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Licensed Unlicensed Requires Authentication Published by De Gruyter January 8, 2014

Simulation Education Approaches to Enhance Collaborative Healthcare: A Best Practices Review

Natalie L. Murdoch, Joan L. Bottorff and Deborah McCullough

Abstract

Interprofessional simulation can provide health profession program educators with an effective means to prepare future practitioners to engage in meaningful collaboration. This systematic review was conducted to identify best practice recommendations to enhance collaborative healthcare using interprofessional simulation education innovations for learners in pre-licensure nursing programs. Using a systematic review methodology, 375 articles were reviewed and 17 studies met the inclusion criteria. Based on the methodological strength of the research and the impact of the simulation innovations, the following simulation techniques were recommended: high-fidelity human patient simulators, role play, and didactic lecture and audience response didactic lecture, both followed by role play with a standardized patient. Instructor modeling was related to achievement of interprofessional competencies when compared to no modeling. Future research is needed to identify optimal timing for implementing interprofessional education innovations, for development of appropriate evaluation tools, and to determine the effects of collaborative practice on patient care.

References

Baker, C., Pulling,C., McGraw, R., Dagnone, J., Hopkins-Rosseel, D., & Medves, J. (2008). Simulation in interprofessional education for patient-centred collaborative care. Journal of Advanced Nursing, 64(4), 372379. doi:10.1111/j.1365-2648.2008.04798.xSearch in Google Scholar

Bandura, A. (1977). Social learning theory. New York, NY: General Learning Press.Search in Google Scholar

Bassoff, B. (1983). Interdisciplinary education as a facet of health care policy: The impact of attitudinal research. Journal of Allied Health, 12(4), 280286.Search in Google Scholar

Beach, M., Cooper, L., Robinson, K., Price, E., Gary, T., Jenckes, M., & Powe, N. (2004). Strategies for improving minority healthcare quality. Evidence report/technology assessment No. 90 (prepared by the Johns Hopkins University Evidence-based Practice Center under contract 290-02-0018). Rockville, MN: Agency for Healthcare Research and Quality.Search in Google Scholar

Berg, B., Wong, L., & Vincent, D. (2010). Technology-enabled interprofessional education for nursing and medical students: A pilot study. Journal of Interprofessional Care, 24(5), 601604.10.3109/13561820903373194Search in Google Scholar PubMed

Buchheit, N.A. (1996). Multimedia: A persuasion tool for affecting decision outcome. College Station, TX, Texas: A & M University College of Business.Search in Google Scholar

Burns, J., & Anderson, R. (1993). Attentional inertia and recognition memory in adult television viewing. Communication Research, 20(6), 777779. doi:10.1177/009365093020006002Search in Google Scholar

Cameron, R., Jolin, M., Walker, R., McDermott, N., & Gough, M. (2001). Linking science and practice: Toward a system for enabling communities to adopt best practices for chronic disease prevention. Health Promotion Practice, 2(1), 3542. doi:10.1177/152483990100200109Search in Google Scholar

Canadian Nurses Association. (2011). Position statement: Interprofessional collaboration. Ottawa, ON: CNA.Search in Google Scholar

Charles, G., Bainbridge, L., & Gilbert, J. (2010). The University of British Columbia model of interprofessional education. Journal of Interprofessional Care, 24(1), 918. doi:10.3109/13561820903294549Search in Google Scholar

Conscious competence learning model. Retrieved from http://www.businessballs.com/consciouscompetencelearningmodel.htm.Search in Google Scholar

Cooper, H., Carlisle, C., Gibbs, T., & Watkins, C. (2001). Developing an evidence base for interdisciplinary learning: a systematic review. Journal of Advanced Nursing, 35(2), 228237. doi:10.1046/j.1365-2648.2001.01840.xSearch in Google Scholar

Dagnone, J., McGraw, R., Pulling, C., & Patteson, A. (2008). Interprofessional resuscitation rounds: A teamwork approach to ACLS education. Medical Teacher, 30, e49e54. doi:10.1080/01421590701769548Search in Google Scholar

