Enriching Collaborative Learning in Anesthetic Nursing: Exploring the Influence of Interpersonal Communication
DOI:
https://doi.org/10.14571/brajets.v18.nse1.48-61Keywords:
Interpersonal communication, collaborative learning, clinical performance, SBAR, closed-loop communication, healthcare teamworkAbstract
Nurse anesthetists are pivotal in perioperative and procedural care, where precise communication is crucial for patient safety and effective teamwork. Despite the acknowledged importance of interpersonal communication in healthcare, there is a gap in understanding its specific impact on collaborative learning and clinical performance among nurse anesthetists. This study aims to evaluate how interpersonal communication proficiency influences situational awareness, response times, and decision-making accuracy in nurse anesthetists. The goal is to provide insights that can inform educational curricula and clinical practices. A quantitative research design was employed, involving 12 nurse anesthetists who participated in 10 simulated emergency scenarios. Key performance metrics, including response times and decision-making accuracy, were analyzed in relation to communication strategies such as closed-loop communication and the SBAR tool. Correlation and regression analyses were conducted to assess the relationship between communication effectiveness and clinical performance. The findings reveal that nurse anesthetists who effectively utilized structured communication strategies, like closed-loop communication and SBAR, exhibited faster response times and higher decision-making accuracy. A significant negative correlation was found between response times and communication effectiveness (r = -0.68, p < 0.05), while a positive correlation was observed between communication effectiveness and decision-making accuracy (r = 0.72, p < 0.05). This study underscores the critical role of interpersonal communication in enhancing clinical performance in anesthetic nursing. The results suggest that integrating structured communication training into nurse anesthetist education and fostering a supportive communication culture in healthcare institutions can significantly improve team performance and patient outcomes. However, the study's small sample size and the use of simulated scenarios limit the generalizability of the findings. Future research should explore these dynamics in other medical specialties with larger, more diverse samples, and investigate the long-term impact of communication training using emerging technologies like virtual reality.
References
American Association of Nurse Anesthetists. (2023). Certification and recertification. Retrieved from https://www.aana.com/wp-content/uploads/2023/01/criteria-for-entities-final.pdf
Lemos, C. D. S., & Poveda, V. D. B. (2022). Role of perioperative nursing in anesthesia: a national overview. Revista da Escola de Enfermagem da USP, 56, e20210465.
Dulisse, B., & Cromwell, J. (2010). No harm found when nurse anesthetists work without supervision by physicians. Health Affairs, 29(8), 1469-1475.
Alonso, A., Baker, D. P., Holtzman, A., Day, R., King, H., Toomey, L., & Salas, E. (2006). Reducing medical error in the military health system: how can team training help?. Human Resource Management Review, 16(3), 396-415.
The Joint Commission. (2019). Sentinel event data root causes by event type 2004-2018. The Joint Commission. Retrieved from https://www.jointcommission.org
Kelly, F. E., Frerk, C., Bailey, C. R., Cook, T. M., Ferguson, K., Flin, R., ... & Stacey, M. R. (2023). Human factors in anaesthesia: a narrative review. Anaesthesia, 78(4), 479-490.
Mata, Ádala Nayana de Sousa, Kesley Pablo Morais de Azevedo, Liliane Pereira Braga, Gidyenne Christine Bandeira Silva de Medeiros, Victor Hugo de Oliveira Segundo, Isaac Newton Machado Bezerra, Isac Davidson Santiago Fernandes Pimenta, Ismael Martinez Nicolás, and Grasiela Piuvezam. "Training in communication skills for self-efficacy of health professionals: a systematic review." Human resources for health 19 (2021): 1-9.
Cullen, L., Hanrahan, K., Farrington, M., Tucker, S., & Edmonds, S. (2022). Evidence-based practice in action: Comprehensive strategies, tools, and tips from University of Iowa Hospitals & Clinics. Sigma Theta Tau.
Krampe, F., Fabry, G., & Langer, T. (2022). Overcoming language barriers, enhancing collaboration with interpreters–an interprofessional learning intervention (Interpret2Improve). BMC medical education, 22(1), 170.
Bleakley, A. (Ed.). (2020). Routledge handbook of the medical humanities. Abingdon, England: Routledge.
Zwarenstein, M., Goldman, J., & Reeves, S. (2009). Interprofessional collaboration: effects of practice‐based interventions on professional practice and healthcare outcomes. Cochrane database of systematic reviews, (3).
Thistlethwaite, J. (2012). Interprofessional education: a review of context, learning and the research agenda. Medical education, 46(1), 58-70.
Hammick, M., Freeth, D., Koppel, I., Reeves, S., & Barr, H. (2007). A best evidence systematic review of interprofessional education: BEME Guide no. 9. Medical teacher, 29(8), 735-751.
Liaw, S. Y., Carpio, G. A. C., Lau, Y., Tan, S. C., Lim, W. S., & Goh, P. S. (2018). Multiuser virtual worlds in healthcare education: A systematic review. Nurse education today, 65, 136-149.
Juliá-Sanchis, R., Cabañero-Martínez, M. J., Leal-Costa, C., Fernández-Alcántara, M., & Escribano, S. (2020). Psychometric properties of the health professionals communication skills scale in university students of health sciences. International Journal of Environmental Research and Public Health, 17(20), 7565.
Anderson, J. E., Lavelle, M., & Reedy, G. (2021). Understanding adaptive teamwork in health care: Progress and future directions. Journal of health services research & policy, 26(3), 208-214.
Guttman, O. T., Lazzara, E. H., Keebler, J. R., Webster, K. L., Gisick, L. M., & Baker, A. L. (2021). Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Journal of patient safety, 17(8), e1465-e1471.
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