Operationalising elaboration theory for simulation instruction design: a Delphi study.
Objective The aim of this study was to assess the feasibility of incorporating the Delphi process within the simplifying conditions method ( SCM) described in elaboration theory ( ET) to identify conditions impacting the complexity of procedural skills for novice learners. Methods We generated an in...
| Publicado en: | Medical Education Vol. 49; no. 6; pp. 576 - 589 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103802309&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103802309 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Jun2015 vid: 49 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103802309 102715179 10.1111/medu.12726 NLM25989406 103802309 ppf: 576 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Operationalising elaboration theory for simulation instruction design: a Delphi study. aug: au: Haji, Faizal A Khan, Rabia Regehr, Glenn Ng, Gary Ribaupierre, Sandrine Dubrowski, Adam affil: Wilson Centre, University of Toronto; SickKids Learning Institute, Hospital for Sick Children; Department of Clinical Neurological Sciences, Western University sug: subj: Delphi Technique Educational Theory Methods Simulations Human Male Female Descriptive Statistics Data Analysis Software Learning Environment, Clinical Task Performance and Analysis Students, Medical Decision Making, Clinical Evaluation Spinal Puncture Funding Source Male Female ab: Objective The aim of this study was to assess the feasibility of incorporating the Delphi process within the simplifying conditions method ( SCM) described in elaboration theory ( ET) to identify conditions impacting the complexity of procedural skills for novice learners. Methods We generated an initial list of conditions impacting the complexity of lumbar puncture ( LP) from key informant interviews ( n = 5) and a literature review. Eighteen clinician-educators from six different medical specialties were subsequently recruited as expert panellists. Over three Delphi rounds, these panellists rated: (i) their agreement with the inclusion of the simple version of the conditions in a representative ('epitome') training scenario, and (ii) how much the inverse (complex) version increases LP complexity for a novice. Cronbach's α-values were used to assess inter-rater agreement. Results All panellists completed Rounds 1 and 2 of the survey and 17 completed Round 3. In Round 1, Cronbach's α-values were 0.89 and 0.94 for conditions that simplify and increase LP complexity, respectively; both values increased to 0.98 in Rounds 2 and 3. With the exception of 'high CSF (cerebral spinal fluid) pressure', panellists agreed with the inclusion of all conditions in the simplest (epitome) training scenario. Panellists rated patient movement, spinal anatomy, patient cooperativeness, body habitus, and the presence or absence of an experienced assistant as having the greatest impact on the complexity of LP. Conclusions This study demonstrated the feasibility of using expert consensus to establish conditions impacting the complexity of procedural skills, and the benefits of incorporating the Delphi method into the SCM. These data can be used to develop and sequence simulation scenarios in a progressively challenging manner. If the theorised learning gains associated with ET are realised, the methods described in this study may be applied to the design of simulation training for other procedural and non-procedural skills, thereby advancing the agenda of theoretically based instruction design in health care simulation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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