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- Title
Internal medicine paging curriculum to improve physician-nurse interprofessional communication: a single center pilot study.
- Authors
Heidemann, Lauren A.; Kempner, Samantha; Walford, Eric; Chippendale, Ryan; Fitzgerald, James T.; Morgan, Helen K.
- Abstract
Effective physician-nurse communication is critical to patient safety, yet internal medicine trainees are rarely given feedback on this skill. In order to address this gap, we developed a 4-week simulated paging curriculum for senior medical students. Standardized Registered Nurses administered five acute inpatient paging cases to students via telephone and scored communication on a 10-point global scale (1 = highly ineffective to 10 = highly effective) and seven communication domains using a 5-point Likert-type scale. The domains included precision/clarity, instructive, directing, assertive, ability to solicit information, engaged, and structured communication. Students received verbal and written feedback from the nurses on communication skills and clinical decision-making. Our primary goal was to determine if student-nurse communication improved throughout the curriculum. Data were analyzed using multivariate ANOVAs with repeated measures. Twenty-seven students participated. Global communication scores increased significantly from case 1 to case 5 (7.1 to 8.7, p <.01). The following communication domains increased significantly: precision (3.8 to 4.4, p <.01), instructive (3.6 to 4.7, p <.01), directing (4.0 to 4.6, p =.02), assertiveness (4.0 to 4.7, p =.04), engaged (4.1 to 4.7, p <.01). In conclusion, this curriculum can be an innovative approach to improve physician-nurse communication using standardized registered nurses to deliver structured feedback to medical trainees.
- Subjects
UNITED States; REPEATED measures design; CURRICULUM; NURSES; INTERNSHIP programs; EDUCATIONAL outcomes; PILOT projects; QUESTIONNAIRES; HOSPITAL nursing staff; COURSE evaluation (Education); DESCRIPTIVE statistics; DECISION making in clinical medicine; MULTIVARIATE analysis; CONTINUING medical education; HOSPITAL medical staff; SIMULATION methods in education; LONGITUDINAL method; MEDICAL students; INTERNAL medicine; NURSE-physician relationships; COMMUNICATION; CLINICAL competence; CURRICULUM planning; MEDICAL schools; ANALYSIS of variance; PROFESSIONAL employee training; COMPARATIVE studies
- Publication
Journal of Interprofessional Care, 2025, Vol 39, Issue 1, p122
- ISSN
1356-1820
- Publication type
Academic Journal
- DOI
10.1080/13561820.2020.1743246