P91 Multi-professional in-situ ward round simulation promotes shared learning whilst breaking down barriers to silo working

Abstract

Background The ward round is central to hospital activity. It is a complex multi-professional multifactorial process with the aim of providing high quality patient centred care in a reliable, reproducible and timely manner. This was recognised in the joint publication Ward Rounds in Medicine from the Royal College of Physicians, Royal College of Nursing where the requirement for structured multidisciplinary rounds and robust training strategies were highlighted. 1 Multi-professional training is linked to patient safety, care and experience. Our aim is to describe and evaluate a multi-professional in-situ ward round simulation programme. Methodology A low-fidelity simulated ward round environment was set up in a designated area on Theatre recovery. The in-situ ward round simulation sessions ran weekly over a period of 5 weeks. The multi-professional group was made up of therapists, junior doctors, senior decision makers, nursing staff, pharmacists, allied health care professionals and patient simulated actors. Two simulated scenarios were completed with an equal share of time devoted to group debrief following each simulation exercise. Emphasis on communication, teamwork and human factors with the impact on patient care, experience and flow was developed. Results A Likert-Scale was used to collate feedback, with overwhelmingly positive results. 94% of respondents agreed or strongly agreed that the in-situ simulated ward rounds were beneficial to their continued professional development (CPD); 88% of respondents felt more confident in understanding the roles of their team members and 75% felt more confident in participating in ward rounds. The debrief exercise was highly regarded as excellent, with 100% of respondents rating it as a useful learning opportunity. The debrief provided a forum for all members of the multi-professional team to input and create a shared learning environment, empowering the participants with an equal voice. Conclusion Multi-professional in-situ low fidelity simulation ward rounds promote shared learning and improved communication whilst removing barriers to silo working. This may result in improved patient care and experience with better patient flow. References . Royal College of Physicians, Royal College of Nursing. Ward rounds in medicine: principles for best practice 2012. London: RCP. . Creamer GL, Dahl A, Pareumal D, et al . Anatomy of the ward round: the time spent in different activities. ANZ Journal of Surgery 2010;80:930–2. . Cohn A. Restore the prominence of the medical ward round. BMJ 2013;347:f6451. . Powell N, Bruce CG, Redfern O. Teaching a good ward round. Clinical Medicine 2015;15:135–8.