How Can We Enhance Care Quality For Older People? Staff Perspectives On Simulation-Based Multi-Disciplinary Team Training

Background Recent studies suggest that simulation training for geriatric medicine is useful and potentially very effective to improve teamwork, coordination of care and the patient experience. [1] This project aimed to design a ward-based, sustainable simulation training programme for multidisciplinary healthcare staff in an older persons’ unit. Methods To ensure the training was appropriate to the ward context, we conducted semi-structured, face-to-face interviews with staff from the multi-disciplinary team (n=27). Interview topics included; staff views on quality of care, the current service, team work, communication and how care could be improved. Staff were asked what the programme might include to enhance multi-disciplinary care on the ward and what they would like to learn from participation. Results The majority of staff believe patients have a largely positive experience on the ward despite staff shortages. Good elderly care was associated with: a holistic approach to care, patient-centred care, multi-disciplinary teamwork and respecting the patient. Suggestions for inclusion in the programme were identified. Staff identified the following areas for personal learning; team building, receiving feedback from other disciplines, increased awareness of core issues affecting the patient and a better grasp of the system of care for the elderly. Conclusions Previous research suggests simulation training can play a role in enhancing team work and the patient experience. Prior consultation with staff can guide programme content by highlighting staff perceptions of the current service, identifying priorities for staff and service development and providing suggestions for the programme. The research continues with further interviews with patients and carers