Interprofessional Simulation: Developing Teamwork Using a Two-Tiered Debriefing Approach

Abstract

Background: Effective interprofessional education (IPE) positively impacts the quality of care. This article evaluates the effectiveness of an IPE simulation model that employed a two-tiered debriefing process with a cohort of medical, physiotherapy, and nursing students. Methods: Using The TeamSTEPPS, Team Performance Observation Tool as a framework, this mixed methods study used observation, survey, and interview methods to collect data and evaluate the impact of a two-tiered debrief approach on students learning interprofessional communication and teamwork. The two-tiered approach consisted of two separate debriefings. These occurred concurrently after the simulation. The first debrief dealt with the scenario, clinical decision-making, and client outcomes. The second incorporated feedback from the Team Performance Observation Tool and focused learners on teamwork and communication. Results: Positive changes in practice were demonstrated after debriefing in subsequent simulations, with statistically significant ratings suggesting that items for which students were given feedback for improvement were indeed improved in the next simulation. Furthermore, students reported significant learning, understanding other team member roles, strategies for team communication, and practical experience that substantially increased competencies and confidence in working together as a team. Conclusions: Overall, the IPE experience and design was successful. Further studies using this model with a larger sample would inform development of this model for effective use in health care education.