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Operationalising elaboration theory for simulation instruction design: a Delphi study.

Faizal A Haji^1,2,3, Rabia Khan¹, Glenn Regehr⁴

¹Wilson Centre, University of Toronto, Toronto, Ontario, Canada.

Medical Education

|May 20, 2015

Summary

This summary is machine-generated.

This study shows that using expert consensus with the Delphi method and simplifying conditions method (SCM) can identify factors that make procedural skills complex for learners. This approach aids in designing better simulation training.

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Area of Science:

Medical Education
Simulation-Based Training
Health Professions Education

Background:

Procedural skills training requires understanding factors influencing learning complexity.
Elaboration theory's simplifying conditions method (SCM) offers a framework for skill acquisition.
The Delphi process can achieve expert consensus on complex educational issues.

Purpose of the Study:

To assess the feasibility of integrating the Delphi process with SCM.
To identify conditions affecting procedural skill complexity for novice learners.
To inform the design of simulation-based training scenarios.

Main Methods:

Expert panellists (n=18) from diverse specialties used a three-round Delphi process.
Panellists evaluated conditions impacting lumbar puncture (LP) complexity using SCM.
Inter-rater reliability was assessed using Cronbach's alpha.

Main Results:

High inter-rater reliability (Cronbach's α > 0.89) was achieved across Delphi rounds.
Most conditions were agreed upon for inclusion in simplified training scenarios.
Patient factors, anatomy, and assistant presence significantly impact LP complexity.

Conclusions:

The Delphi method is feasible for use with SCM to identify skill complexity factors.
This integrated approach can guide the development of progressive simulation scenarios.
The findings support theoretically informed instructional design in healthcare simulation.