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Title: | An exploratory study considering the potential impacts of high-fidelity simulation training on self-evaluated confidence of non-respiratory physiotherapists providing an on-call respiratory physiotherapy service - a mixed methods study |
Authors: | Mansell, SK Harvey, A Thomas, AJ |
Issue Date: | 30-Jul-2019 |
Publisher: | BMJ Publishing Group |
Citation: | Mansell, S.K., Harvey, A. and Thomas, A.J. (2020) 'An exploratory study considering the potential impacts of high-fidelity simulation training on self-evaluated confidence of non-respiratory physiotherapists providing an on-call respiratory physiotherapy service - a mixed methods study', BMJ Simulation and Technology Enhanced Learning, 6 (4), pp. 199 - 205 (7). doi: 10.1136/bmjstel-2019-000444. |
Abstract: | Introduction Physiotherapists working on-call to provide emergency respiratory services report stress and lack of confidence in on-call scenarios. Simulation-based education (SBE) is a potential solution to improve confidence and reduce stress of on-call physiotherapists. In physiotherapy, use of SBE is sporadic. The aim of this study was to evaluate the addition of SBE to an on-call training programme on non-respiratory physiotherapists’ self-evaluated confidence. Additionally, the study aimed to evaluate if SBE facilitates identification of learning needs. Methods This cohort study took a mixed methods approach. Participants were recruited from staff providing on-call respiratory physiotherapy services at a UK hospital. Participants received traditional on-call training over 1 year, with SBE added the subsequent year, in a pre-post analysis design. Self-evaluated confidence was assessed with the Association of Chartered Physiotherapists in Respiratory Care Acute Respiratory/On-call Physiotherapy Self-evaluation of Competence (ACPRC) questionnaire. Two focus groups were conducted post-SBE. Results There were 10 participants. Thematic analysis of focus groups indicated participants found SBE provided coping strategies for on-call working. Using coping strategies taught in SBE reduced stress levels and increased confidence of non-specialist on-call physiotherapists. ACPRC questionnaire scores significantly improved following the addition of SBE (median change 5.5%, p=0.034, r=0.57). SBE assisted in identification of learning needs through recognition of unconscious incompetence and reinforcement of conscious and unconscious competence. Conclusions SBE may improve self-evaluated confidence of non-specialist on-call physiotherapists. SBE assists in learning needs identification. SBE could enhance training of physiotherapists providing on-call respiratory services. Further larger trials investigating optimal methods of on-call physiotherapy postgraduate education are warranted. |
URI: | https://bura.brunel.ac.uk/handle/2438/18681 |
DOI: | https://doi.org/10.1136/bmjstel-2019-000444 |
ISSN: | 2056-6697 |
Appears in Collections: | Dept of Health Sciences Research Papers |
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