Speech and language therapy students’ perception of learning through the incorporation of clinical simulation workshops: a mixed-methods study
María Magdalena Muñoz-Montes; Ignacio Villagrán-Gutiérrez; Francisca Pozo-Tapia; Paulina Tapia-Tapia; Yolanda Castro-Soares; Eduardo Fuentes-López
Abstract
Purpose: this study had two aims: (1) Analyse students' perceptions of achieved learning in the simulation workshops implemented in multiple areas in a Speech and Language Therapy curricula, and (2) Establish the effect of incorporating simulation workshops in the students' comprehensive evaluation of the course.
Methods: a survey on perceived learning was validated, including quantitative and qualitative sections, and applied to students that participated in the simulation workshops (n=241). Additionally, quantitative information from a survey of systematic application on the comprehensive perception of the courses that implemented workshops was analysed (n=277).
Results: the quantitative section showed a positive perception of learning through the simulation workshop and coincided with the qualitative section's positive opinions. Additionally, the courses that implemented simulation workshops showed a positive evaluation in methodology, feedback, and organization.
Conclusion: the students had a positive perception of the incorporation of clinical simulation workshops. The survey's sections provided complementary information regarding learning through clinical simulation.
Keywords
Referencias
1. Corvetto M, Bravo MP, Montaña R, Utili F, Escudero E, Boza C et al. Simulación en educación médica: una sinopsis. Rev Med Chil. 2013;141(1):70-9. Spanish. doi: 10.4067/S0034-98872013000100010.
2. Alanazi AA, Nicholson N, Thomas S. The use of Simulation Training to improve knowledge, skills, and confidence among healthcare students: a systematic review. The Internet Journal of Allied Health Sciences and Practice. 2017;15(3):2.
3. Bokken L, Linssen T, Scherpbier A, van der Vleuten C, Rethans JJ. Feedback by simulated patients in undergraduate medical education: a systematic review of the literature. Med Educ. 2009;43(3):202-10. doi: 10.1111/j.1365-2923.2008.03268.x.
4. Hill AE, Davidson BJ, Theodoros DG. The performance of standardized patients in portraying clinical scenarios in speech-language therapy. Int J Lang Commun Disord. 2013;48(6):613-24. doi: 10.1111/1460-6984.12034.
5. Michael M, Abboudi H, Ker J, Shamim Khan M, Dasgupta P, Ahmed K. Performance of technology- driven simulators for medical students – a systematic review. J Surg Res. 2014;192(2):531-43. doi: 10.1016/j.jss.2014.06.043.
6. Lee R, Raison N, Lau WY, Aydin A, Dasgupta P, Ahmed K et al. A systematic review of simulation-based training tools for technical and non-technical skills in ophthalmology. Eye (Lond). 2020;34(10):1737-59. doi: 10.1038/ s41433-020-0832-1.
7. Clinard ES, Dudding CC. Integrating simulations into communication sciences and disorders clinical curriculum: impact of student perceptions. Am J Speech Lang Pathol. 2019;28(1):136-47. doi: 10.1044/2018_AJSLP-18-0003.
8. Syder D. The use of simulated clients to develop the clinical skills of speech and language therapy students. Eur J Disord Commun. 1996;31(2):181-92. doi: 10.3109/13682829609042220.
9. Wilson WJ, Schmulian D, Sher A, Morris S, Hill AE. Student perceptions of two simulated learning environments in paediatric audiology. Int J Audiol. 2020;59(1):16-23. https://doi.org/10.1080/1499202 7.2019.1660004.
10. Potter N, Allen M. Clinical swallow exam for dysphagia: A speech pathology and nursing simulation experience. Clin Simul Nurs. 2013;9(10):e461-e464. doi: 10.1016/j. ecns.2012.08.001
11. Ward EC, Hill AE, Nund RL, Rumbach AF, Walker- Smith K, Wright SE et al. Developing clinical skills in paediatric dysphagia management using human patient simulation (HPS). Int J Speech Lang Pathol. 2015;17(3):230-40. doi: 10.3109/17549507.2015.1025846.
12. Miles A, Friary P, Jackson B, Sekula J, Braakhuis A. Simulation-based dysphagia training: teaching interprofessional clinical reasoning in a hospital environment. Dysphagia. 2016;31(3):407-15. 10.1007/s00455-016-9691-0.
13. Miles A, Greig L, Jackson B, Keesing M. Evaluation of a tracheostomy education programme for speech- language therapists. Int J Lang Commun Disord. 2020;55(1):70-84. doi: 10.1111/1460-6984.12504.
