Bridging the gap: Reflections on teaching interprofessional communication to undergraduate paramedic and nursing students

How to Cite

Johnston T, MacQuarrie A, Rae J. Bridging the gap: Reflections on teaching interprofessional communication to undergraduate paramedic and nursing students. Australasian Journal of Paramedicine [Internet]. 2014Jul.17 [cited 2021Nov.28];11(4). Available from:



The literature emphasises the vital importance of interprofessional communication during clinical handover as being paramount to patient safety. At Charles Sturt University we explored how simulation can be employed in an interprofessional education (IPE) exercise exposing paramedic and nursing students to a high-pressure emergency department wherein they must engage in patient handover.


Over a 4-day period in April 2012, 200 paramedic and nursing students participated in an intensive simulation exercise where they practised interprofessional communication. The project team subsequently debriefed all student and staff members to gain insight through the participants’ experiences.


Our results demonstrated that students become more comfortable interacting and communicating with other team members during scenarios. In addition to experiencing first hand that IPE is an effective tool for developing communication skills, we determined that this could be successfully facilitated in a large-scale simulated IPE to help students develop a shared understanding between disciplines.


Academics can work horizontally across disciplines to employ IPE in simulation as an educational tool to teach vital communication skills; and with paramedicine now being taught alongside nursing in tertiary centres, universities are well positioned to support collaborative interprofessional practice and communication.


Bost N, Crilly J, Patterson E, Chaboyer W. Clinical handover of patients arriving by ambulance to a hospital emergency department: a qualitative study. Int Emerg Nurs 2012;20(3):133–41.

Australian Commission on Safety and Quality in Health Care. Windows into safety and quality in health care. 2008, Sydney, ACSQHC. Available at:

Lapkin S, Levett-Jones T, Gilligan C. A cross-sectional survey examining the extent to which interprofessional education is used to teach nursing, pharmacy and medical students in Australian and New Zealand universities. J Interprof Care 2012;26(5):390–6.

Missen K, Jacob ER, Barnett T, Walker L, Cross M. Interprofessional clinical education: clinicians’ views on the importance of leadership. Collegian 2012;19(4):189–95.

Hammick M, Freeth D, Koppel I, Reeves S, Barr H. A best evidence systematic review of interprofessional education: BEME Guide no. 9. Med Teach 2007;29(8):735–51.

Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emerg Med Australas 2013;25(5):393–405.

Hitchcock M, Crilly J, Gillespie B, Chaboyer W, Tippett V, Lind J. The effects of ambulance ramping on emergency department length of stay and in-patient mortality' Australas Emerg Nurs J 2010;13(1-2):17–24.

Kenaszchuk C, MacMillan K, van Soeren M, Reeves S. Interprofessional simulated learning: short-term associations between simulation and interprofessional collaboration. BMC Med 2011;9:29.

Williams B, French J, Brown T. Can interprofessional education DVD simulations provide an alternative method for clinical placements in nursing? Nurse EducToday 2009;29(6):666–70.

Dagnone J, McGraw R, Pulling C, Patteson A. Interprofessional resuscitation rounds: a teamwork approach to ACLS education. Med Teach 2008;30(2):49–54.

Centre for the Advancement of Interprofessional Education. Defining IPE. 2011. Available at: [Accessed 1 October 2013].

Garrett BM, MacPhee M, Jackson C. Implementing high-fidelity simulation in Canada: reflections on 3 years of practice. Nurse Educ Today 2011;31(7):671–6.

Sinclair B, Ferguson K. Integrating simulated teaching/learning strategies in undergraduate nursing education. Int J Nurs Educ Scholarsh 2009;6:Article 7.

Gaba DM. The future vision of simulation in health care. Qual Saf Health Care 2004;13(Suppl 1):i2–10.

Michau R, Roberts S, Williams B, Boyle M. An investigation of theory-practice gap in undergraduate paramedic education. BMC Med Educ 2009;9(1):23.

Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ 2005;30(4):172–7.

