In situ simulation to assess workplace attitudes and effectiveness in a new facility.
*Attitude of Health Personnel; *Patient Simulation; Adult; Emergency Service; Hospital/*organization & administration; Hospitals; Humans; Inservice Training/methods; Patient Care Team/*organization & administration; Patient Safety/*standards; Self Efficacy; Teaching/organization & administration; Trauma Centers/*organization & administration; Workforce
INTRODUCTION: In situ simulation within new facilities holds the promise of identifying latent safety threats. The aim of this study was to identify if in situ simulation can also impact important employee perceptions and attitudes. METHODS: In the current study, health care professionals of an adult, urban, community teaching hospital level 1 trauma center participated in simulated scenarios in a new emergency department. Before and after the simulated scenarios, participants provided responses to the variables regarding their ability to work in the new facility and other work-related variables. RESULTS: Significant increases in communication (P = 0.05), facility clinical readiness (P \textless 0.05), self-efficacy (P \textless 0.01), trauma readiness (P \textless 0.01), and work space satisfaction (P \textless 0.05) were found from presimulation to postsimulation. The results also demonstrated a significant decrease from presimulation to postsimulation with performance beliefs (P \textless 0.001). Finally, cardiac readiness did not reveal a significant change from presimulation to postsimulation. DISCUSSION: In situ simulation exercises before practicing clinically in a new facility can both increase familiarity with new clinical environments and impact important organizational outcomes. Thus, simulation in a new work space can influence factors important to employees, organizations, and patients.
Gardner Aimee King; Ahmed Rami A; George Richard L; Frey Jennifer A
Simulation in healthcare : journal of the Society for Simulation in Healthcare
2013
2013-12
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/SIH.0b013e31829f7347" target="_blank" rel="noreferrer noopener">10.1097/SIH.0b013e31829f7347</a>
An integrative ideology to guide community-based multidisciplinary care of severely mentally ill patients.
Combined Modality Therapy; Community Mental Health Services/*organization & administration; Comprehensive Health Care/*organization & administration; Health Care/organization & administration; Humans; Interprofessional Relations; Mental Disorders/psychology/*rehabilitation; Patient Care Team/*organization & administration; Quality Assurance; United States
Most practitioners working in community support settings understand the need to provide a comprehensive array of well-coordinated services to individuals with severe mental disabilities. However, a lack of consensus about the conceptual basis of mental health care, especially between advocates of psychosocial rehabilitation and psychiatric practitioners who favor a more medically oriented approach, has hindered efforts to optimize the effectiveness of the multidisciplinary teams found in most community support programs. The authors articulate 18 basic assumptions that have been helpful in their clinical practice in building an integrative ideology among professionals with disparate training and orientations. The assumptions attempt to balance the reality of psychiatric disorders with a fundamental interest in maintaining the autonomy and dignity of people with severe mental disorders.
Munetz M R; Birnbaum A; Wyzik P F
Hospital & community psychiatry
1993
1993-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1176/ps.44.6.551" target="_blank" rel="noreferrer noopener">10.1176/ps.44.6.551</a>