Transitioning from specialisation to collaboration: interprofessional clinical simulation, metacognition and the phenomenon of convergence.

Research into metacognitive processes within interprofessional clinical simulation has been largely overlooked in the literature. This study explores how interprofessional simulation may influence cognitive and metacognitive processes across several professional programmes; medicine, nursing, pharma...

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Publicado en:Journal of Interprofessional Care Vol. 38; no. 6; pp. 1062 - 1072
Autores principales: Greengrass, Colin John, Mamalchi, Shahad Abdulkhaleq, Kozmenko, Valeriy
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Nov/Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2024
      vid: 38
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2024.2405977
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        atl: Transitioning from specialisation to collaboration: interprofessional clinical simulation, metacognition and the phenomenon of convergence.
      aug:
        au:
          Greengrass, Colin John
          Mamalchi, Shahad Abdulkhaleq
          Kozmenko, Valeriy
        affil: College of Medicine, Royal College of Surgeons in Ireland - Medical University of Bahrain (RCSI-MUB)
      sug:
        subj:
          Students, Health Occupations
          Students, Undergraduate
          Education, Allied Health
          Education, Interdisciplinary
          Simulations
          Interprofessional Relations
          Cognition
          Education, Occupational Therapy
          Education, Medical
          Education, Pharmacy
          Education, Nursing
          Human
          Pretest-Posttest Design
          Descriptive Statistics
          Comparative Studies
          Student Knowledge
          Students, Occupational Therapy
          Confidence
          Calibration
          Academic Performance
          Clinical Competence
          Judgment
          Cooperative Behavior
      ab: Research into metacognitive processes within interprofessional clinical simulation has been largely overlooked in the literature. This study explores how interprofessional simulation may influence cognitive and metacognitive processes across several professional programmes; medicine, nursing, pharmacy, and occupational therapy. This study focused on changes in performance pre- and post-simulation, with undergraduate students from each profession answering a set of questions related to the simulation case, requiring specialized knowledge from each profession. Question scores, item confidence judgment ratings, and calibration values were collected and analyzed. The data revealed a pattern of convergence in post-simulation assessments, where professions initially with lower performance in the pre-simulation phase improved, and those initially performing well demonstrating a decline in performance. Calibration values indicated that medical students developed metacognitive errors from their interactions in the simulation, which were not present pre-simulation, and that occupational therapy students suffered a loss of confidence and calibration in questions within their own field resulting from their experience (being more accurate pre-simulation). The authors anticipate that the phenomenon of convergence may have longer-term consequences, potentially fostering distrust among professions for those with declining performance. The authors propose that expanding awareness of convergence phenomena and conducting repeated simulations (thus facilitating further team development) could mitigate this issue.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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