The use of clinical simulation to support development of interprofessional skills and understanding: Perspectives from allied health students
DOI:
https://doi.org/10.11157/fohpe.v24i2.616Keywords:
interprofessional practice, allied health students, simulation, simulation-based learningAbstract
Introduction: Allied health professionals require skills in interprofessional collaboration to work effectively to achieve person-centred health outcomes. Simulated interprofessional experiences provide students with unique opportunities in a supported environment to develop the necessary skills required for future practice.
Methods: An exploratory cross-sectional study using a qualitative survey design was employed to understand the attitudes and perceptions of allied health students after completing a university based, cross-campus, interprofessional simulation experience.
Results: Over 200 students from four disciplines across three campuses of a regional Australian university were involved in a simulated experience that included a range of different interprofessional activities. Post-experience survey data from approximately 40% of students suggested that students perceived the experience had several positive learnings, including a better understanding of their own and other professions and the value of interprofessional collaboration and teamwork in client care; increased confidence, particularly in communicating with other healthcare professionals; and a broader understanding of healthcare, including eHealth. The results also highlighted the challenges of implementing a project across multiple disciplines and campuses and provided useful suggestions to further improve the experience.
Conclusion: The findings of this research suggest that carefully developed and authentic interprofessional experiences through simulation can provide allied health students with the opportunity to develop valuable skills in communication and teamwork as well as an emerging appreciation of the benefits of a coordinated team approach to person-centred healthcare.
References
Australian Health Practitioner Regulation Agency (Ahpra). (2019). Registration standards. https://www.ahpra.gov.au/Registration/Registration-Standards.aspx
Banks, S., Stanley, M. J., Brown, S., & Matthew, W. (2019). Simulation-based interprofessional education: A nursing and social work collaboration. Journal of Nursing Education, 58(2), 110–113. https://doi.org/10.3928/01484834-20190122-09
Boyce, R. A., Moran, M. C., Nissen, L. M., Chenery, H. J., & Brooks, P. M. (2009). Interprofessional education in health sciences: The University of Queensland health care team challenge. Medical Journal of Australia, 190(8), 433–436. https://www.mja.com.au/system/files/issues/190_08_200409/boy11141_fm.pdf
Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.
Centre for the Advancement of Interprofessional Education (CAIPE). (2002). Interprofessional learning: Today, yesterday and tomorrow. https://www.caipe.org/resources/publications/caipe-publications/caipe-2002-interprofessional-education-today-yesterday-tomorrow-barr-h
Craig, P. L., Barnard, A., Glasgow, N., & May, E. (2014). Evaluating the health “hubs and spokes” interprofessional placements in rural New South Wales, Australia. Journal of Allied Health, 43(3), 176–183. https://www.ingentaconnect.com/content/asahp/jah/2014/00000043/00000003/art00011
Fisk, M., Livingstone, A., & Pit, S. W. (2020). Telehealth in the context of COVID-19: Changing perspectives in Australia, the United Kingdom, and the United States. Journal of Medical Internet Research, 22(6), 1–13. https://www.jmir.org/2020/6/e19264/
Gaba, D. M. (2004). The future vision of simulation in health care. BJM Quality & Safety, 13 (Suppl. 1). https://doi.org/10.1136/qshc.2004.009878