Stewart M, Kennedy N, Cuene‐Grandidier H. Undergraduate interprofessional education using high‐fidelity paediatric simulation. Clin Teach 2010;7(2):90–6.

Aggarwal R, Mytton O, Derbrew M, et al. Training and simulation for patient safety. Qual Saf Health Care 2010;19(Suppl 2):i34–43.

Hsu E. Role-event gaming simulation in management education: a conceptual framework and review. Simul Gaming 1989;20(4):409–38.

Petranek CF, Corey S, Black R. Three levels of learning in simulations: participating, debriefing, and journal writing. Simul Gaming 1992;23(2):174.

Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety?: Self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin 2007;25(2):225–36.

Kohn LT, Corrigan JM, Donaldson MS, editors. To Err Is Human: Building a Safer Health System. Washington DC: National Academies Press, 2000.

Manser T, Foster S. Effective handover communication: an overview of research and improvement efforts. Best Pract Res Clin Anaesthesiol 2011;25(2):181–91.

Landman AB, Spatz ES, Cherlin EJ, Krumholz, HM, Bradley EH, Curry LA. Hospital collaboration with emergency medical services in the care of patients with acute myocardial infarction: perspectives from key hospital staff. Ann Emerg Med 2013;61(2):185–95.

Kilcoyne M, Dowling M. Working in an overcrowded accident and emergency department: nurses' narratives. Aust J Adv Nurs 2007;25(2):21–7.

Morison S, Boohan M, Moutray M, Jenkins J. Developing pre-qualification inter-professional education for nursing and medical students: sampling student attitudes to guide development. Nurse Educ Pract 2004;4(1):20–9.

Bourke L, Sheridan C, Russell U, Jones G, DeWitt D, Liaw ST. Developing a conceptual understanding of rural health practice. Aust J Rural Health 2004;12(5):181–6.

Piterman L, Newton JM, Canny BJ. Interprofessional education for interprofessional practice: does it make a difference? Med J Aust 2010;193(2):92–3.

Whelan J, Spencer J, Dalton L. Building rural health care teams through interprofessional simulation-based education. 10th National Rural Health Conference, 2009, Cairns, Queensland, Australia.

Hou X, Rego J, Service M. Paramedic education opportunities and challenges in Australia. Emerg Med Australas 2013;25(2):114–9.

Wilhelmsson M, Pelling S, Ludvigsson J, Hammar M, Dahlgren LO, Faresjo T. Twenty years experiences of interprofessional education in Linkoping - ground-breaking and sustainable. J Interprof Care 2009;23(2):121–33.

Worthen BR, Sanders JR, Fitzpatrick JL. Program evaluation. 2nd edn. White Plains, New York: Longman, 1997, p. 24.

Lederman L. Debriefing: a critical reexamination of the postexperience analytic process with implications for its effective use. Simul Games 1984;415–31.

Osterman KF, Kottkamp RB. Reflective practice for educators. Newbury Park: Corwin Press, 1993.

Ghaye T. Teaching and Learning through Reflective Practice: A Practical Guide for Positive Action. 2nd edn. New York: Hoboken, Taylor and Francis, 2010, p. 221.

Mu K, Chao CC, Jensen GM, Royeen CB. Effects of interprofessional rural training on students' perceptions of interprofessional health care services. J Allied Health 2004;33(2):125–31.

Johns C. The value of reflective practice for nursing. J Clin Nurs 1995;4(1):23–30.

Cox E. Adult learners learning from experience: Using a reflective practice model to support work‐based learning. Reflect Pract 2005;6(4):459–72.

Kilminster S, Hale C, Lascelles M, et al. Learning for real life: Patient‐focused interprofessional workshops offer added value. Med Educ 2004;38(7):717–26.

Tucker K, Wakefield A, Boggis C, Lawson M, Roberts T, Gooch J. Learning together: clinical skills teaching for medical and nursing students. Med Educ 2003;37(7):630–7.

Beaubien JM, Baker DP. The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care 2004;13(Suppl 1):i51–6.

Paramedics Australasia. Board Strategic Plan 2011–2014. Availble at: [Accessed 5 October 2013].