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Medical students' situational motivation to participate in simulation based team training is predicted by attitudes to patient safety
Umeå University, Faculty of Social Sciences, Department of Psychology. Center for Advanced Medical Simulation and Training (CAMST), Karolinska University Hospital, Stockholm, Sweden.
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2017 (English)In: BMC Medical Education, ISSN 1472-6920, E-ISSN 1472-6920, Vol. 17, 37Article in journal (Refereed) Published
Abstract [en]

Background: Patient safety education, as well as the safety climate at clinical rotations, has an impact on students' attitudes. We explored medical students' self-reported motivation to participate in simulation-based teamwork training (SBTT), with the hypothesis that high scores in patient safety attitudes would promote motivation to SBTT and that intrinsic motivation would increase after training.

Methods: In a prospective cohort study we explored Swedish medical students' attitudes to patient safety, their motivation to participate in SBTT and how motivation was affected by the training. The setting was an integrated SBTT course during the surgical semester that focused on non-technical skills and safe treatment of surgical emergencies. Data was collected using the Situational Motivation Scale (SIMS) and the Attitudes to Patient Safety Questionnaire (APSQ).

Results: We found a positive correlation between students' individual patient safety attitudes and self-reported motivation (identified regulation) to participate in SBTT. We also found that intrinsic motivation increased after training. Female students in our study scored higher than males regarding some of the APSQ sub-scores and the entire group scored higher or on par with comparable international samples.

Conclusion: In order to enable safe practice and professionalism in healthcare, students' engagement in patient safety education is important. Our finding that students' patient safety attitudes show a positive correlation to motivation and that intrinsic motivation increases after training underpins patient safety climate and integrated teaching of patient safety issues at medical schools in order to help students develop the knowledge, skills and attitudes required for safe practice.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD , 2017. Vol. 17, 37
Keyword [en]
Simulator, Teamwork, Medical education, Situational motivation, Attitudes, Patient safety, Surgery, Clinical performance, Crew resource management
National Category
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-133539DOI: 10.1186/s12909-017-0876-5ISI: 000397432200001PubMedID: 28183316OAI: oai:DiVA.org:umu-133539DiVA: diva2:1113779
Available from: 2017-06-22 Created: 2017-06-22 Last updated: 2017-06-22Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf