Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis
Aim NetworkZ is a simulation-based multidisciplinary team-training programme designed to enhance patient safety by improving communication and teamwork in operating theatres (OTs). In partnership with the Accident Compensation Corporation, its implementation across New Zealand (NZ) began in 2017. Ou...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/10/e027122.full |
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| author | Tanisha Jowsey Carmen Skilton Jane Torrie Alan Merry Peter Beaver Jennifer Long A L Garden Kaylene Henderson Jennifer Weller |
| author_facet | Tanisha Jowsey Carmen Skilton Jane Torrie Alan Merry Peter Beaver Jennifer Long A L Garden Kaylene Henderson Jennifer Weller |
| author_sort | Tanisha Jowsey |
| collection | DOAJ |
| description | Aim NetworkZ is a simulation-based multidisciplinary team-training programme designed to enhance patient safety by improving communication and teamwork in operating theatres (OTs). In partnership with the Accident Compensation Corporation, its implementation across New Zealand (NZ) began in 2017. Our aim was to explore the experiences of staff – including the challenges they faced – in implementing NetworkZ in NZ hospitals, so that we could improve the processes necessary for subsequent implementation.Method We interviewed staff from five hospitals involved in the initial implementation of NetworkZ, using the Organising for Quality model as the framework for analysis. This model describes embedding successful quality improvement as a process of overcoming six universal challenges: structure, infrastructure, politics, culture, motivation and learning.Results Thirty-one people participated. Structural support within the hospital was considered essential to maintain staff enthusiasm, momentum and to embed the programme. The multidisciplinary, simulation-based approach to team training was deemed a fundamental infrastructure for learning, with participants especially valuing the realistic in situ simulations and educational support. Participants reported positive changes to the OT culture as a result of NetworkZ and this realisation motivated its implementation. In sites with good structural support, NetworkZ implementation proceeded quickly and participants reported rapid cultural change towards improved teamwork and communication in their OTs.Conclusion Implementation challenges exist and strategies to overcome these are informing future implementation of NetworkZ. Embedding the programme as business as usual across a nation requires significant and sustained support at all levels. However, the potential gains in patient safety and workplace culture from widespread multidisciplinary team training are substantial.Trial registration numberACTRN12617000017325. |
| format | Article |
| id | doaj-art-2bd2418ec1ef40e9ba4380bfa7ba192f |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-2bd2418ec1ef40e9ba4380bfa7ba192f2025-08-20T02:39:31ZengBMJ Publishing GroupBMJ Open2044-60552019-10-0191010.1136/bmjopen-2018-027122Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysisTanisha Jowsey0Carmen Skilton1Jane Torrie2Alan Merry3Peter Beaver4Jennifer Long5A L Garden6Kaylene Henderson7Jennifer Weller81 Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand1 Center for Medical and Health Sciences Education, University of Auckland, Auckland, New Zealand5 Department of Anaesthesia and Perioperative Medicine, Auckland City Hospital, Auckland, New Zealand6 Department of Anaesthesiology, The University of Auckland, Auckland, New Zealand1 Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand1 Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand4 Department of Anaesthesia, Capital and Coast District Health Board, Wellington, New Zealand1 Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New Zealand1 Centre for Medical and Health Sciences Education, The University of Auckland, Auckland, New ZealandAim NetworkZ is a simulation-based multidisciplinary team-training programme designed to enhance patient safety by improving communication and teamwork in operating theatres (OTs). In partnership with the Accident Compensation Corporation, its implementation across New Zealand (NZ) began in 2017. Our aim was to explore the experiences of staff – including the challenges they faced – in implementing NetworkZ in NZ hospitals, so that we could improve the processes necessary for subsequent implementation.Method We interviewed staff from five hospitals involved in the initial implementation of NetworkZ, using the Organising for Quality model as the framework for analysis. This model describes embedding successful quality improvement as a process of overcoming six universal challenges: structure, infrastructure, politics, culture, motivation and learning.Results Thirty-one people participated. Structural support within the hospital was considered essential to maintain staff enthusiasm, momentum and to embed the programme. The multidisciplinary, simulation-based approach to team training was deemed a fundamental infrastructure for learning, with participants especially valuing the realistic in situ simulations and educational support. Participants reported positive changes to the OT culture as a result of NetworkZ and this realisation motivated its implementation. In sites with good structural support, NetworkZ implementation proceeded quickly and participants reported rapid cultural change towards improved teamwork and communication in their OTs.Conclusion Implementation challenges exist and strategies to overcome these are informing future implementation of NetworkZ. Embedding the programme as business as usual across a nation requires significant and sustained support at all levels. However, the potential gains in patient safety and workplace culture from widespread multidisciplinary team training are substantial.Trial registration numberACTRN12617000017325.https://bmjopen.bmj.com/content/9/10/e027122.full |
| spellingShingle | Tanisha Jowsey Carmen Skilton Jane Torrie Alan Merry Peter Beaver Jennifer Long A L Garden Kaylene Henderson Jennifer Weller Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis BMJ Open |
| title | Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis |
| title_full | Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis |
| title_fullStr | Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis |
| title_full_unstemmed | Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis |
| title_short | Towards a safer culture: implementing multidisciplinary simulation-based team training in New Zealand operating theatres - a framework analysis |
| title_sort | towards a safer culture implementing multidisciplinary simulation based team training in new zealand operating theatres a framework analysis |
| url | https://bmjopen.bmj.com/content/9/10/e027122.full |
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