Development of Distance Simulation Educator Guidelines in Healthcare: A Delphi Method Application.


Journal

Simulation in healthcare : journal of the Society for Simulation in Healthcare
ISSN: 1559-713X
Titre abrégé: Simul Healthc
Pays: United States
ID NLM: 101264408

Informations de publication

Date de publication:
05 Jan 2023
Historique:
entrez: 4 1 2023
pubmed: 5 1 2023
medline: 5 1 2023
Statut: aheadofprint

Résumé

The abrupt disruption of in-person instruction in health care during the COVID-19 pandemic resulted in the rapid adoption of distance simulation as an immediate alternative to providing in-person simulation-based education. This massive instructional shift, combined with the lack of educator training in this domain, led to challenges for both learners and educators. This study aimed to disseminate the first set of competencies required of and unique to effective distance simulation educators. This was a multiphasic and iterative modified Delphi study validating the content of carefully and rigorously synthesized literature. Experts were invited from around the globe to participate in this study with mandatory attendance at an annual health care simulation conference to openly discuss the guidelines presented as competencies in this document. We divided each competency into "Basic" and "Advanced" levels, and agreement was sought for these levels individually. The experts provided their opinion by choosing the options of "Keep, Modify, or Delete." A free-marginal kappa of 0.60 was chosen a priori. At the conclusion of the Delphi process, the number of competencies changed from 66 to 59, basic subcompetencies from 216 to 196, and advanced subcompetencies from 179 to 182. This article provides the first set of consensus guidelines to distance simulation educators in health care, and paved the way for further research in distance simulation as a modality.

Identifiants

pubmed: 36598821
doi: 10.1097/SIH.0000000000000707
pii: 01266021-990000000-00050
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society for Simulation in Healthcare.

Déclaration de conflit d'intérêts

Dr. Janice C. Palaganas is a consultant and CEO for the Institute of Interprofessional Innovations and principal faculty for the Center for Medical Simulation and offers a distance simulation course at The Institute of Interprofessional Innovations. The rest of the authors declare no conflict of interest. No funding was available for this study.

