simulation University of Applied Sciences Western Switzerland, School of Health Sciences, Lausanne, Switzerland

Transcription

1 simulation IN HEALTH EDUCATION University of Applied Sciences Western Switzerland, School of Health Sciences, Lausanne, Switzerland

2 INTRO Introduction The University of Applied Sciences, School of Health Sciences in Lausanne, Switzerland (HECVSanté) offers four Bachelor programs in nursing, physiotherapy, radiology technology and midwifery. Our institution has adopted a competence-based approach to teaching and preparing students for professional life. In order to develop professional competences, we alternate clinical experience with teaching and training at our school. One of our main educational principles focuses on the acquisition of reflective practice hence promoting and supporting autonomy in a perspective of life-long learning. WHY? Why? The use of simulation during the period of teaching at school is an effective and efficient way to promote acquisition of professional skills such as psycho-motor, physical and communication skills, CEMCAV-CHUV

3 WHAT What? Low to midle-fidelity manikins are commonly used, while the use of high-fidelity simulators is about to be integrated in the nursing and midwifery program. Phantoms are also used in the radiologic technology Department in order to teach and train the radio-diagnostic part of the profession. For two years now, our main focus of development is our own simulated/standardized patients (SP) program, that also involves our SPs in hybrid simulations. SPs are collaborating in teaching and training all of our students during the three year Bachelor programs. A multi-source approach for feedback including oral and written SPs feedback is a key component for enhancing reflective practice among students during debriefing. Support offered to patients suffering from bereavement, administration of a radio-oncologic treatment, evaluation of a neurologic situation, administration of an aerosol treatment for asthmatic patients, post-partum hemorrhage are among several examples developed for SPs teaching activities. Finally, SPs are engaged in Objective Structured Clinical Examinations (OSCE) assessing the students clinical skills and competences at different levels of their health care education. We are very proud to see our SP program become a cornerstone in our curricular development. We have piloted with success the use of SP methodology for teaching and training interprofessional collaboration among our third-year students in collaboration with the Faculty of Medicine and the University Hospital of Lausanne. but also clinical reasoning, and patient-health provider relationship. Simulation allows us to develop sound clinical skills in a holistic patient-approach using safe, controlled, standardized and tailored clinical situations.

4 C How? Our simulation activities are developed by a team of educational experts in simulation, who are all member of our Unit of Educational Innovation. Aware of the fact that the success of simulation use is strongly related to the level of the Faculty s competences to teach and evaluate in this specific context, we decided to develop a Certificate of Advanced Studies in Simulation. This modular course, addressing all allied health professionals and faculty, is a first in Switzerland and in the French speaking countries of Europe. It will be offered at the beginning of All of our faculties use different simulation tools and methods but HOW aim for consistant and efficient curriculum integration? of simulation. Considering our students particular professionalization needs, specific educational strategies, such as professional didactics, are adopted in order to develop focused emblematic simulation scenarios for teaching and assessment. CEMCAV-CHUV

5 RESEACH Research As evidenced-based practice for teaching is a key component for integration of simulation in our curricula, our institution promotes and supports the development of research in the field of simulation. Our research projects focus on different topics such as: The translation and validation of tools for the evaluation of simulation activities Development of conceptual frameworks for simulation teaching For SP methodology: - The evaluation of different types of feedback delivered during SPs teaching activities on the development of clinical skills - The evaluation of the SPs collaboration for interprofessional education - The exploration of the SPs roles and responsibilities collaborating in healthcare contexts - The development of tools for the evaluation of the quality of SPs feedback - The exploration of human factors influencing the quality SPs feedback. CONCLU Conclusion Our institution is also involved in promotion of simulation and its educational strategies on a national and international level. We play an active role in organizations such as INACSL, SESAM and ASPE. We organize in 2012 the 3rd Swiss Conference on Standardized Patients and Simulation. We firmly believe that, over time, simulation in health education will play a predominant role in improving quality of care though better prepared health professionals. We actively seek collaboration to better structure overall simulation strategies and to measure the expected outcomes.