Gough, S., Hellaby, M., Jones, N., & MacKinnon, R. (2012). A review of undergraduate interprofessional simulation-based education (IPSE). Collegian, 19(3), 153–170. https://doi.org/10.1016/j.colegn.2012.04.004
Gray, K., Dattakumar, A., Maeder, A., Butler-Henderson, K., & Chenery, H. (2014). Advancing ehealth education for the clinical health professions. Office for Learning and Teaching, Department of Education. http://hdl.handle.net/20.500.11937/37743
Greenstock, L. N., Brooks, P. M., Webb, G. R., & Moran, M. (2012). Taking stock of interprofessional learning in Australia. Medical Journal of Australia, 196(11), 707–707. https://doi.org/10.5694/mja11.10919
Guraya, S. Y., & Barr, H. (2018). The effectiveness of interprofessional education in healthcare: A systematic review and meta-analysis. Kaohsiung Journal of Medical Sciences, 34(3), 160–165. https://doi.org/10.1016/j.kjms.2017.12.009
Hewat, S., Penman, A., Davidson, B., Baldac, S., Howells, S., Walters, J., Purcell, A., Cardell, E., McCabe, P., Caird, E., Ward, E., & Hill, A. (2020). A framework to support the development of quality simulation-based learning programmes in speech–language pathology. International Journal of Language & Communication Disorders, 55(2), 287–300. https://doi.org/10.1111/1460-6984.12515
Iacono, T., Stagg, K., Pearce, N., & Hulme Chambers, A. (2016). A scoping review of Australian allied health research in ehealth. BMC Health Services Research, 16, Article 543. https://doi.org/10.1186/s12913-016-1791-x
Imms, C., Chu, E. M. Y., Guinea, S., Sheppard, L., Froude, E., Carter, R., Darzins, S., Ashby, S., Gilbert-Hunt, S., Gribble, N., Nicola-Richmond, K., Penmand, M., Gospodarevskaya, E., Mathieu, E., & Symmons, M. (2017). Effectiveness and cost-effectiveness of embedded simulation in occupational therapy clinical practice education: Study protocol for a randomised controlled trial. BMC, 18, Article 345. https://doi.org/10.1186/s13063-017-2087-0
King, J., Beanlands, S., Fiset, V., Chartrand, L., Clarke, S., Findlay, T., Morley, M., & Summers, I. (2016). Using interprofessional simulation to improve collaborative competences for nursing, physiotherapy, and respiratory therapy students. Journal of Interprofessional Care, 30(5), 599–605. http://doi.org/10.1080/13561820.2016.1189887
King, A. E. A., Conrad, M., & Ahmed, R. A. (2013). Improving collaboration among medical, nursing and respiratory therapy students through interprofessional simulation. Journal of Interprofessional Care, 27(3), 269–271. https://doi.org/10.3109/13561820.2012.730076
Lincoln, Y. S., & Guba, E. G. (2000). Paradigmatic controversies, contradiction, and emerging confluences. In N. K. Denzin & Y. Lincoln (Eds.), Handbook of qualitative research (2nd ed., pp. 163–188). Sage.
https://zepkaadm.files.wordpress.com/2021/09/guba-lincoln-2005.pdf
McNair, R., Stone, N., Sims, J., & Curtis, C. (2005). Australian evidence for interprofessional education contributing to effective teamwork preparation and interest in rural practice. Journal of Interprofessional Care, 19(6), 579–594. https://doi.org/10.1080/13561820500412452
Mladenovic, J., & Tilden, V. (2017). Strategies for overcoming barriers to IPE at a health sciences university. Journal of Interprofessional Education & Practice, 8, 10–13. https://doi.org/10.1016/j.xjep.2017.05.002
Mori, B., Carnahan, H., & Herold, J. (2015). Use of simulation learning experiences in physical therapy entry-to-practice curricula: A systematic review. Physiotherapy Canada, 67(2), 194–202. https://doi.org/10.3138/ptc.2014-40E
Nandan, M., & Scott, P. A. (2014). Interprofessional practice and education: Holistic approaches to complex health care challenges. Journal of Allied Health, 43(3), 150–156.
Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1–13. https://doi.org/10.1177/1609406917733847
Occupational Therapy Council (OTC) (Australia and New Zealand). (2020). Occupational Therapy Council accreditation standards: Explanatory guide—use of simulation in practice education/fieldwork. https://www.otcouncil.com.au/wp-content/uploads/Explanatory-notes-for-simulation-in-practice-education-updated-March2020.pdf
Olson, R., & Bialocerkowski, A. (2014). Interprofessional education in allied health: A systematic review. Medical Education, 48(3), 236–246. https://doi.org/10.1111/medu.12290
Rodger, S., Bennett, S., Fitzgerald, C., & Neads, P. (2010). Use of simulated learning activities in occupational therapy curriculum. The University of Queensland. https://espace.library.uq.edu.au/view/UQ:341892
Schwandt, T. A. (1994). Constructivist, interpretivist approaches to human inquiry. In Y. S. Denzin & N. K. Lincoln (Eds.), Handbook of qualitative research (pp. 118–137). Sage.
Secret, M., Bentley K. J., & Kadolph, J. C. (2016). Student voices speak quality assurance: Continual improvement in online social work education. Journal of Social Work Education, 52(1), 30–42. https://doi.org/10.1080/10437797.2016.1112630
Simonelis, J., Njelesani, J., Novak, L., Kuzma, C., & Cameron, D. (2011). International fieldwork placements and occupational therapy: Lived experiences of the major stakeholders. Australian Occupational Therapy Journal, 58(5), 370–377. https://doi.org/10.1111/j.1440-1630.2011.00942.x
Skinner, K., Simpson, M. D., Patton, N., & Robson, K. (2021). Enablers and barriers to interprofessional work-integrated learning placements: A qualitative study of rural and regional allied health supervisors' perceptions. International Journal for Work Integrated Learning, 22(1), 83–96. https://www.ijwil.org/files/IJWIL_22_1_83_96.pdf
Stone, N. (2006). The rural interprofessional education project (RIPE). Journal of Interprofessional Care, 20(1), 79–81. https://doi.org/10.1080/13561820500380790
Sunguya, B. F., Hinthong, W., Jimba, M., & Yasuoka, J. (2014). Interprofessional education for whom? Challenges and lessons learned from its implementation in developed countries and their application to developing countries: A systematic review. PLoS ONE, 9(5). https://doi.org/10.1371/journal.pone.0096724
Tertiary Education Quality and Standards Agency (TEQSA). (2015). Higher Education Standards Framework 2015. Australian Government. https://www.teqsa.gov.au/how-we-regulate/acts-and-standards/higher-education-standards-framework-2015
Thomas, E. E., Haydon, H. M., Mehrotra, A., Caffery, L. J., Snoswell, C. L., Banbury, A., & Smith, A. C. (2020). Building on the momentum: Sustaining telehealth beyond COVID-19. Journal of Telemedicine and Telecare, 28(4) 301–308. https://doi.org/10.1177/1357633X20960638
Weaver, S. J., Dy, S., & Rosen, M. A. (2014). Team-training in healthcare: A narrative synthesis of the literature. BMJ Quality and Safety, 23, 359–372. http://doi.org/10.1136/bmjqs-2013-001848
World Health Organization (WHO). (2010). Framework for action on interprofessional education and collaborative practice. https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice
World Health Organization (WHO). (2011). Patient safety curriculum guide: Multi-professional edition. https://www.who.int/publications/i/item/9789241501958
World Health Organization (WHO). (2016). Global diffusion of eHealth: Making universal health coverage achievable. https://www.who.int/publications/i/item/9789241511780
Wright, A., Moss, P., Dennis, D. M., Harrold, M., Levy, S., Furness, A. L., & Reubenson, A. (2018). The influence of a full-time, immersive simulation-based clinical placement on physiotherapy student confidence during the transition to clinical practice. Advances in Simulation, 3, Article 3. https://link.springer.com/article/10.1186/s41077-018-0062-9
Zwarenstein, M., Atkins, J., Barr, H., Hammick, M., Koppel, I., & Reeves, S. (1999). A systematic review of interprofessional education. Journal of Interprofessional Care, 13(4), 417–424. https://doi.org/10.3109/13561829909010386
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