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G91(P) What are the barriers to developing a paediatric multidisciplinary team in-situ simulation programme?
  1. S Andreou,
  2. N Williams,
  3. J Ganapathi
  1. Paediatrics, Hillingdon Hospital, London, UK


Introduction Multidisciplinary team (MDT) simulation teaching is endorsed by the NPSA (2009) and the RCPCH as a method of improving patient safety. Best practice simulation training involves MDT members participating in their own roles, which improves authenticity and helps suspend disbelief (McGaghie et al. 2009). It can also enhance the understanding of other professionals’ roles and improve inter-professional relationships (Barr et al. 2014).

As a paediatric department at a District General Hospital in London we run a weekly MDT in-situ simulation programme in which paediatricians, anaesthetists and nurses are invited to participate. Anecdotal evidence suggests that some nursing staff were reluctant to take part in these MDT sessions. We conducted a survey to assess their attitudes to simulation training and to explore any perceived barriers to engagement.

Methods The same single interviewer collected data using a 5 point Likert scale questionnaire which included free comment interview questions. Answers were collected confidentially and stored anonymously. Free comment responses were documented verbatim. Quantitative data was analysed using Excel. Free text comments were analysed into themes using a pragmatic approach to framework analysis and were illustrated using tag word cloud analysis.

Results 22 nurses ranging from students to band 8 nurses completed the questionnaire. They had a range of previous simulation experience and formal resuscitation training. 80% felt their participation was affected by their clinical commitments. Thematic analysis of free comments highlighted that nurses would feel more empowered to attend if there was more senior nursing endorsement. They also felt that sessions led mainly by medical staff could be intimidating and they would be better engaged with a MDT faculty.

Discussion In order to deliver a successful MDT in-situ simulation programme, all members of the team must be engaged in the planning and delivery of the sessions. Our future plan is to train our senior nursing colleagues in simulation facilitation to encourage a top down engagement in our ever growing in situ simulation programme.

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