Translation of an evidence-based virtual reality simulation-based interprofessional education into health education curriculums: An implementation science method.

The development of interprofessional competencies through an evidence-based program is paramount to nurture a collaborative practice-ready workforce for patient-centered care and safety. To describe an implementation science approach for translation of an evidence-based virtual reality simulation-ba...

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Publicado en:Nurse Education Today Vol. 110
Autores principales: Liaw, Sok Ying, Ooi, Sim Leng, Mildon, Robyn, Ang, Emily Neo Kim, Lau, Tang Ching, Chua, Wei Ling
Formato: research Journal Article
Publicado: Elsevier B.V. Mar2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2022
      vid: 110
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.nedt.2021.105262
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        atl: Translation of an evidence-based virtual reality simulation-based interprofessional education into health education curriculums: An implementation science method.
      aug:
        au:
          Liaw, Sok Ying
          Ooi, Sim Leng
          Mildon, Robyn
          Ang, Emily Neo Kim
          Lau, Tang Ching
          Chua, Wei Ling
        affil: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
      sug:
        subj:
          Medical Practice, Evidence-Based
          Virtual Reality
          Simulations
          Education, Interdisciplinary
          Health Education
          Curriculum Development
          Implementation Science
          Joint Practice
          Workforce
          Patient Centered Care
          Patient Safety
          Clinical Competence
          Human
          Surveys
          Interviews
          Student Attitudes
          Program Development
          Education, Nursing
          Outcomes of Education
          Conceptual Framework
          Students, Medical
      ab: The development of interprofessional competencies through an evidence-based program is paramount to nurture a collaborative practice-ready workforce for patient-centered care and safety. To describe an implementation science approach for translation of an evidence-based virtual reality simulation-based interprofessional education (VR-Sim-IPE) program into medical and nursing curriculums, and to evaluate the implementation outcomes. Implementation strategies from the "Expert Recommendations for Implementing Change" were used to support implementation of the VR-Sim-IPE program. This included recruiting and training 28 practicing clinicians as facilitators to deliver the program to 599 medical and nursing students. Proctor's conceptual framework for implementation outcomes was applied with multiple data collection methods to evaluate the VR-Sim-IPE program. An online survey was administered to measure the levels of acceptability, appropriateness, feasibility, and adoption. Forty-four sessions of structured observations were carried out to examine the facilitators' implementation fidelity. Individual interviews were conducted with 15 facilitators to identify the facilitators and barriers to the program implementation. An implementation cost analysis was also conducted. Both facilitators and students had positive perceptions of the acceptability, adoption, appropriateness, and feasibility of the VR-Sim-IPE program. Facilitators were observed to implement the program with high fidelity, including program adherence, dosage, quality of delivery, and student responsiveness. While opportunities to contribute and learn, as well as receiving training and support, were identified as facilitators to implementation, the lack of familiarity with the virtual environment, varying levels of student participation, and facilitating interprofessional groups were reported barriers. The implementation costs amounted to USD45,648.50. The evaluation of implementation outcomes identifies strategies for future implementation that could potentially enhance program acceptance, reduce implementation cost, improve penetration, and achieve program sustainability. These include increasing facilitation group size, preparing students to be active participants, and incorporating interprofessional facilitation skills in facilitators' training. • Implementation science method can be applied to support the translation of evidence-based program into curriculums. • The implementation strategies facilitate the integration of interprofessional competencies into curriculums. • The evaluation of implementation outcomes enabled the identification of future implementation strategies.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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