Presented by: Irina Charania RRT, BSc(Hons), Alyshah Kaba MSc, Resident PhD(c), Mirette Dube RRT, MSc, Jennifer Loken RN, BN, Marlene Donahue RN, MN, Ian Wishart MD, Steven Lopushinsky MD, MSc, FRCSC

1. Improving Patient Care by Using Simulation to Empower
Health Professional Preceptors and Mentors to Practice Collaboratively:
A Health Workforce Action Plan Initiative
Irina Charania RRT, BSc(Hons), Alyshah Kaba MSc, Resident PhD(c),
Mirette Dube RRT, MSc, Jennifer Loken RN, BN, Marlene Donahue RN, MN,
Ian Wishart MD, Steven Lopushinsky MD, MSc, FRCSC
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2. Defining the Gap
Across Alberta healthcare providers report they lack the skills related to
interprofessional competencies to be effective preceptors and mentors.
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In order to move towards collaborative care delivery, healthcare teams must
be collectively competent. Team members must move from thinking and
acting as individuals to thinking and acting as a team.
Dr. Lorelei Lingard - Collective Competence, TEDxBayfield
A simulation based intervention was designed to help achieve this.

3. Our Goal
Patients receive care from interprofessional teams in a variety of settings.
Unfortunately there is a paucity of opportunities for practicing healthcare
professionals to gain proficiency in Interprofessional Collaboration
through deliberate practice followed by reflection, especially outside of
critical care areas.
Interprofessional teams of preceptors and mentors were recruited from
three Medical/Surgical Units across AHS to participate in this intervention.
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Unit 201 Pediatric Rehabilitation
- Glenrose Rehabilitation Hospital
Unit 44 Adult Trauma
-Foothills Medical
Centre
Pincher Creek
Hospital
Simulations Activities Debriefing

4. The Intervention
• Invested Interest in
Collaborative Practice
• Preceptors and Mentors
• Simulation Expertise
• One Unit per Zone
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Simulations
Post-Intervention IP Skills
Pre-Intervention IP Skills
eLearning Module
(pre-learning)
Higher Order Thinking Skills
Lower Order Thinking Skills
and
Activities
Pre-test Debriefing Post-test
1 Baker, D.P, Krokos, K.J., Amodeo, A.M. (2008). TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) Manual.
Washington, DC, U.S. Department of Defense, Tricare Management
2 Malec, J.,Torsher, L., Dunn, W. et al. (2007). The Mayo high performance teamwork scale (MHPTS): reliability and
validity for evaluating key crew resource management skills. Simul Healthc, 2, 4–10
3 Marshall D., Hall P., Taniguchi A., Boyle A. (2008). Team OSCEs: Evaluation Methodology or Educational Encounter?
Medical Education, 42(11):1129-30.

5. Results
66 preceptors and mentors, representing 15 professions
(17% Physicians, 47% Nurses, 36% Allied Health)
completed all components of the intervention.
Knowledge Attitudes: T-TAQ1 Behaviours: MHPTS2 and TOSCE3
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MD
PT
OT
SW
RRT
Psychology
Pharmacy
EMT
EMT-P
Rec Therapy
SLP
RN
NP
LPN
A significant change was seen in participants’ knowledge, attitudes and behaviour
performance related to collaborative teamwork competencies (p< 0.05)
1 Baker, D.P, Krokos, K.J., Amodeo, A.M. (2008). TeamSTEPPS Teamwork Attitudes Questionnaire (T-TAQ) Manual. Washington, DC, U.S. Department of Defense, Tricare Management
2 Malec, J.,Torsher, L., Dunn, W. et al. (2007). The Mayo high performance teamwork scale (MHPTS): reliability and validity for evaluating key crew resource management skills. Simul
Healthc, 2, 4–10
3 Marshall D., Hall P., Taniguchi A., Boyle A. (2008). Team OSCEs: Evaluation Methodology or Educational Encounter? Medical Education, 42(11):1129-30.

6. Patient Safety
We were able to demonstrate not only a change in behaviours, we
were also able to change underlying attitudes about patient safety:
“It has increased my
ability to question, clarify
and report back on
medication orders.”
“Without this
experience I would
have just kept
doing what I have
been doing,
without learning
from it.”
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(Rudolf et al., 2007)
Teams that show a high degree of
collective competence are able to more
safely and efficiently address patient
care needs and mitigate adverse events.
Dr. Lorelei Lingard - Collective Competence, TEDxBayfield

7. Partnership
The role of the patient as part of the collaborative team
was emphasized throughout the intervention:
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“I now have increased
confidence to speak
up and advocate for
patients in difficult
situations.”
“If patients see you
working together as a
team it increases their
trust in you.”
“I am more inclined to
follow-up about missing
orders, leading to timely
treatment and decreased
length of stay.”

8. Lessons Learned
Our intervention suggests that a targeted IPE simulation based
intervention results in a changes in attitudes, knowledge, and behaviours,
specific to collaborative practice.
Central to our mandate is aligning this initiative with the stakeholders.
Plans are currently underway to develop a sustainability plan for this
initiative, including dissemination of educational resources.
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