Références

Buléon C, Caton J, Park YS, et al. The state of distance healthcare simulation during the COVID-19 pandemic: results of an international survey. Adv Simul (Lond) 2022;7(1):10.
Wagner M, Jaki C, Löllgen RM, et al. Readiness for and response to coronavirus disease 2019 among pediatric healthcare providers: the role of simulation for pandemics and other disasters. Pediatr Crit Care Med 2021;22(6):e333–e338.
Duff J, Kardong-Edgren S, Chang TP, et al. Closing the gap: a call for a common blueprint for remote distance telesimulation. BMJ Simul Technol Enhanc Learn 2021;7(4):185–187.
Hughes M, Gerstner B, Bona A, et al. Adaptive change in simulation education: comparison of effectiveness of a communication skill curriculum on death notification using in person methods versus a digital communication platform. AEM Educ Train 2021;5(3):e10610.
Rosasco J, Hanson Z, Kramer J, et al. A randomized study using telepresence robots for behavioral health in interprofessional practice and education. Telemed J E Health 2021;27(7):755–762.
Poland S, Frey JA, Khobrani A, et al. Telepresent focused assessment with sonography for trauma examination training versus traditional training for medical students: a simulation-based pilot study. J Ultrasound Med 2018;37(8):1985–1992.
Ciullo A, Yee J, Frey JA, et al. Telepresent mechanical ventilation training versus traditional instruction: a simulation-based pilot study. BMJ Simul Technol Enhanc Learn 2018;5(1):8–14.
McCoy CE, Sayegh J, Alrabah R, Yarris LM. Telesimulation: an innovative tool for health professions education. AEM Educ Train 2017;1(2):132–136.
Ahmed RA, Atkinson SS, Gable B, Yee J, Gardner AK. Coaching from the sidelines: examining the impact of teledebriefing in simulation-based training. Simul Healthc 2016;11(5):334–339.
Prescher H, Grover E, Mosier J, et al. Telepresent intubation supervision is as effective as in-person supervision of procedurally naive operators. Telemed J E Health 2015;21(3):170–175.
Ahmed R, King Gardner A, Atkinson SS, Gable B. Teledebriefing: connecting learners to faculty members. Clin Teach 2014;11(4):270–273.
Okrainec A, Henao O, Azzie G. Telesimulation: an effective method for teaching the fundamentals of laparoscopic surgery in resource-restricted countries. Surg Endosc 2010;24(2):417–422.
Kamin CS, Deterding RD, Wilson B, Armacost M, Breedon T. The development of a collaborative distance learning program to facilitate pediatric problem-based learning. Med Educ Online 1999;4(1):4303.
Barari N, RezaeiZadeh M, Khorasani A, Alami F. Designing and validating educational standards for E-teaching in virtual learning environments (VLEs), based on revised Bloom's taxonomy. Interactive Learning Environments 2020;19:1–3.
Gerard LF, Varma K, Corliss SB, Linn MC. Professional development for technology-enhanced inquiry science. Rev Educ Res 2011;81(3):408–448.
Doering A, Veletsianos G, Scharber C, Miller C. Using the technological, pedagogical, and content knowledge framework to design online learning environments and professional development. J Educ Comput Res 2009;41(3):319–346.
Davis N, Rose R. Research committee issues brief: professional development for virtual schooling and online learning. iNACOL 2007;7–9. Available at: https://files.eric.ed.gov/fulltext/ED509632.pdf. Accessed November 17, 2022.
Al Huneiti R, Hunaiti Z, Balachanrdan W. E-Learning in relation to healthcare. IJSBAR 2014;14:63–66.
Reilly JR, Vandenhouten C, Gallagher-Lepak S, Ralston-Berg P. Faculty development for e-learning: a multi-campus community of practice (COP) approach. JALN 2012;16(2):99–110.
McQuiggan CA. Faculty development for online teaching as a catalyst for change. JALN 2012;16(2):27–61.
McQuiggan C, Ragan L: Preparing to teach online as transformative faculty PowerPoint slide 13. 2009; Available at: http://www.slideshare.net/alexandrapickett/carol-mcquigganand-larry-ragans-faculty-development-learning-and-growing. Accessed February 25, 2022.
Lockyer L, Moule P, McGuigan D. Web-based learning in practice settings: nurses' experiences and perceptions of impact on patient care. EJEL 2007;5(4):279–286.
Duffy T, Gilbert I, Kennedy D, Kwong PW. Comparing distance education and conventional education: observations from a comparative study of post-registration nurses. ALT-J 2002;10(1):70–82.
Ahmed S, Shehata M, Hassanien M. Emerging faculty needs for enhancing student engagement on a virtual platform. MedEdPublish 2020;9:75.
Nguyen DN, Zierler B, Nguyen HQ. A survey of nursing faculty needs for training in use of new technologies for education and practice. J Nurs Educ 2011;50(4):181–189.
Ward R, Stevens C, Brentnall P, Briddon J. The attitudes of health care staff to information technology: a comprehensive review of the research literature. Health Info Libr J 2008;25(2):81–97.
Madhavanprabhakaran G, Francis F, John SE, Al Rawajfah O. COVID-19 pandemic and remote teaching: transition and transformation in nursing education. Int J Nurs Educ Scholarsh 2021;18(1).
Alanazi AA, Alshaalan ZM. Views of faculty members on the use of e-learning in Saudi medical and health colleges during COVID-19 pandemic. J Nature Science Med 2020;3(4):308–317.
Ey S, Soller M, Moffit M. Protecting the well-being of medical residents and faculty physicians during the Covid-19 pandemic: making the case for accessible, comprehensive wellness resources. Glob Adv Health Med 2020;9:2164956120973981.
Lioce L. (ed.), Lopreiato J. (founding ed.), Downing D, Chang TP, Robertson JM, Anderson M, Diaz DA, Spain AE (Assoc. Eds.) and the Terminology and Concepts Working Group: Healthcare Simulation Dictionary, 2nd ed. Rockville, MD: Agency for Healthcare Research and Quality; 2020.
LeFlore JL, Sansoucie DA, Cason CL, Aaron A, Thomas PE, Anderson M. Remote-controlled distance simulation assessing neonatal provider competence: a feasibility testing. Clin Simul Nurs 2014;10(8):419–424.
