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
