Rationale

Effective implementation of MPDSR requires a range of capabilities for different stakeholders. It is unclear to what extent existing MPDSR training packages are effective at building these capabilities. There is a need to evaluate effectiveness for influencing behavioural determinants of MPDSR implementation, and then to improve existing materials or develop new materials where these do not exist.  

A key factor in enabling a “learning environment” is to ensure psychological safety of participants. If healthcare teams have psychological safety, employees feel safe in sharing opinions, ask questions and with no negative repercussions when they report a mistake. Such a climate facilitates speaking up, where mistakes are seen as learning opportunities, and differing opinions constitute challenges rather than lead to blame, shame, and punishment. It means that healthcare workers need to take “risks” (e.g. in speaking up) in order to ensure patient safety. Psychological safety allows health care professionals to take the interpersonal risks needed to engage in effective teamwork and to maintain patient safety.

Objectives

• enable institutionalisation of MPDSR into routine practice through pre-service training, ongoing CPD and mentoring.
• review existing training courses for all levels of health workers and stakeholders, and how well they address the requisite capabilities.​
• evaluate and optimise existing courses for the specific contexts of Ethiopia, Ghana and Uganda​.
• co-design and evaluate courses for specific stakeholders where these do not already exist​.