von Lubitz DK, Carrasco B, Gabbrielli F, et al. Transatlantic medical education: preliminary data on distance-based high-fidelity human patient simulation training. In: Medicine Meets Virtual Reality 11. Amsterdam, Netherlands: IOS Press; 2003:379–385.
Gross IT, Clapper TC, Ramachandra G, et al. Setting an agenda: results of a consensus process on research directions in distance simulation. Simul Healthc 2022; Publish ahead of print.
Palaganas J, Bajwa M, Lababidi H, Morton A, Morris M, Mosher C, Wawersik D, Weaver A, Gross I, Sindelar A, Ahmed R: The creation of healthcare distance simulation faculty development guidelines (phase I). The Institute for Interprofessional Innovations and the Healthcare Distance Simulation Collaboration Web site2022. Available at: https://www.healthcaredistancesim.com/. Accessed February 22, 2022.
Cumyn A, Harris IB. A comprehensive process of content validation of curriculum consensus guidelines for a medical specialty. Med Teach 2012;34(8):e566–e572.
Society for Simulation in Healthcare. Certified Healthcare Simulation Educator examination blueprint, [2018 version]. Available at: https://www.ssih.org/Portals/48/Certification/CHSE_Docs/CHSE_Examination_Blueprint.pdf. Accessed February 15, 2022.
Murphy MK, Black NA, Lamping DL, et al. Consensus development methods, and their use in clinical guideline development. Health Technol Assess 1998;2(3):i-iv–1-88.
Haahr M: Random.org: true random number service. Available at: https://www.random.org. Accessed December 15, 2021.
Zamanzadeh V, Rassouli M, Abbaszadeh A, Majd HA, Nikanfar A, Ghahramanian A. Details of content validity and objectifying it in instrument development. Nurs Pract Today 2014;1(3):163–171.
Downing SM. Validity: on meaningful interpretation of assessment data. Med Educ 2003;37(9):830–837.
National Institute for Health and Care Excellence. Process and methods [PMG 20]: 1 introduction: developing nice guidelines: the manual: Guidance. NICE 2014. Available at: https://www.nice.org.uk/process/pmg20/chapter/introduction. Accessed February 15, 2022.
Healthcare Distance Simulation Collaboration. Available at: https://www.healthcaredistancesim.com/. Accessed February 20, 2022.
Qualtrics. Qualtrics software [version 2021] of Qualtrics [2022] Qualtrics. Available at: https://www.qualtrics.com. Accessed November 30, 2021.
Dunham RB. Nominal Group Technique: A Users' Guide. Madison, WI: Wisconsin School of Business; 1998.
Frambach JM, van der Vleuten CP, Durning SJ. AM last page. Quality criteria in qualitative and quantitative research. Acad Med 2013;88(4):552.
Hunt RJ. Percent agreement, Pearson's correlation, and kappa as measures of inter-examiner reliability. J Dent Res 1986;65(2):128–130.
Holey EA, Feeley JL, Dixon J, Whittaker VJ. An exploration of the use of simple statistics to measure consensus and stability in Delphi studies. BMC Med Res Methodol 2007;7:52.
Brennan RL, Prediger DJ. Coefficient kappa: some uses, misuses, and alternatives. Educ Psychol Meas 1981;41(3):687–699.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33(1):159–174.
Hallmark B, Brown M, Peterson DT, et al. Healthcare simulation standards of best practiceTM professional development. Clin Simul Nurs 2021;58:45–48.
Bowler F, Klein M, Wilford A. Healthcare simulation standards of best practiceTM professional integrity. Clin Simul Nurs 2021;58:45–48.
Brottman MR, Char DM, Hattori RA, Heeb R, Taff SD. Toward cultural competency in health care: a scoping review of the diversity and inclusion education literature. Acad Med 2020;95(5):803–813.
McDermott DS, Ludlow J. A prebriefing guide for online, virtual, or distant simulation experiences. Clin Simul Nurs 2022;67:1–5.
Mosher CJ, Morton A, Palaganas JC. Perspectives of engagement in distance debriefings. Adv Simul (Lond) 2021;6(1):40.
Arrogante O, López-Torre EM, Carrión-García L, Polo A, Jiménez-Rodríguez D. High-fidelity virtual objective structured clinical examinations with standardized patients in nursing students: an innovative proposal during the COVID-19 pandemic. Healthcare (Basel) 2021;9(3):355. MDPI.
Li L, Lin M, Wang X, Bao P, Li Y. Preparing and responding to 2019 novel coronavirus with simulation and technology-enhanced learning for healthcare professionals: challenges and opportunities in China. BMJ Simul Technol Enhanc Learn 2020;6(4):196–198.
Bradford HM, Farley CL, Escobar M, Heitzler ET, Tringali T, Walker KC. Rapid curricular innovations during COVID-19 clinical suspension: maintaining student engagement with simulation experiences. J Midwifery Womens Health 2021;66(3):366–371.
Wyres M, Taylor N. COVID-19: using simulation and technology-enhanced learning to negotiate and adapt to the ongoing challenges in UK healthcare education. BMJ Simul Technol Enhanc Learn 2020;6(6):317–319.
Alcocer Alkureishi M, Lenti G, Choo ZY, et al. Teaching telemedicine: the next frontier for medical educators. JMIR Med Educ 2021;7(2):e29099.
Taylor E. We agree, don't we? The Delphi method for health environments research. HERD 2020;13(1):11–23.
Ozier W: 85-10-10 the Delphi/modified Delphi technique: a consensus approach to information valuation. Available at: http://www.ittoday.info/AIMS/DSM/85-10-10.pdf. Accessed December 11, 2021.

Auteurs

Maria Bajwa (M)

From the MGH Institute of Health Professions (M.B., R.A., H.L., M.M., A.M., A.H., J.C.P.), Boston, MA; Indiana University School of Medicine (R.A.), Indianapolis, IN; King Fahad Medical City (H.L.), Riyadh, Saudi Arabia; Nova Southeastern University (M.M.), Ft. Lauderdale, FL; Alfaisal University, College of Medicine (C.M.), Riyadh, Saudi Arabia; Henry Ford College (D.W.), Dearborn, MI; Fitchburg State University (A.H.), Fitchburg, MA; UMass Chan Medical School (A.H.), Worcester, MA; Yale University School of Medicine (I.T.G.), New Haven, CT; and Harvard Medical School (J.C.P.), Boston, MA.

Classifications MeSH