and continuing training and interface management. Conclusions: The development of binding quality criteria together with continuous external support is essential to ensure sustainable quality of care. This could be taken over by the established social associations.
