Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs

Advances in Simulation

Advancing Simulation Practice

Stephanie Barwick¹  Susan Eller²  Komal Bajaj³  Sarah Janssens⁴  Jenny Rudolph⁵ 

[1]Clinical Education, Mater Education, Mater Misericordiae, Brisbane, Australia

[2]Immersive Learning and Learning Spaces, Center for Immersive and Simulation-Based Learning, School of Medicine, Stanford University, 291 Campus Drive, LK311B, Stanford, CA, USA

[3]Obstetrics & Gynecology and Women’s Health, Department of Quality & Safety, NYC H+H Simulation Center, NYC Health + Hospitals/Jacobi, Albert Einstein College of Medicine, Bronx, NY, USA

[4]Obstetrics and Gynaecology, Clinical Simulation, Mater Health, Mater Misericordiae, Brisbane, Australia

[5]Surgery, Health Professions Education, Center for Medical Simulation, Harvard Medical School, Massachusetts General Hospital-Institute for Health Professions, Boston, MA, USA

关键词: In situ simulation;    Prebriefing;    Organizational change;    Healthcare quality;    Patient safety;   

DOI  :  10.1186/s41077-023-00243-6

 received in 2022-05-04, accepted in 2023-01-12,  发布年份 2023

来源: Springer

【 摘 要 】

In situ simulation (ISS) programs deliver patient safety benefits to healthcare systems, however, face many challenges in both implementation and sustainability. Prebriefing is conducted immediately prior to a simulation activity to enhance engagement with the learning activity, but is not sufficient to embed and sustain an ISS program. Longer-term and broader change leadership is required to engage colleagues, secure time and resources, and sustain an in situ simulation program. No framework currently exists to describe this process for ISS programs. This manuscript presents a framework derived from the analysis of three successful ISS program implementations across different hospital systems. We describe eight change leadership steps adapted from Kotter’s change management theory, used to sustainably implement the ISS programs analyzed. These steps include the following: (1) identifying goals of key stakeholders, (2) engaging a multi-professional team, (3) creating a shared vision, (4) communicating the vision effectively, (5) energizing participants and enabling program participation, (6) identifying and celebrating early success, (7) closing the loop on early program successes, and (8) embedding simulation in organizational culture and operations. We describe this process as a “longitudinal prebrief,” a framework which provides a step-by-step guide to engage colleagues and sustain successful implementation of ISS.

【 授权许可】

CC BY   
© The Author(s) 2023

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