ADAPTing to participant distress: A protocol for applied improvisation in healthcare

  • 0School of Nursing, Stony Brook University, Stony Brook, New York, USA.

|

|

Summary

This summary is machine-generated.

Applied improvisation (improv) training requires addressing participant distress. The new Addressing Distress in Applied Improvisation Participants Tool (ADAPT) provides a guide for facilitators to manage distress during sessions.

Area Of Science

  • Medical Education
  • Psychology
  • Communication Studies

Background

  • Applied improvisation (improv) is an innovative approach in clinical education, fostering engaged learning environments.
  • Addressing participant distress and ensuring psychological safety are crucial in improv sessions to maintain learning capacity.
  • Limited guidance exists for applied improv practitioners on managing participant distress during sessions.

Purpose Of The Study

  • To develop a distress protocol for improvisation-based interprofessional clinical communication training.
  • To characterize, anticipate, prevent, and address participant distress within improv sessions.

Main Methods

  • Utilized an interpretive descriptive approach.
  • Analyzed qualitative data, including prior interview data and field notes from improv simulations.
  • Developed the Addressing Distress in Applied Improvisation Participants Tool (ADAPT).

Main Results

  • Identified two key distress manifestations: resistant and reactive distress.
  • Defined three distress profiles: primary, secondary distal, and secondary proximal distress.
  • The ADAPT tool outlines four phases for facilitators: Redirecting the Spotlight, Responding to Distress, Reintegrating the Group, and Reflecting on the Distress.

Conclusions

  • The ADAPT serves as a novel, general guide for managing participant distress in applied improv.
  • The tool can be adapted for other applied improv curricula and experiential learning activities.
  • Further research is needed to evaluate the ADAPT's utility and effectiveness in applied improv and similar active learning settings.

Related Concept Videos

Ethical Dilemmas II 01:30

923

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:

Identify the ethical problem and dilemma: Begin by recognizing the presence of an ethical issue. An ethical dilemma arises when conflicting moral principles or values necessitate choosing between two or more equally...

Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch 01:15

4.7K

The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...

Psychodynamic Therapy 01:29

56

Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...

Modeling in Therapy 01:26

46

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...

Interpersonal Psychotherapy 01:25

22

Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.

Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing 01:23

7.7K

Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...