6 BIBLIO Bibliography Bigoni, C. (2010, septembre). The use of the theatrical forum as an educational tool in order to tackle the subject of violence in nursing care : an experiment with student nurses in the 3rd year of bachelor degree. Communication présentée à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. De Labrusse, C., Ammann-Fiechter, S. et Layat Burn, C. (2011, juin). Simulation in midwifery education : an innovative feature for holistic antenatal care. Poster présenté à International Confederation of Midwives Triennal Congress. Durban, Afrique du Sud. De Labrusse, C., Amman-Fiechter, S. & Layat Burn, C. (2010, septembre). Simulation in midwifery education : an innovative feature for holistic antenatal care. Communication présentée à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Des Granges Zimmermann, J. & Van Gele, P. (2010, septembre). Pilot study on reflexivity and clinical reasoning : action strategies in simulated practice teaching for BSc nursing student finalist. Communication présentée à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Des Granges Zimmermann, J. (2009). Simulation ou simulacre? Lausanne: Haute école cantonale vaudoise de la santé Des Granges Zimmermann, J. & Van Gele, P. (2009). Pilot study on reflexivity and clinical reasoning: action strategies in simulated practice teaching for BSc nursing student finalist. Clinical Simulation in Nursing, 5(3, suppl.1), e155 Des Granges Zimmermann, J. & Van Gele, P. (2009, juin). Pilot study on reflexivity and clinical reasoning: action strategies in simulated practice teaching for BSc nursing student finalist. Poster présenté à la 8th Annual International Nursing Simulation/Learning Resource Centers Conference, St. Louis Duguay, L., Tagand, A., Des Granges Zimmermann, J., Campbell, J., Michaud, J.-P. & Van Gele, P. (2010, septembre). Using the theoretical model of professionnal didactics to construct a formative OSCE station with standardized patients in a bachelor of nursing program. Communication présentée à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Duguay, L. & Van Gele, P. (2009, juin). Introduction of the concept of professional didactics in simulated learning: when a simulation gets closer to real practice than to prescribed practice. Poster présenté à la 8th Annual International Nursing Simulation/Learning Resource Centers Conference, St. Louis Duguay, L. & Van Gele, P. (2009). Introduction of the concept of professional didactics in simulated learning: when a simulation gets closer to real practice than to prescribed practice. Clinical Simulation in Nursing, 5 (3, suppl. 1), e137 Franco, L. (2010, septembre). De situations réelles à leur transposition en situation simulée pour la conception et l évaluation des incidences radiologiques à visée diagnostique. Poster présenté à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Gaudin, C., Portuesi, V. & Layat Burn, C. (2010, septembre). Patient education of Metered Dose Inhaler (MDI) with simulated patients (PS) according to 3 educational modalities. Poster présenté à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Gore, T. & Van Gele, P. (2010). An International Perspective on Simulated Practice in Nursing Education : towards more Similarities or more Differences? Clinical Simulation in Nursing, 6(3), e114. doi: /j. ecns Gore, T. & Van Gele, P. (2010, juin). An International Perspective on Simulated Practice in Nursing Education : towards more Similarities or more Differences? Communication présentée à la 9th Annual International Nursing Simulation/Learning Resource Centers Conference, Las Vegas. Layat Burn, C. & Matt, S. (2011, juin). What Are the Roles and Responsibilities of SPs in Delivering Feedback to Students? Présentation/Discussion présentée à la 10th Conference of the Association of Standardized Patients Educators, Nashville Layat Burn, C. & Kalathakis, E. (2011, juin). Evaluation of the quality of Standardized/Simulated Patients feedbacks. Poster présenté à la 10th Conference of the Association of Standardized Patients Educators, Nashville

