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      Implementing successful interprofessional communication opportunities in health care education: a qualitative analysis

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          Abstract

          Objectives

          To explore the experience of an interprofessional communication educational intervention among nursing and medical students.

          Methods

          Forty-five medical students and 50 nursing students participated in two-hour-long interprofessional communication skills education sessions with interprofessional groups of 6-8 students each. The sessions were based on the Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS TM) curriculum. Problematic communication scenarios were presented and then reenacted by the students with role plays that depicted improvements in interprofessional communication. Afterward, narratives describing their experience were collected from a focus group interview. Using the conventional content analysis approach, key phrases and statements were coded into themes.

          Results

          The study found that students felt increased competence and confidence when responding to conflict after practicing communication in a safe environment. Based on the opportunity to come to know their colleagues, students recognized that patient safety was a shared goal. Six themes were extracted from the narratives describing their experiences: support for process, patient safety, coming to know colleague, support for tools, respectful collaboration, and barriers to communication.

          Conclusions

          TeamSTEPPS TM provided a framework for effective and respectful collaboration. A significant barrier identified by students was that these communication techniques were not consistently demonstrated during their clinical experiences. An emphasis on interprofessional communication skills and teamwork should begin in the academic setting and be reinforced in both the formal and hidden curricula.

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          Most cited references15

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          Decoding the learning environment of medical education: a hidden curriculum perspective for faculty development.

          Medical student literature has broadly established the importance of differentiating between formal-explicit and hidden-tacit dimensions of the physician education process. The hidden curriculum refers to cultural mores that are transmitted, but not openly acknowledged, through formal and informal educational endeavors. The authors extend the concept of the hidden curriculum from students to faculty, and in so doing, they frame the acquisition by faculty of knowledge, skills, and values as a more global process of identity formation. This process includes a subset of formal, formative activities labeled "faculty development programs" that target specific faculty skills such as teaching effectiveness or leadership; however, it also includes informal, tacit messages that faculty absorb. As faculty members are socialized into faculty life, they often encounter conflicting messages about their role. In this article, the authors examine how faculty development programs have functioned as a source of conflict, and they ask how these programs might be retooled to assist faculty in understanding the tacit institutional culture shaping effective socialization and in managing the inconsistencies that so often dominate faculty life. © by the Association of American Medical Colleges.
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            The influence of shared mental models on team process and performance.

            The influence of teammates' shared mental models on team processes and performance was tested using 56 undergraduate dyads who "flew" a series of missions on a personal-computer-based flight-combat simulation. The authors both conceptually and empirically distinguished between teammates' task- and team-based mental models and indexed their convergence or "sharedness" using individually completed paired-comparisons matrices analyzed using a network-based algorithm. The results illustrated that both shared-team- and task-based mental models related positively to subsequent team process and performance. Furthermore, team processes fully mediated the relationship between mental model convergence and team effectiveness. Results are discussed in terms of the role of shared cognitions in team effectiveness and the applicability of different interventions designed to achieve such convergence.
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              Qualitative research methods for medical educators.

              This paper provides a primer for qualitative research in medical education. Our aim is to equip readers with a basic understanding of qualitative research and prepare them to judge the goodness of fit between qualitative research and their own research questions. We provide an overview of the reasons for choosing a qualitative research approach and potential benefits of using these methods for systematic investigation. We discuss developing qualitative research questions, grounding research in a philosophical framework, and applying rigorous methods of data collection, sampling, and analysis. We also address methods to establish the trustworthiness of a qualitative study and introduce the reader to ethical concerns that warrant special attention when planning qualitative research. We conclude with a worksheet that readers may use for designing a qualitative study. Medical educators ask many questions that carefully designed qualitative research would address effectively. Careful attention to the design of qualitative studies will help to ensure credible answers that will illuminate many of the issues, challenges, and quandaries that arise while doing the work of medical education. Copyright © 2011 Academic Pediatric Association. All rights reserved.
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                Author and article information

                Journal
                Int J Med Educ
                Int J Med Educ
                IJME
                International Journal of Medical Education
                IJME
                2042-6372
                22 December 2013
                2013
                : 4
                : 253-259
                Affiliations
                [1 ]Christine E. Lynn College of Nursing at Florida Atlantic University, Boca Raton, Florida, USA
                [2 ]University of Miami Miller School of Medicine, Regional Medical Campus. Boca Raton, Florida, USA
                [3 ]Charles E. Schmidt College of Medicine at Florida Atlantic University. Boca Raton, Florida, USA
                Author notes
                Correspondence: Kathryn B. Keller, Christine E. Lynn College of Nursing at Florida Atlantic University at 777 Glades Road, Boca Raton, FL, USA. Email: kkeller@ 123456fau.edu
                Article
                5-103109
                10.5116/ijme.5290.bca6
                4205528
                d5f4600e-a58a-4171-92e5-20d7e7510e4c
                Copyright: © 2013 Kathryn B. Keller et al.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use of work provided the original work is properly cited. http://creativecommons.org/licenses/by/3.0/

                History
                : 23 November 2013
                Categories
                Research Article
                Interprofessional Communication

                interprofessional communication,teamsteppstm
                interprofessional communication, teamsteppstm

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