Dillon, P., Noble, K., & Kaplan, W. (2009). Simulation as a means to foster collaborative interdisciplinary education. Nursing Education Perspectives, 30(2), 8790.Search in Google Scholar

Featherstone, P., Smith, G., Linnell, M., Easton, S., Osgood, V. (2005). Impact of a one-day inter-professional course (ALERT) on attitudes and confidence in managing critically ill adult patients. Resuscitation, 65(3), 329336.10.1016/j.resuscitation.2004.12.011Search in Google Scholar PubMed

Frank, J. (2007). Medical leadership and effective interprofessional health care teams: A competency-based approach. Vancouver, BC: IMWC.Search in Google Scholar

Hall, P., Marshall, D., Weaver, L., Boyle, A., & Taniguchi, A. (2011). A method to enhance student teams in palliative care: Piloting the McMaster-Ottawa team observed structured clinical encounter. Journal of Palliative Medicine, 14(6), 744750. doi:10.1089/jpm.2010.0295Search in Google Scholar

Health Canada. (2001). Social accountability: A vision for Canadian medical schools. Ottawa, ON: Health Canada.Search in Google Scholar

Hobgood, C., Sherwood, G., Frush, K., Hollar, D., Maynard, L., Foster, B., … Taekman, J. (2010). Teamwork training with nursing and medical students: does the method matter? Results of an interinstitutional, interdisciplinary collaboration. Quality & Safety in Health Care, 19(6), 16. doi:10.1136/qshc.2008.031732Search in Google Scholar

Hojat, M., Gonella, J., Nasca, T., Fields, S., Cicchetti, A., LoScalzo, A., … Torres-Ruiz, A. (2003). Comparison of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician-nurse collaborative relationships. International Journal of Nursing Studies, 40(4), 427435.10.1016/S0020-7489(02)00108-6Search in Google Scholar

Institute of Medicine. (2004). Keeping patients safe. Washington, DC: National Academies Press.Search in Google Scholar

Jefferies, P. (2008). Getting in S.T.E.P with simulations: Simulations take educator preparation. Nursing Education Perspectives, 29(2), 7073.Search in Google Scholar

Keller, J. (1987). Strategies for stimulating the motivation to learn. Performance and Instruction, 26(8), 17.10.1002/pfi.4160260802Search in Google Scholar

Kirkpatrick, D. (1995). Evaluating training programs. San Francisco, CA: Berrett-Koehler.Search in Google Scholar

Kolb, D. (1984). Experimential Learning. Englewood Cliffs, NJ: Prentice Hall.Search in Google Scholar

Kyrkjebo, J., Brattebo, G., & Smith-Strom, H. (2006). Improving patient safety by using interprofessional simulation training in health professional education. Journal of International Care, 20(5), 507516. doi:10.1080/13561820600918200Search in Google Scholar

Le, Q., Spencer, J., & Whalen, J. (2008). Development of a tool to evaluate health science students’ experiences of an interprofessional education (IPE) programme. Annals Academy of Medicine, 27(12), 10271033.Search in Google Scholar

Leflore, J., & Anderson, M. (2009). Interdisciplinary student teams. Simulation in Healthcare, 4(3), 135142.10.1097/SIH.0b013e318196f839Search in Google Scholar PubMed

Leflore, J. L., Anderson, M., Michael, J. L., Engle, W. D., & Anderson, J. (2007). Comparison of self-directed learning versus instructor-modeled learning during a simulated clinical experience. Simulation in Healthcare, 2, 170177.10.1097/SIH.0b013e31812dfb46Search in Google Scholar PubMed

Leucht, R., Masen, M., Taugher, M., & Patterson, B. (1990). Assessing professional perceptions: design and validation of an interdisciplinary education scale. Journal of Allied Health, 19(2), 181191.Search in Google Scholar

Lewis, R. (2011). Learning the “smart” way… results from a pilot study evaluating an interprofessional acute care study day. Nurse Education Today, 31(1), 8893. doi:10.1016/j.nedt.2010.04.001Search in Google Scholar