7 Layat Burn, C. & Gaudin, C. (2011, juin). Evaluation of a Standardized Patients (SP) Training to Give Feedback to Students Using a Reflective Practice Approach. Poster présenté à la 10th Conference of the Association of Standardized Patients Educators, Nashville Layat Burn, C. & Gaudin, C. (2011, juin). Training standardised/simulated patients to deliver oral structured feedback. Podium à la 10th Annual International Nursing Simulation/Learning Resource Centers Conference, Orlando Layat Burn, C. (2011, janvier). The benefits of a structured and intensive standardized patients training to deliver oral feedbacks. Poster présenté à International Meeting on Simulation in Healthcare, New Orleans Layat Burn, C. (2010, septembre). Training simulated patients to deliver feedback: What s the benefit? Présenté à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Layat Burn, C., Vu, N.V., Dasen, P.R. & Baroffio, A. (2010 mai). Effects of residents social background on their stereotypes and relational approaches to patients from different cultures. Présentation courte à la Ottawa Conference, Miami. Layat Burn, C. & Matt Robert, S. (2010, septembre). Training simulated patients to feedback. Atelier présenté à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Layat Burn, C., Demaurex, F., Matt, S. & Brodmann Maeder, M. (2010, septembre). Interprofessionalism and Simulation Interprofessional Skills: learning from each other. Groupe de réflexion: présenté à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Layat Burn, C. & Franco, L. (2010, septembre). Use of simulation: Experience at the HECVSanté. Conférence présentée à la 2nd Swiss Conference on Standardized Patients and Simulation in Health Care, Berne. Layat Burn, C. (2009, mai). L utilisation de patient simulé. Conférence présentée au Symposium sur la formation à la pratique simulée, Lausanne. Layat Burn, C. (2009, janvier). Evaluation des compétences : présentation de l examen clinique objectif structuré (ECOS). Conférence donnée au Symposium de la Faculté des Sciences de l Education, Université Pierre Mendès France, Grenoble. Layat Burn, C. et Bonvin, R. (2009). How to train simulated patients to feedback. Poster session. Poster présenté à la conference de Association of Medical Education in Europe. Malaga. Luthringer, T. (2010, novembre). La simulation au service de la conceptualisation des pratiques : le cas de la HECVSanté. Communication présentée à la Journée Thématique GdR STIC-Santé CNRS/Inserm «Usages effectifs de la simulation en formation médicale», Paris. Accès GdR-themeF/JT-6/T-Luthringer-26Nov10.pdf Luthringer, T. (2009, septembre). Simulation et évaluation des compétences. Communication présentée à la journée scientifique de la section Suisse de l Association Internationale de Pédagogie Universitaire «Innover dans l évaluation des apprentissages: pourquoi et comment?», Lausanne Nestel, D., Layat Burn, C., Pritchard, S.A., Glastonbury, R. and Tabak, D.(en parution). The use of simulated patients in medical education: Guide Supplement 42.1 Viewpoint. Medical teacher. Nestel, D., Tabak, D., Tierney, T., Layat, C., Robb, A., Clark, S., Morrison, T., Jones, M., Ellis, R., Smith, C., Mc- Naughton, N., Knickle, K., Higham, J. et Kneebone, R. (en parution). Key challenges in simulated patient programs: An international comparative case study. Medical Teacher. Nestel, D., Tang, J. & Layat Burn, C. (2011.) Patient-focused simulation: Training simulated patients for procedural skills. Cours de pré-conférence au Asia Pacific Meeting for Simulation in Healthcare, Hong-Kong, China. Van Gele, P. (2010, octobre). Simulated Practices in Simulation Centers : an international survey : lessons learned for Europe. Communication présentée à la 8th European Conference of Nurse Educators, Lisbonne. Van Gele, P. (2009). Does the Use of High-Fidelity Human Patient Simulators in Nursing Curricula Lead to Effective Learning: A Systematic Review of Literature?. Clinical Simulation in Nursing, 5(3, suppl. 1), S15 Van Gele, P. (2009). Inventory of the state of the art of simulations and skills labs in Europe. Clinical Simulation in Nursing, 5(3, suppl. 1), e153 Van Gele, P. (2009, juin). Does the use of high-fidelity human patient simulators in nursing curricula lead to effective learning: a systematic review of literature. Communication présentée à la 8th Annual International Nursing Simulation/Learning Resource Centers Conference, St. Louis Van Gele, P. (2009, juin). Inventory of the state-of-the-art in simulations and skills labs in Europe. Poster présenté à la 8th Annual International Nursing Simulation/Learning Resource Centers Conference, St. Louis

8 HAUTE ÉCOLE DE SANTÉ VAUD Formation Recherche Expertise Av. de Beaumont Lausanne t : f : info@hesav.ch