Since the start of the year, at Rennes University Hospital, student nurse anesthetists and anesthesia-intensive care residents have benefited from human factors training sessions together during their course. A first, which should make it possible to improve communication and avoid adverse events, particularly in operating theaters.
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Working together, developing communication within an entire department, better managing your emotions during difficult situations… This is what human factors training, implemented at Rennes University Hospital at the start of 2024, aims to contribute to. Discussing human fallibility allows us to overcome it, both individually and as a team. », assures Dr Lebouvier, PH in surgical resuscitation, expert in human factors, who supervised the first session.
Offered to first-year nursing anesthetist students and anesthesia-resuscitation interns, it allowed them, over two days, to get them to think together about human factors and to acquire good practices in terms of communication and managing their emotions. .
« We designed these sessions so that everyone meets and develops interprofessional relationships in their practices.continues Dr. Thomas Lebouvier. These are educational sessions, in which we provide theoretical elements on human factors, to understand what they are and why it is important to be interested in them. Then, the nursing anesthetist students and the interns participate together in 45-minute practical workshops, in role-playing scenarios and board games. » The workshops cover different themes, such as “How to communicate in the event of disagreement?” » or “How to recharge your batteries in ten minutes?” »
Training in diversity
Although there already exist several DUs and IUDs in human factors in France, this is the first time that human factors are addressed in the initial training of doctors and in specialty training for nurses. “ The idea is that students are trained before arriving in the field independently, by providing them with practical tools to manage their stress and fatigue that they can use on a daily basis in their practice. », explains Dr Lebouvier.
An argument that convinced Bruno Contamin and Jean-Paul Decoene, health executive trainers at the Health Professionals Training Center (PFPS). Slots have been specifically created in students’ schedules so that they can follow this training. “ Today, 70% of serious adverse events are due to the human factor, particularly communication errors. We are committed to training future healthcare professionals, from their initial training, to make collaboration more efficient within operating theaters and avoid errors. », explains Bruno Contamin.
Ultimately, the PFPS would like to be able to extend these human factors training sessions to students from all professions represented in operating theaters: operating theater nursing students and surgical interns. “ The more students are trained, the more of them will adopt good practices in the blocks. But we have difficulty organizing sessions that bring together students with so many different teaching times. », Indicates Bruno Contamin.
An interest for the teams and for the patients
Dr Lebouvier calls for the training of complete teams in anesthesia-resuscitation departments. “ Thanks to the teaching of the human factor, we have developed techniques that make it possible to best manage situations where a patient’s life is in danger while providing psychological safety to the entire team. We are faced with vital failures every day; being trained in human factors allows us to deal with them. »
The thirty interns and student nurse anesthetists who follow the training, provided in two sessions over two years, seem to find it of interest for their professional practice. The first feedback is very encouraging. “ We gave them fairly simple keys to implement on a daily basis which they will be able to use throughout their career, believes Jean-Paul Decoene. We are convinced that training future healthcare professionals in human factors will change the way we work in the future. »
Manuella Binet
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