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MacKenzie D, Sibbald K, Sponagle K, Hickey E, Creaser G, Hebert K, Gubitz G, Mishra A, Nicholson M, Sarty GE. Developing pre-licensure interprofessional and stroke care competencies through skills-based simulations. J Interprof Care 2024:1-11. [PMID: 38978481 DOI: 10.1080/13561820.2024.2371339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 06/18/2024] [Indexed: 07/10/2024]
Abstract
Interprofessional collaboration (IPC) in stroke care is accepted as best practice and necessary given the multi-system challenges and array of professionals involved. Our two-part stroke team simulations offer an intentional interprofessional educational experience (IPE) embedded in pre-licensure occupational therapy, physical therapy, pharmacy, medicine, nursing and speech-language pathology curricula. This six-year mixed method program evaluation aimed to determine if simulation delivery differences necessitated by COVID-19 impacted students' IPC perception, ratings, and reported learning. Following both simulations, the Interprofessional Collaborative Competency Assessment Scale (ICCAS) and free-text self-reported learning was voluntarily and anonymously collected. A factorial ANOVA using the ICCAS interprofessional competency factors compared scores across delivery methods. Content and category analysis was done for free-text responses. Overall, delivery formats did not affect positive changes in pre-post ICCAS scores. However, pre and post ICCAS scores were significantly different for interprofessional competencies of roles/responsibilities and collaborative patient/family centered approach. Analysis of over 10,000 written response to four open-ended questions revealed the simulation designs evoked better understanding of others' and own scope of practice, how roles and shared leadership change based on context and client need, and the value of each team member's expertise. Virtual-experience-only students noted preference for an in-person stroke clinic simulation opportunity.
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Affiliation(s)
- Diane MacKenzie
- Interprofessional Education Coordinator, Faculty of Health, Dalhousie University, Halifax, Canada
- School of Occupational Therapy, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Kaitlin Sibbald
- School of Occupational Therapy, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Kim Sponagle
- College of Pharmacy, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Ellen Hickey
- School of Communication Sciences & Disorders, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Gail Creaser
- School of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Kim Hebert
- School of Nursing, Faculty of Health, Dalhousie University, Halifax, Canada
| | - Gordon Gubitz
- Neurology, Faculty of Medicine, Dalhousie University & Nova Scotia Health Authority, Halifax, Canada
| | - Anu Mishra
- Ophthalmology, Faculty of Medicine, Dalhousie University & Nova Scotia Health Authority, Halifax, Canada
| | - Marc Nicholson
- Pediatrics, Faculty of Medicine- NB, Dalhousie University & Horizon Health Network, Saint John, Canada
| | - Gordon E Sarty
- Psychology and Health Studies, University of Saskatchewan, Saskatoon, Canada
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Gavilanes JS, Saengpattrachai M, Rivera-Tutsch AS, Robinson L, Petchkrua W, Gold JA. A Train-the-Trainer Simulation Program Implemented Between Two International Partners. ATS Sch 2024; 5:32-44. [PMID: 38585578 PMCID: PMC10994222 DOI: 10.34197/ats-scholar.2023-0025ps] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2023] [Accepted: 10/10/2023] [Indexed: 04/09/2024] Open
Abstract
With the expansion of global health initiatives focused on healthcare professional training, it is important to ensure that such training is scalable and sustainable. Simulation-based education (SBE) is a highly effective means to achieve these goals. Although SBE is widely used in the United States, its integration globally is limited, which can impact the potential of SBE in many countries. The purpose of this perspective piece is to demonstrate how a train-the-trainer program can help in the development of an international SBE program and specifically what unique issues must be considered in operationalizing this strategy.
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Affiliation(s)
| | | | | | - Lish Robinson
- Oregon Health & Science University, Portland, Oregon; and
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Kumar ES, Parameswari A, Manickam A, Purva M. Establishment of a simulation centre: Challenges and solutions. Indian J Anaesth 2024; 68:45-51. [PMID: 38406339 PMCID: PMC10893810 DOI: 10.4103/ija.ija_1232_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 12/23/2023] [Accepted: 12/24/2023] [Indexed: 02/27/2024] Open
Abstract
The change in curriculum and increasing need for active healthcare professionals providing quality patient care has emphasised simulation-based regular training, reskilling and simulation centres to deliver these. However, there is limited literature on how to establish a simulation centre and overcome the challenges relating to developing faculty and maintaining the financial viability of these centres. Our review focuses on this gap in the current literature. The findings are presented as 1) identification of the methods of establishing a simulation centre, 2) setting up the resource in a simulation centre and 3) faculty development and curricular integration in a simulation centre. The space of a simulation centre depends on the organisation's or training body's needs. There is no single design which is recommended. Establishing a simulation centre should consider the needs of the organisation, educators and learners along with the available resources and ensure that curriculum integration and standards are met.
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Affiliation(s)
- E.J. Sree Kumar
- Department of Anesthesiology and Pain Medicine, SRIHER, Chennai, Tamil Nadu, India
| | - Aruna Parameswari
- Department of Anesthesiology and Pain Medicine, SRIHER, Chennai, Tamil Nadu, India
| | | | - Makani Purva
- Department of Anaesthesiology, Hull Teaching Hospitals NHS Trust and Professor of Simulation, Hull York Medical School, Hull, UK
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Using Standardized Patient Simulation in Undergraduate Nursing Education: A Scoping Review. Clin Simul Nurs 2022. [DOI: 10.1016/j.ecns.2022.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Implementação de boas práticas em simulação clínica no ensino em enfermagem. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao00347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
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Kaneko RMU, Monteiro I, Lopes MHBDM. Form for planning and elaborating high fidelity simulation scenarios: A validation study. PLoS One 2022; 17:e0274239. [PMID: 36170273 PMCID: PMC9518865 DOI: 10.1371/journal.pone.0274239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 08/05/2022] [Indexed: 11/24/2022] Open
Abstract
Every human being has the right to safe, dignified and harm-free care in health institutions. High fidelity simulation has been used in teaching for the training and continuing education of health professionals to promote quality, safe and humanized patient care. Elaborating scenarios is an important phase to provide a simulation-based experience, and is relevant in the teaching-learning process. The objective of this study was to validate the content and applicability of the High Fidelity Simulation Scenario Planning and Development Form and its Operational Manual. The form could be used to development of scenarios to medicine, nursing, physiotherapy and as well as other specialties in the healthcare. This was a methodological validation study of the form and its manual content by experts in simulation and its feasibility, conducted in two phases: Phase 1: eight experts were selected using the “snowball” sampling technique to validate the content measured by the content validity index; Phase 2 (test): the form and its operational manual validated by the experts were made available to 28 participants in order to elaborate scenarios for the feasibility assessment and participation in the focus group. All items in the form and in the operational manual reached a content validity index above 0.80. The total content validity index was 0.98. The evaluation of the usability of the instruments carried out by the participants reached a percentage above 96.43% in all alternatives except for the item “It was easy to use the form to build your scenario” (75%). Eight participants were present in the focus group. Focus group discussions were categorized into completeness, practicality and usefulness according to comments and suggestions. The form and its operational manual proved to be valid instruments.
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Affiliation(s)
| | - Inês Monteiro
- Faculty of Nursing, University of Campinas, Campinas, São Paulo, Brazil
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Virtual Simulation for Advanced Practice Registered Nurse Students: Adapting to Shortage of Clinicals. J Nurse Pract 2022. [DOI: 10.1016/j.nurpra.2022.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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