State the overall Goal or Outcome : Patients/families often expect that discharge education provides skills & knowledge to effectively manage medical needs outside acute care settings. This is especially true of high-risk medical conditions. Simulation to support patient education is novel and relevant for many patient conditions. This workshop will allow participants to develop & deliver a simulation-based curriculum to meet needs of patients discharged from acute care settings.
Intended Audience : educators
appropriate for any level
Relevance to the Conference : Designing and delivering family and patient centered education using simulation as a learning modality is novel and exciting as it provides opportunities for patients and families to practice integrating the cognitive knowledge and technical and behavioral skills required to effectively manage acute medical conditions outside tertiary care centers. For a multitude of high risk or complex medical issues, simulation training for patients and their caregivers could increase comfort in managing emergency and nonemergency situations faced out of hospital. Furthermore, it provides a venue for discovering both (a) family and patient strengths and (b) areas of weakness in need of further practice with facilitated debriefing, giving educators insights into the family/patient needs to make the curriculum truly family centered. Ultimately, improved skill in managing a medical crisis out of hospital by patients and their caregivers could decrease unnecessary hospital admissions, patient morbidities, and ultimately save lives. The purpose of this course is to provide an immersive experience for participants interested in designing and delivering simulation-based patient and family-centered education.
After a short introduction and PPT presentation reviewing key concepts for developing and implementing patient and family-centered care simulation, participants will be divided into small groups to actively engage in all phases of the workshop. In phase two of this course, groups will be given tools to use to create a simulation based curriculum for patient and family-centered care. This will detail who should receive the simulation, what should be simulated, where and when should the simulation occur, and how should the simulation be implemented. Each group will work to develop their own curriculum for a non-healthcare provider (such as a caregiver, family member, or patient) by integrating the above items with pre-simulation interview guides, scenario design templates, and debriefing guides. Then, each group will share their planned curriculum for feedback and large group discussion. In phase 3, each group will work to develop a specific scenario for an identified medical condition (seizures, central line management, diabetes, anaphylaxis, tracheostomies, CPR) by interviewing a faculty member role-playing the caregiver or patient to expose the cognitive and technical skills required to optimize and individualize patient education. With guidance from faculty, participants will integrate this information into the development of a scenario script. In phase four of the workshop, one (or more) group(s) will have the opportunity to deliver a simulation and debriefing developed in phase three using either role-play (faculty) or a mannequin to create a realistic context. After the simulation is implemented, a facilitated large group discussion will focus on specific considerations of implementing and debriefing simulations for non-healthcare providers. A faculty member will mentor groups through this process supporting engagement of both the relational and participatory constructs of patient and family-centered care; active listening, empathy, honest information sharing, and respect for parental/patient effort. All group participants will be encouraged to provide feedback. This process of development and delivery will provide insight into the “how to” of making the simulation experience patient and family-centered. The final phase of the course will also focus on the successes and challenges experienced by participants in this exercise. Faculty will share some of their experience to guide this discussion. The course will conclude with a general discussion of possible applications for simulation-based patient education. Additionally, participants will be able to take the tools learned in this workshop and implement a simulation for patient- and family- centered care program in their home institutions.