Malec, J.F., Torsher, L.C., Dunn, W.F., Wiegmann, D., Arnold, J., Brown, D., & Phatak, V. (2007). Mayo high performance teamwork scale (HPTS); reliability and validity for evaluating key crew resource management skills. Simulation in Healthcare, 2(1), 410.10.1097/SIH.0b013e31802b68eeSearch in Google Scholar PubMed

Marken, P., Zimmerman, C., Kennedy, C., Schremmer, R., & Smith, K. (2010). Human simulators and standardized patients to teach difficult conversations to interprofessional health care teams. American Journal of Pharmaceutical Education, 74(7), 18.10.5688/aj7407120Search in Google Scholar PubMed PubMed Central

McCormick, M., Burton, T., & Werts, N. (2010). Case scenarios and simulations as techniques to facilitate asthma education and team building among health care students. Journal of Asthma and Allergy Educators, 1(1), 1822. doi:10.1177/2150129709355459Search in Google Scholar

Morrison, S., Boohan, M., Jenkins, J., & Moutray, M. (2003). Facilitating undergraduate interprofessional learning in healthcare: comparing classroom and clinical learning for nursing and medical students. Learning in Health and Social Care, 3, 92104.10.1046/j.1473-6861.2003.00043.xSearch in Google Scholar

Morison, S., & Stewart, M. (2005). Developing interprofessional assessment. Learning in Health and Social Care, 4(4), 192202.10.1111/j.1473-6861.2005.00103.xSearch in Google Scholar

Oandasan, I., & Reeves, S. (2005). Key elements for interprofessional education. Part 1: The learner, the educator and the learning context. Journal of Interprofessional Care, 1, 2138. doi:10.1080/13561820500083550Search in Google Scholar

Parsell, G., & Bligh, J. (1998). Interprofessional learning. Postgraduate Medical Journal, 74(868), 8995.10.1136/pgmj.74.868.89Search in Google Scholar PubMed PubMed Central

Reese, C., Jefferies, P., & Engum, S. (2010). Learning together: Using simulations to develop nursing and medical student collaboration. Nursing Education Perspectives, 31(1), 3337.Search in Google Scholar

Reising, D., Carr, D., Shea, R., & King, J. (2011). Comparison ofcommunication outcomes in traditional VERSUS simulation strategies in nursing and medical students. Nursing EducationPerspectives, 32(5), 323327. doi:10.5480/1536-5026-32.5.323Search in Google Scholar

Romanow Commission. (2002). Building on values: The future of health care in Canada (Final report. 1–356). Ottawa, ON: Commission on the Future of Health Care in Canada.Search in Google Scholar

Schildmann, J., Härlein, J., Burchardi, N., Schlögl, M., & Vollmann, J. (2006). Breaking bad news: Evaluation study on self-perceived competences and views of medical and nursing students taking part in a collaborative workshop. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 14(11), 11571161.Search in Google Scholar

Selle, K., Salamon, K., Boarman, R., & Sauer, J. (2008). Providing interprofessional learning through interdisciplinary collaboration: The role of “modelling”. Journal of Interprofessional Care, 22(1), 8592.10.1080/13561820701714755Search in Google Scholar PubMed

Stewart, M., Kennedy, N., & Cuene-Grandidier, H. (2010). Undergraduate interprofessional education using high-fidelity paediatric simulation. Clinical Teacher, 7(2), 9096. doi:10.1111/j.1743-498X.2010.00351.xSearch in Google Scholar

Wakefield, A., Cocksedge, S., & Boggis, C. (2006). Breaking bad news: Qualitative evaluation of an interprofessional learning opportunity. Medical Teacher, 28(1), 5358.10.1080/01421590500312805Search in Google Scholar PubMed

Williams, B., Brown, T., Scholes, R., French, J., & Archer, F. (2010). Can interdisciplinary clinical DVD simulations transform clinical fieldwork education for paramedic, occupational therapy, physiotherapy, and nursing students?Journal of Allied Health, 39(1), 310.Search in Google Scholar

World Health Organization. (2007). Communication during patient hand-overs. Joint Commission International, 1. Geneva: WHO Press.Search in Google Scholar

World Health Organization. (2010). Framework for action on interprofessional education and collaborative practice. Geneva: WHO Press.Search in Google Scholar

Published Online: 2014-01-08

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