Method matters: impact of in-scenario instruction on simulation-based teamwork training

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Method matters: impact of in-scenario instruction on simulation-based teamwork training

Escher, Cecilia (author): Karolinska Institutet

Rystedt, Hans, 1951 (author): Gothenburg University,Göteborgs universitet,Institutionen för pedagogik, kommunikation och lärande,Linnécentret for forskning om lärande (LinCS),Department of Education, Communication and Learning,The Linnaeus Centre for Research on Learning, Interaction, and Mediated Communication in Contemporary Society (LinCS),Department of Education, Communication and Learning, University of Gothenburg, Gothenburg, Sweden

Creutzfeldt, Johan (author): Karolinska Institutet

Meurling, Lisbet (author): Karolinska Institutet

Nyström, Sofia, 1977- (author): Linköpings universitet,Pedagogik och vuxnas lärande,Utbildningsvetenskap

Dahlberg, Johanna, 1956- (author): Linköpings universitet,Avdelningen för mikrobiologi och molekylär medicin,Medicinska fakulteten

Edelbring, Samuel, 1969- (author): Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten

Nordahl Amorøe, Torben (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Simulator Centre West, Sahlgrenska University Hospital, Gothenburg, Sweden

Hult, Håkan (author): CLINTEC-Department of Clinical Science Interventions and Technology, Karolinska Institutet, Stockholm, Sweden

Felländer-Tsai, Li (author): Karolinska Institutet

Abrandt Dahlgren, Madeleine, 1956- (author): Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten

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2017-11-28
2017
English.
In: Advances in Simulation. - : Springer Science and Business Media LLC. - 2059-0628 .- 2364-3277. ; 2:25

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Journal article (peer-reviewed)

Abstract Subject headings

Background: The rationale for introducing full-scale patient simulators in training to improve patient safety is to recreate clinical situations in a realistic setting. Although high-fidelity simulators mimic a wide range of human features, simulators differ from the body of a sick patient. The gap between the simulator and the human body implies a need for facilitators to provide information to help participants understand scenarios. The authors aimed at describing different methods that facilitators in our dataset used to provide such extra scenario information and how the different methods to convey information affected how scenarios played out. Method: A descriptive qualitative study was conducted to examine the variation of methods to deliver extra scenario information to participants. A multistage approach was employed. The authors selected film clips from a shared database of 31 scenarios from three participating simulation centers. A multidisciplinary research team performed a collaborative analysis of representative film clips focusing on the interplay between participants, facilitators and the physical environment. After that the entire material was revisited to further examine and elaborate the initial findings. Results: The material displayed four distinct methods for facilitators to convey information to participants in simulation based teamwork training. The choice of method had impact on the participating teams regarding flow of work, tempo and team communication. Facilitators’ close access to the teams’ activities when present in the simulation suite, either embodied or disembodied in the simulation, facilitated the timing for providing information, which was critical for maintaining the flow of activities and learner engagement in the scenario. The mediation of information by a loudspeaker or an earpiece from the adjacent operator room could be disturbing for team communication when information was not well timed. Conclusions: In-scenario instruction is an essential component of simulation based teamwork training that has been largely overlooked in previous research. The ways in which facilitators convey information about the simulated patient have the potential to shape the simulation activities and thereby serve different learning goals. Although immediate timing to maintain an adequate tempo is necessary for professionals to engage in training of acute situations, novices may gain from a slower tempo to train complex clinical team tasks systematically.

Subject headings

SAMHÄLLSVETENSKAP -- Utbildningsvetenskap -- Pedagogik (hsv//swe)
SOCIAL SCIENCES -- Educational Sciences -- Pedagogy (hsv//eng)
SAMHÄLLSVETENSKAP -- Utbildningsvetenskap -- Lärande (hsv//swe)
SOCIAL SCIENCES -- Educational Sciences -- Learning (hsv//eng)
TEKNIK OCH TEKNOLOGIER -- Annan teknik -- Interaktionsteknik (hsv//swe)
ENGINEERING AND TECHNOLOGY -- Other Engineering and Technologies -- Interaction Technologies (hsv//eng)

Keyword

Simulation
healthcare
crew resource management
interprofessional education
instructor
facilitator
video analysis
teamwork
fidelity
cueing
Crew resource management; Cueing; Facilitator; Fidelity; Healthcare; Instructor; Interprofessional education; Simulation; Teamwork; Video analysis

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Escher, Cecilia; Rystedt, Hans, 1 ...; Creutzfeldt, Joh ...; Meurling, Lisbet; Nyström, Sofia, ...; Dahlberg, Johann ...; show more...; Edelbring, Samue ...; Nordahl Amorøe, ...; Hult, Håkan; Felländer-Tsai, ...; Abrandt Dahlgren ...; show less...

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SOCIAL SCIENCES: SOCIAL SCIENCES; and Educational Scie ...; and Pedagogy

SOCIAL SCIENCES: SOCIAL SCIENCES; and Educational Scie ...; and Learning

ENGINEERING AND TECHNOLOGY: ENGINEERING AND ...; and Other Engineerin ...; and Interaction Tech ...

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By the university: University of Gothenburg; Örebro University; Linköping University; Karolinska Institutet

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