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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Developing pre-licensure interprofessional and stroke care competencies through skills-based simulations.

Diane MacKenzie1,2, Kaitlin Sibbald2, Kim Sponagle3

  • 1Interprofessional Education Coordinator, Faculty of Health, Dalhousie University, Halifax, Canada.

Journal of Interprofessional Care
|July 9, 2024
PubMed
Summary
This summary is machine-generated.

Interprofessional education simulations improved student understanding of roles and patient-centered care in stroke teams. Delivery format did not impact overall competency gains, but in-person simulations were preferred.

Keywords:
Interprofessional collaborationinterprofessional educationinterprofessional learningpre-qualifying/pre-licensuresimulationstroke

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Area of Science:

  • Healthcare Education
  • Interprofessional Practice
  • Simulation-Based Learning

Background:

  • Interprofessional collaboration (IPC) is crucial for managing complex stroke care.
  • Pre-licensure health professional curricula increasingly incorporate interprofessional educational experiences (IPE).
  • The COVID-19 pandemic necessitated adaptations in simulation delivery methods.

Purpose of the Study:

  • To evaluate the impact of differing simulation delivery methods on students' perceptions and learning of IPC in stroke care.
  • To assess if COVID-19-related changes in simulation format affected student interprofessional competency ratings.
  • To analyze student-reported learning outcomes from interprofessional stroke team simulations.

Main Methods:

  • A six-year mixed-method program evaluation of a two-part stroke team simulation.
  • Utilized the Interprofessional Collaborative Competency Assessment Scale (ICCAS) pre- and post-simulation.
  • Employed factorial ANOVA for ICCAS scores and content/category analysis for free-text responses.

Main Results:

  • Overall, simulation delivery formats did not significantly alter positive changes in ICCAS scores.
  • Significant pre-post differences were observed in interprofessional competencies related to roles/responsibilities and collaborative patient/family-centered approaches.
  • Analysis of over 10,000 written responses indicated enhanced understanding of scope of practice, role dynamics, and team member value.

Conclusions:

  • Interprofessional stroke team simulations effectively enhance students' understanding of collaborative practice, regardless of delivery format.
  • Specific competencies, including role clarity and patient-centered collaboration, showed significant improvement.
  • While virtual and in-person simulations yielded comparable competency gains, students expressed a preference for in-person experiences.