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The FIRST Curriculum: Cultivating Speaking Up Behaviors in the Clinical Learning Environment. | LitMetric

AI Article Synopsis

  • Expressing concerns in patient care is vital for patient safety, but doing so can be challenging due to the existing power dynamics and potential risks involved.* -
  • The FIRST Speaking Up curriculum was created to address both inner and external barriers to speaking up, including personal identity issues, cognitive distortions, and communication skills.* -
  • The curriculum, delivered in interactive workshops, successfully increased participants' motivation to voice their concerns, thereby enhancing both verbal and emotional competencies in communication.*

Article Abstract

Expressing concerns that arise during patient care is essential to protecting patient safety. A speaking up episode occurs within a power hierarchy and carries high potential for personal and professional consequences. Existing curricula that promote speaking up, such as TeamSTEPPS, extensively focus on verbal skills without recognizing the important emotional dimensions of speaking up. We developed the FIRST Speaking Up curriculum that covered the following: (a) inner barriers related to expectations of one's own identity, (b) cognitive distortions associated with speaking up, (c) the speaking up environment, (d) dialogue skills for the speaker and the listener, and (e) resilience strategies. The curriculum was delivered via 2 to 3 hours of interactive workshops to 109 participants, including 40 nursing staff and leaders, 24 plastic surgery residents, and 45 internal medicine residents. Evidence showed that training improved participants' motivations to speak up concerns. Our work expands on existing strategies for speaking up training by targeting both verbal and emotional skills. [J Contin Educ Nurs. 2019;50(8):355-361.].

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Source
http://dx.doi.org/10.3928/00220124-20190717-06DOI Listing

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