Learning the skills of flexible sigmoidoscopy -- the wider perspective.
BACKGROUND: Nurse-led gastrointestinal endoscopy is a priority clinical area in the UK. Endoscopic procedures are challenging to learn, requiring a combination of technical competence (manipulating a flexible endoscope and interpreting the findings) and interpersonal skills (engaging effectively wit...
| Publicado en: | Medical Education Vol. 37; pp. 50 - 59 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2003 Supplement 1
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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=106561847&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106561847 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03080110 ESF jtl: Medical Education issn: 03080110 maglogo: Y pubinfo: dt: Nov2003 Supplement 1 vid: 37 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106561847 106561847 2005017117 10.1046/j.1365-2923.37.s1.2.x NLM14641639 106561847 ppf: 50 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Learning the skills of flexible sigmoidoscopy -- the wider perspective. aug: au: Kneebone RL Nestel D Moorthy K Taylor P Bann S Munz Y Darzi A affil: Senior Lecturer in Surgical Education, Dept of Surgical Oncology & Technology, Imperial College London, 10th Floor QEQM Wing, St Mary's Hospital, Praed St, London, W2 1NY, UK; r.kneebone@imperial.ac.uk sug: subj: Nurse Practitioners Education Sigmoidoscopy Education Teaching Methods Audiorecording Communication Skills Training Course Evaluation Curriculum Development Endoscopy, Gastrointestinal Education Field Notes Friedman Test Observational Methods P-Value Pilot Studies Pretest-Posttest Design Semi-Structured Interview Wilcoxon Rank Sum Test Human ab: BACKGROUND: Nurse-led gastrointestinal endoscopy is a priority clinical area in the UK. Endoscopic procedures are challenging to learn, requiring a combination of technical competence (manipulating a flexible endoscope and interpreting the findings) and interpersonal skills (engaging effectively with a conscious patient who is frequently apprehensive). This paper explores the potential of an innovative, scenario-based approach which links a simulated patient with a computer-driven virtual reality (VR) training device for flexible sigmoidoscopy. Within this safe yet realistic quasi-clinical environment, learners carry out the procedure while interacting with the 'patient'. Communication skills are assessed by simulated patients, while quantitative performance data relating to the procedure is generated automatically by the VR simulator. METHODS: This pilot study took place within a nurse practitioner endoscopy course. A mixed methodology combined qualitative and quantitative data (observation and interview studies, communication rating scales and a range of computer-generated output measures from the VR simulator) in a multifaceted evaluation. RESULTS: Seven nurses took part in the study. Participants found the scenarios to be a convincing and powerful learning experience. All experienced high levels of anxiety. Simulated patients identified strengths in participants' communication skills, together with areas for development. Simulator-based practice led to an improvement in objective performance measures. DISCUSSION: Scenario-based training provides a powerful learning experience, allowing participants to build their technical expertise and apply it within a holistic clinical context without the risk of causing harm. We used this pilot study as a springboard for discussions over wider implications of procedure-based skills training, locating it within the literature on expertise and situated learning. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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