Kirkpatrick evaluation of interprofessional simulation-based education for peroperative crisis resource management

Abstract

Introduction Crisis management is acknowledged as key to ensuring patient safety in operating room (OR) practice. Interprofessional education aims to teach different professions how to work effectively together. In interprofessional simulation-based education (IPSE), debriefing can be challenging, as participants may feel shy and intimidated about reflecting upon their performance in front of peers from other professions. This study aims to evaluate IPSE crisis resource management training according to the Kirkpatrick model. Methods Teams consisting of one anesthesia resident/fellow, one surgical resident/fellow and one circulating OR nurse, underwent 2 different simulated scenarios with one video-assisted, expert instructor-lead team debriefing in between. The crisis scenarios used a hybrid simulation, combining a virtual reality laparoscopic trainer and a high-fidelity computer enhanced mannikin in a realistic operating room environment. Immediately after the session participants evaluated the program using an anonymous questionnaire, rating their experience. The questionnaire approached level 1 (Learners' views on the learning experience) and 2a (modification of attitudes and perceptions) according to the modified Kirkpatrick model. Results Eighteen teams (54 individuals) each participated in two scenarios and one expert instructor-lead debriefing for a total of 36 scenarios and 18 debriefings. All participants, but one nurse, evaluated the training session. Conclusions IPSE for peroperative crisis resource management training was feasible and very well received by the 3 professions. Expert instructor-lead team debriefing didn't appear to be a barrier to the implementation of routine IPSE crisis resource management training. Further studies should investigate the impact of such programs on higher Kirkpatrick levels.