Abstract
BackgroundPatient safety education, as well as the safety climate at clinical rotations, has an impact on students’ attitudes. We explored medical students’ self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training.MethodsIn a prospective cohort study we explored Swedish medical students’ attitudes to patient safety, their motivation to participate in SBTT and how motivation was affected by the training. The setting was an integrated SBTT course during the surgical semester that focused on non-technical skills and safe treatment of surgical emergencies. Data was collected using the Situational Motivation Scale (SIMS) and the Attitudes to Patient Safety Questionnaire (APSQ).ResultsWe found a positive correlation between students’ individual patient safety attitudes and self-reported motivation (identified regulation) to participate in SBTT. We also found that intrinsic motivation increased after training. Female students in our study scored higher than males regarding some of the APSQ sub-scores and the entire group scored higher or on par with comparable international samples.ConclusionIn order to enable safe practice and professionalism in healthcare, students’ engagement in patient safety education is important. Our finding that students’ patient safety attitudes show a positive correlation to motivation and that intrinsic motivation increases after training underpins patient safety climate and integrated teaching of patient safety issues at medical schools in order to help students develop the knowledge, skills and attitudes required for safe practice.
Highlights
Patient safety education, as well as the safety climate at clinical rotations, has an impact on students’ attitudes
The main aims of the present study were to investigate a possible correlation between self-assessed patient safety attitudes and situational motivation and if simulation-based teamwork training (SBTT) motivates to further training
Situational motivation Intrinsic motivation and identified regulation improved after training
Summary
As well as the safety climate at clinical rotations, has an impact on students’ attitudes. We explored medical students’ self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training. Patient safety is an unquestionable goal of healthcare and education in the healthcare professions [1]. SBTT is recommended in order to enhance continuous professional development and patient safety [3]. Students’ motivation is known to be of prime importance for learning but so far little is known about medical students situational motivation regarding SBTT [8, 9]. Students who are highly motivated will increase their efforts, raise their goals and perform better
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