NightShift simulation to train newly qualified doctors in non-technical skills: a feasibility study

Brown, Michael; Pinchin, James; Valand, Reena; Larkin, Christopher; Pattinson, Joanne; Benning, Kelly; Housley, Gemma; Hatton, Jim; Shaw, Dominick E.; Syrysko, Paul; Sharples, Sarah; Blakey, John

Abstract

There is growing evidence of greater rates of morbidity and mortality in hospitals during out-of-hours shifts, which appears to be exacerbated during the period in which newly qualified doctors commence work. In order to combat this issue, an online simulation of a night shift was developed and trialled in order to improve the non-technical skills of newly qualified doctors and, ultimately, improve clinical outcomes. A randomised feasibility trial of the electronic training simulation was performed with medical students (n=30) at the end of their training and in the initial weeks of working at a large teaching hospital. The study showed that participants in the intervention group completed their non-urgent tasks more rapidly than the control group: mean (SD) time to complete a non-urgent task of 85.1 (50.1) versus 157.6 (90.4) minutes, p=0.027. This difference persisted using linear regression analysis, which was undertaken using rota and task volume as independent cofactors (p=0.028). This study shows the potential for simulation technologies to improve non-technical skills.

Citation

Brown, M., Pinchin, J., Valand, R., Larkin, C., Pattinson, J., Benning, K., …Blakey, J. (2016). NightShift simulation to train newly qualified doctors in non-technical skills: a feasibility study. Future Hospital Journal, 3(2), https://doi.org/10.7861/futurehosp.3-2-94

• Journal Article Type: Article
• Acceptance Date: Jun 1, 2016
• Publication Date: Jun 1, 2016
• Deposit Date: Oct 21, 2016
• Publicly Available Date: Oct 21, 2016
• Journal: Future Hospital Journal
• Print ISSN: 2055-3323
• Electronic ISSN: 2055-3331
• Publisher: Royal College of Physicians
• Peer Reviewed: Peer Reviewed
• Volume: 3
• Issue: 2
• DOI: https://doi.org/10.7861/futurehosp.3-2-94
• Keywords: Out-of-hours Care, Secondary Care, Simulation, Medical Education, Non-technical Skills
• Public URL: https://nottingham-repository.worktribe.com/output/786786
• Publisher URL: http://futurehospital.rcpjournal.org/content/3/2/94.short
• Contract Date: Oct 21, 2016