14. Bressmann T, Eriks-Brophy A. Use of simulated patients for a student learning experience on managing difficult patient behaviour in speech-language pathology contexts. Int J Speech Lang Pathol. 2012;14(2):165-73. doi: 10.3109/17549507.2011.638727.
15. Miles A, Donaldson S, Friary P. Training hospital readiness in speech-language pathology students through simulation. Internet j. allied health sci. pract. 2015;13(4): Article 8.
16. Alanazi AA, Nicholson N. Audiology and speech- language pathology simulation training on the 1-3-6 early hearing detection and intervention timeline. Am J Audiol. 2019;28(2):348-61. doi: 10.1044/2019_AJA-18-0185.
17. Ferguson NF, Estis JM. Training students to evaluate preterm infant feeding safety using a video-recorded patient simulation approach. Am J Speech Lang Pathol. 2018;27(2):566-73. doi: 10.1044/2017_AJSLP-16-0107.
18. Jackson B, Brady A, Friary P, Braakhuis A, Sekula J, Miles A. Educator-student talk during interprofessional simulation- based teaching. BMJ STEL. 2020;6(4):206-13. doi: 10.1136/bmjstel-2019-000455
19. Howells S, Cardell EA, Waite MC, Bialocerkowski A, Tuttle N. A simulation-based learning experience in augmentative and alternative communication using telepractice: speech pathology students’ confidence and perceptions. Adv Simul (Lond). 2019;4(Suppl 1):23. doi: 10.1186/s41077-019-0113-x.
20. Baylor C, Burns MI, Struijk J, Herron L, Mach H, Yorkston K. Assessing the Believability of Standardized Patients Trained to Portray Communication Disorders. Am J Speech Lang Pathol. 2017;26(3):791-805. doi: 10.1044/2017_AJSLP-16-0068.
21. Carter MD. The effects of computer-based simulations on speech-language pathology student performance. J Commun Disord. 2019;77:44-55. doi: 10.1016/j.jcomdis.2018.12.006.
22. Hill AE, Ward E, Heard R, McAllister S, McCabe P, Penman A et al. Simulation can replace part of speech-language pathology placement time: a randomised controlled trial. Int J Speech Lang Pathol. 2020:1-11. doi: 10.1080/17549507.2020.1722238.
23. Dudding CC, Nottingham EE. A national survey of simulation use in university programs in Communication Sciences and Disorders. Am J Speech Lang Pathol. 2018;27(1):71-81. doi: 10.1044/2017_AJSLP-17-0015.
24. Hope A, Garside J, Prescott S. Rethinking theory and practice: pre-registration student nurses experiences of simulation teaching and learning in the acquisition of clinical skills in preparation for practice. Nurse Educ Today. 2011;31(7):711-5. doi: 10.1016/j.nedt.2010.12.011.
25. Hewat S, Penman A, Davidson B, Baldac S, Howells S, Walters J et al. A framework to support the development of quality simulation-based learning programmes in speech-language pathology. Int J Lang Commun Disord. 2020;55(2):287-300. doi: 10.1111/1460-6984.12515.
26. Villagrán I, Tejos R, Chahuan J, Uslar T, Pizarro M, Varas J et al. Undergraduate student’s perception of clinical simulation workshops: assessment of an instrument. Rev Med Chil. 2018;146(6):786-95. doi: 10.4067/s0034-98872018000600786.
27. Maccallum RC, Browne MW, Sugawara HM. Power analysis and determination of sample size for covariance structure modeling of fit involving a particular measure of model. Psychol Methods. 1996;1(2):130-49. doi: 10.1037/1082-989X.1.2.130
28. Rodríguez G, Gil J, García E. Métodos de investigación cualitativa. Málaga: Aljibe; 1996.
29. O’Cathain A, Murphy E, Nicholl J. Three techniques for integrating data in mixed methods studies. BMJ. 2010;341:c4587. doi: 10.1136/bmj.c4587.
30. Pérez G, Kattan E, Collins L, Wright AC, Rybertt T, González A et al. Assessment for learning: experience in an undergraduate medical theoretical course. Rev Med Chil. 2015;143(3):329-36. doi: 10.4067/S0034-98872015000300007.
31. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation- based medical education research: 2003-2009. Med Educ. 2010;44(1):50-63. doi: 10.1111/j.1365-2923.2009.03547.x.
32. Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Unexpected collateral effects of simulation-based medical education. Acad Med. 2011;86(12):1513-7. doi: 10.1097/ ACM.0b013e318234c493.
Submitted date:
13/10/2020
Accepted date:
08/03/2021
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