Project phases
1. implementation of TALK© for clinical debriefing in specified units across 3 countries and research to better understand the benefits of structured debriefing (WP3).
2. development and translation of further training materials to support wider uptake of the TALK© tool (WP4).
3. wider dissemination of the TALK© tool across and beyond all participating partners (WP5).
WORK PACKAGE (WP) 1 - PROJECT MANAGEMENT AND COORDINATION
This package has steered the project and addressed all expected and unexpected situations encountered. It has also supported the project, with special attention to financial, logistics, information and coordination issues.
WP2- COMMUNICATION AND DISSEMINATION
We have achieved international recognition within European and global stakeholder communities, as exemplified by the current state of play, with active collaborations in 5 continents.
The project enjoys a wide social media platform including its own website as well as Twitter (@TALKdebriefing), LinkedIn, Instagram and YouTube accounts.
The team has provided worldwide conference presentations.
Events organised during this period include workshops, seminars and international conferences (Cardiff 2018; Stavanger 2019; online conference,Barcelona, 2021).
The TALK Foundation, registered with the Charity Commission, UK, will act as the project’s legacy .
WP3- FRAMEWORK APPLICATION AND RESEARCH
Framework application activities were completed in theatres at CVUHB, critical care training and practice sites at UB and HCB during the first period.
HSHF commenced implementation in October 2019, by establishing learning networks in collaboration with their quality improvement department across a large number of departments.
Research activities completed include:
- Data collection across all clinical sites, initial analysis.
- Publication of the concept paper: Clinical debriefing: TALK© to learn and improve together in healthcare environments, Trends in Anaesthesia and Critical Care, 2021
- Further analysis of CVUHB data, presented at SESAM 2021 conference. Awarded best abstract prize and published as Selected Abstracts from the 26th Annual Meeting of the Society in Europe for Simulation Applied to Medicine: Debriefing in operating theatre areas using the TALK© Framework.
- Collaborative reflection on factors affecting clinical debriefing during COVID, which was published as: Clinical debriefing during the COVID-19 pandemic: hurdles and opportunities for healthcare teams. Advances in Simulation 2021.
WP4- DEVELOPMENT OF FURTHER TRAINING MATERIALS
Training materials have been developed, reviewed and updated when necessary. Translations are available in 8 languages. Our materials are freely downloadable from the TALK website .
The TALK Foundation advocates cascade training, aiming to train instructors who will then deliver local short courses as the main mechanism for teaching and disseminating TALK© within healthcare organisations. Free local training standardised materials will be provided to instructors.
WP5- KNOWLEDGE TRANSFER
Wider implementation within beneficiary institutions has taken place across multiple specialties as well as at a strategic level.
The COVID pandemic has promoted external research and publications on the positive impact of debriefing on resilience and peer support. This has added to the momentum initiated by our group, hence contributing to a wider international adoption of the TALK© approach, with active collaborations in consortium countries (UK, Spain and Norway) and beyond in Netherlands, Denmark, Italy, France, Switzerland, Germany, Portugal, Finland. Argentina, Mexico, Chile, Australia and Niger.
Parallel to the international appetite for implementing the TALK© framework, we have enjoyed growing recognition as a well established safety tool, being referred to or strongly recommended in key guidance articles.
