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- Title
Exploring Cognitive Bias in Health Care Using a Simulation-Enhanced Interprofessional Educational Activity.
- Authors
Smith, Leslie; Hollenbeck, Julie A.; Turkelson, Carman
- Abstract
Purpose To explore how a simulation-enhanced interprofessional experience (sim-IPE) affected students' ability to identify cognitive bias and how interprofessional teams improve patient outcomes. Methods In the sim-IPE group, there were 12 interprofessional teams consisting of at least 1 nursing student and 2 physical therapy students. Eight of the 12 teams also consisted of 1 to 4 radiation therapy students. In the fall semester, the nursing students were scheduled in groups of 11 students and served as a comparison group. This project involved prelearning activities focusing on cognitive bias, participation in a sim-IPE activity focusing on situational awareness, and reflective writing. The students' ability to identify safety threats individually and in teams was evaluated using data collection sheets. Qualitative data was analyzed from reflections. Results Nursing (n = 39), physical therapy (n = 57), and radiation therapy (n = 16) students, and a comparison group of only nursing students (n = 41) participated in the study. The top 3 safety errors identified by participants were exposed bodily fluids, unsecured medications, and a messy room. The sim-IPE group identified poor tissue oxygenation as the biggest safety error. Students from the interprofessional and the comparison groups (92%) identified cognitive bias examples observed in clinical environments. Notably, 42.2% of the sim-IPE group and 14.6% of the comparison group identified interprofessional teamwork as a solution to reducing cognitive bias. Discussion Most students from the interprofessional and the comparison groups have observed cognitive bias situations in the clinical setting and were able to recognize biases. Many students identified interprofessional teams as an opportunity to reduce cognitive bias. Conclusion Cognitive bias exists in health care today and using sim-IPE helped students recognize cognitive bias. This sim- IPE activity provided an opportunity to explore how interprofessional teamwork can reduce cognitive bias and enhance patient care.
- Subjects
IMPLICIT bias; PHYSICAL therapy students; SAFETY; HEALTH occupations students; BODY fluids; COGNITION; MEDICAL care; RADIOLOGIC technologists; QUALITATIVE research; COMPARATIVE studies; DESCRIPTIVE statistics; INTERDISCIPLINARY education; NURSING students; RADIOTHERAPY; REACTIVE oxygen species; REFLECTION (Philosophy); OXYGEN in the body; MEDICAL coding
- Publication
Radiation Therapist, 2022, Vol 31, Issue 1, p27
- ISSN
1084-1911
- Publication type
Article