Understanding the impact of simulated patients on health care learners' communication skills: a systematic review.

Context Effective communication skills are at the core of good health care. Simulated patients ( SPs) are increasingly engaged as an interactive means of teaching, applying and practising communication skills with immediate feedback. There is a large body of research into the use of manikin-based si...

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Publicado en:Medical Education Vol. 51; no. 12; pp. 1209 - 1220
Autores principales: Kaplonyi, Jessica, Bowles, Kelly‐Ann, Nestel, Debra, Kiegaldie, Debra, Maloney, Stephen, Haines, Terry, Williams, Cylie
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2017
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/medu.13387
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        atl: Understanding the impact of simulated patients on health care learners' communication skills: a systematic review.
      aug:
        au:
          Kaplonyi, Jessica
          Bowles, Kelly‐Ann
          Nestel, Debra
          Kiegaldie, Debra
          Maloney, Stephen
          Haines, Terry
          Williams, Cylie
        affil: Peninsula Health, Allied Health, Frankston Victoria, Australia
      sug:
        subj:
          Patient Simulation
          Communication Skills
          Communication Skills Training
          Education, Allied Health
          Human
          Systematic Review
          Medline
          CINAHL Database
          ERIC Database
          Outcomes (Health Care)
          Descriptive Statistics
      ab: Context Effective communication skills are at the core of good health care. Simulated patients ( SPs) are increasingly engaged as an interactive means of teaching, applying and practising communication skills with immediate feedback. There is a large body of research into the use of manikin-based simulation but a gap exists in the body of research on the effectiveness of SP-based education to teach communication skills that impact patient outcomes. The aim of this systematic review was to critically analyse the existing research, investigating whether SP-based communication skills training improves learner-patient communication, how communication skill improvement is measured, and who measures these improvements. Methods The databases Medline, ProQuest (Health & Medical Complete, Nursing and Allied Health Source) and CINAHL ( EBSCOhost) Education Resources Information Centre ( ERIC) were searched for articles that investigated the effects of SP-based education on the communication skills of medical, nursing and allied health learners. Results There were 60 studies included in the review. Only two studies reported direct patient outcomes, one reporting some negative impact, and no studies included an economic analysis. Many studies reported statistically significant third-party ratings of improved communication effectiveness following SP-based education; however, studies were unable to be pooled for meta-analysis because of the outcome collection methods. There were a small number of studies comparing SP with no training at all and there were no differences between communication skills, contradicting the results from studies reporting benefits. Of the 60 studies included for analysis, 54 (90%) met the minimum quality score of 7/11, with four articles (7%) scoring 11/11. Conclusion SP-based education is widely accepted as a valuable and effective means of teaching communication skills but there is limited evidence of how this translates to patient outcomes and no indication of economic benefit for this type of training over another method.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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