Change of collective orientation through an interprofessional training with medical students and student nurses depending on presence and professional group

BACKGROUND

Teamwork is an important success factors for patient treatment. The willingness of a healthcare provider to work in a team can be descripted with the construct of "Collective Orientation" (CO). The level of CO can be trained and is related to team performance. In this study, we investigated the effect of a simulator-based interprofessional training on the subject of patient fall in a hospital setting upon participations CO. To evaluate whether the course could be integrated into a longitudinal education concept, the participants were medical students and student nurses. Since effects of simulations can be influenced by the perceived reality, the results were measured as a function of Presence.

METHOD

In this observation study, 62 medical students and student nurses took part in six one-day interprofessional simulation trainings with the topic patient fall. The primary outcome was the mean difference between the CO measured immediately before (T1) and after the training (T2). The Presence of the participants was measured by questionnaire immediately after the course (T2).

RESULTS

Cronbach´s alpha for all scales and measurement points was higher than 0.69. CO increases over all professional groups from M = 3.42 (SD = 0.39) to M = 3.68 (SD = 0.54) significantly (p < .00; r = .5). Only the subscale "Dominance" in the professional group of the student nurses did not increase significantly. There was no correlation between Presence and the change in CO.

CONCLUSION

The questionnaires of CO and Presence can be applied to medical students and student nurses. The simulation course with the topic patient fall influences the CO and can be integrated in a longitudinal curriculum of teamwork training. The subscale "Dominance" of student nurses did not change. Preparatory learning units may increase the effects. The perceived reality of the scenario is not a main success factor.

Measuring the coherence function of continuous-wave lasers by a photorefractive grating method

We demonstrate a simple, adjustment-insensitive technique for measuring the temporal coherence function of cw multimode and monomode semiconductor lasers, using two-beam coupling in photorefractive InP and CdTe crystals. The emission spectra of the diodes are measured independently. The coherence functions are also calculated from these spectra and agree with the photorefractive measurements. Coupling of two partially coherent waves in low-speed photorefractive media is described theoretically. The range of the experimental parameters in which the method of coherence measurement is correct is given.

Nursing students' perceptions of a child: influence of information on family structure

Sixty-eight undergraduate nursing students from a large university in the mid-western United States volunteered to participate in a study to determine nursing students' perceptions of a preschool-aged child when information about his family structure was presented. Subjects viewed a videotape of a 4-year-old male. Half of the subjects received written information that the child was from a two-parent family; the other half received written information that the child was a member of a single-parent family. Two instruments, the First Impressions Semantic Differential and the Predicted Behaviour of a Hospitalized Child Questionnaire, and a demographic data sheet, were completed by each subject. In general, a child believed to be from a two-parent family tended to be perceived more positively than a child believed to be from a single-parent family structure. However, when viewed as a potential patient on a hospital unit, no significant differences in perceived behaviours were reported.