SubmissionId 60857

Accepted Type
Oral

Code
OA2-3-4

Was this work accepted for CCME 2020?
yes

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Innovation

Will the presenter be a:
Other

Presenter Other
Associate Professor, Scientist

Affiliation

Considered for Poster
yes

Title
Getting them to the table: Engaging inter-professional team members to talk about their workplace practices

Length of Presentation

Background/Purpose
We developed a novel tabletop simulation approach to identify workplace practices and intrapartum care providers' underlying rationales for how they work through challenging interprofessional clinical scenarios. These simulations also contributed data to an institutional ethnography exploring the ruling relations influencing workplace practices on the labour and delivery (L&D) unit.

Summary of the Innovation
We combined 'think-aloud' and simulation principles to design an approach for eliciting healthcare professionals' descriptions of how they collaborate in their work on a L&D unit, and their rationalizations for why they work that way. We engaged an interprofessional team of intrapartum clinicians, researchers, and simulation experts to design three tabletop simulation scenarios reflecting key challenges identified from analyzing incident analysis reports (n=81), field observations (75 hours), and semi-structured interviews (n=15). We ran each scenario three times with three separate teams of interprofessional clinicians from the unit.

Conclusion
The tabletop simulations revealed 'disjunctures' in how different professionals interpreted and adhered to key policies and procedures. These scenarios allowed us to examine longitudinal work processes in a condensed timeline, with opportunities to pause and probe, and with reduced focus on individual practitioner's competence. Moreover, participants described how the scenarios opened a productive dialogue between professional groups and suggested this simulation-based approach might contribute to enhanced interprofessional understanding and cultural change. Our innovative tabletop simulations produced rich data about what drives professionals' actions in veritable clinical cases, improved their engagement in change processes, and laid the foundation for informed change of policies and practices on the unit.

Keyword 1
Tabletop Simulation

Keyword 2
Interprofessional simulation

Keyword 3
Policy and practice change

Level of Training
General

Abstract Themes
Inter-professional Education

Additional Theme (First choice)
Patient Safety

Additional Theme (Second Choice)
Continuing Medical Education

Additional Theme (Third Choice)
Leadership

Authors
Presenter
    Ryan Brydges

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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