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Operating room technician trainees teach medical students - an inter-professional peer teaching approach for infection prevention strategies in the operation room.

ABSTRACT: Background:Education is a cornerstone strategy to prevent health-associated infections. Trainings benefit from being interactive, simulation-based, team-orientated, and early in professional socialization. We conceived an innovative inter-professional peer-teaching module with operating room technician trainees (ORTT) teaching infection prevention behavior in the operating room (OR) to medical students (MDS). Methods:ORTT delivered a 2-h teaching module to small groups of MDS in a simulated OR setting with 4 posts: 'entering OR'; 'surgical hand disinfection'; 'dressing up for surgery and preparing a surgical field', 'debriefing'. MDS and ORTT evaluated module features and teaching quality through 2 specific questionnaires. Structured field notes by education specialist observers were analyzed thematically. Results:On Likert scales from -?2 to +?2, mean overall satisfaction was +?1.91 (±0.3) for MDS and?+?1.66 (±0.6 SD) for ORTT while teaching quality was rated +?1.89 (±0.3) by MDS and self-rated with +?1.34 (±0.5) by ORTT. Students and observers highlighted that the training fostered mutual understanding and provided insight into the corresponding profession. Conclusions:Undergraduate inter-professional teaching among ORTT and MDS in infection prevention and control proved feasible with high educational quality. Inducing early mutual understanding between professional groups might improve professional collaboration and patient safety.

SUBMITTER: Breckwoldt J

PROVIDER: S-EPMC6518629 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Operating room technician trainees teach medical students - an inter-professional peer teaching approach for infection prevention strategies in the operation room.

Breckwoldt Jan J Knecht Monika M Massée Ralph R Flach Barbara B Hofmann-Huber Caroline C Kaap-Fröhlich Sylvia S Witt Claudia M CM Aeberhard Ruth R Sax Hugo H

Antimicrobial resistance and infection control 20190514

<h4>Background</h4>Education is a cornerstone strategy to prevent health-associated infections. Trainings benefit from being interactive, simulation-based, team-orientated, and early in professional socialization. We conceived an innovative inter-professional peer-teaching module with operating room technician trainees (ORTT) teaching infection prevention behavior in the operating room (OR) to medical students (MDS).<h4>Methods</h4>ORTT delivered a 2-h teaching module to small groups of MDS in a ...[more]

PMID: 31114677

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Project description:IntroductionSome surgical site infections (SSI) could be prevented by following adequate infection prevention and control (IPC) measures. Poor compliance with IPC measures often occurs due to knowledge gaps and insufficient education of healthcare professionals. The education and training of SSI preventive measures does not usually take place in the operating room (OR), due to safety, and organisational and logistic issues. The proposed study aims to compare virtual reality (VR) as a tool for medical students to learn the SSI prevention measures and adequate behaviours (eg, limit movements…) in the OR, to conventional teaching.Methods and analysisThis protocol describes a randomised controlled multicentre trial comparing an educational intervention based on VR simulation to routine education. This multicentre study will be performed in three universities: Grenoble Alpes University (France), Imperial College London (UK) and University of Heidelberg (Germany). Third-year medical students of each university will be randomised in two groups. The students randomised in the intervention group will follow VR teaching. The students randomised in the control group will follow a conventional education programme. Primary outcome will be the difference between scores obtained at the IPC exam at the end of the year between the two groups. The written exam will be the same in the three countries. Secondary outcomes will be satisfaction and students' progression for the VR group. The data will be analysed with intention-to-treat and per protocol.Ethics and disseminationThis study has been approved by the Medical Education Ethics Committee of the London Imperial College (MEEC1920-172), by the Ethical Committee for the Research of Grenoble Alpes University (CER Grenoble Alpes-Avis-2019-099-24-2) and by the Ethics Committee of the Medical Faculty of Heidelberg University (S-765/2019). Results will be published in peer-reviewed medical journals, communicated to participants, general public and all relevant stakeholders.

Project description:Background: Strain episodes, defined as phases of higher workload, stress or negative emotions, occur everyday in the operating room (OR). Accurate knowledge of when strain is most intense for the different OR team members is imperative for developing appropriate interventions. The primary goal of the study was to investigate temporal patterns of strain across surgical phases for different professionals working in the OR, for different types of operations.Methods: We developed a guided recall method to assess the experience of strain from the perspective of operating room (OR) team members. The guided recall was completed by surgeons, residents, anesthesiologists, circulating nurses and scrub technicians immediately after 113 operations, performed in 5 departments of one hospital in North America. We also conducted interviews with 16 surgeons on strain moments during their specific operation types. Strain experiences were related to surgical phases and compared across different operation types separately for each profession in the OR.Results: We analyzed 693 guided recalls. General linear modeling (GLM) showed that strain varied across the phases of the operations (defined as before incision, first third, middle third and last third) [quadratic (F?=?47.85, p?<?0.001) and cubic (F?=?8.94, p?=?0.003) effects]. Phases of operations varied across professional groups [linear (F?=?4.14, p?=?0.001) and quadratic (F?=?14.28, p?<?0.001) effects] and surgery types [only cubic effects (F?=?4.92, p?=?0.001)]. Overall strain was similar across surgery types (F?=?1.27, p?=?0.28). Surgeons reported generally more strain episodes during the first and second third of the operations; except in vascular operations, where no phase was associated with significantly higher strain levels, and emergency/trauma surgery, where strain episodes occurred primarily during the first third of the operation. Other professional groups showed different strain time patterns.Conclusions: Members of the OR teams experience strain differently across the phases of an operation. Thus, phases with high concentration requirements may highly vary across OR team members and no single phase of an operation can be defined as a "sterile cockpit" phase for all team members.

Dataset Information

Operating room technician trainees teach medical students - an inter-professional peer teaching approach for infection prevention strategies in the operation room.

Publications

Operating room technician trainees teach medical students - an inter-professional peer teaching approach for infection prevention strategies in the operation room.

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