Design and Development of Simulation-based Instruction on Meaningful Use and Interprofessionalism Core Competencies in a Healthcare Team-based Learning Environment

Policymakers and electronic health records (EHR) experts agree that healthcare professionals lack proficiency in meaningful use of EHRs. This competency gap can result in increased medical errors. It is essential for health professions graduates to acquire skill sets that are adaptable to any electronic health information technologies including the EHRs to facilitate work process and information access. Simulation as an instructional method to create transformative learning experiences has shown promise in the medical profession. In simulations, learners are able to engage in real-life scenarios and practice their cognitive, affective, and psychomotor skills in a safe environment. The goal was to design and develop a simulation-based instructional module on meaningful use of EHR and interprofessional collaborative practice core competencies and evaluate students’ performance and satisfaction under an inter professional teambased setting. Using a design and development research approach, a simulation-based instructional module on meaningful use of EHR and interprofessional core competencies was designed. An internal validation of the module was conducted with an expert panel of medical professionals and instructional designers. Following validation, the instructional module was developed and pilot tested with a group of 21 second- and third year health professions students in medicine, pharmacy, and nursing in an interprofessional team-based learning environment. Students’ performance on meaningful use and interprofessionalism core competencies and their satisfaction during the simulation-based training were evaluated. The results confirmed that the students properly implemented the core competencies based on their performances during the immersive virtual patient encounter in the 3D virtual world. The analysis also showed how the students’ satisfaction was met as a reaction to the guided experiential learning’s (GEL) simulation-based instructional intervention, and in some instances were not sufficiently met. The analysis of the students’ testimonials further confirmed their overall satisfaction with the immersive simulation experience.The findings, based on the feedback from the students and faculty in this pilot implementation, highlighted simulation-based interactive gaming instruction and the hands-on experience in a 3D virtual world guided by GEL as an effective and engaging way to train healthcare professionals in the preparation to deliver care in a safe and effective manner under interprofessional team-based settings for better patient safety and outcome

Remote Monitoring Technologies in Dementia Care: An Interpretative Phenomenological Analysis of Family Caregivers’ Experiences

The desire to maintain an independent lifestyle is one shared by an increasing number of older adults. Adult children, spouses, siblings, and other relatives, also known as family caregivers, play an integral role in helping their loved ones maintain independence. Remote monitoring technologies (RMTs) such as wearable sensors, mobile emergency devices, smartphone apps, and webcams can be used to monitor, sense, record, and communicate a person’s daily activities. However, understanding is limited of the family caregiver’s needs and perceptions of RMTs used in a home-based setting. The purpose was to explore how family caregivers perceive RMTs and their use for monitoring and supporting their care recipients who choose to live independently. We used a survey to capture some basic characteristics of family caregivers, what they know about RMTs, and to recruit interview participants. We conducted semi-structured interviews with four participants who shared the commonality of caring for a relative with dementia. We reported the survey data using descriptive statistics and we applied interpretative phenomenological analysis (IPA) to analyze and report results from the interviews. Four themes emerged including the unique relationships that exist in family care, the risk-benefit conundrum that accompanies benefits and tradeoffs of RMT use, human-technology interaction and usability, and the importance of creating tailored solutions to facilitate RMT adoption and use. Our findings provide insight into factors impacting adoption and use

The Review and Validation of Interprofessional Clinical Case-Scenario Activities Based on the Cognitive Task Analysis (CTA) Process

participate as case reviewer for colleagues dissertatio

NSU-COM VIRTUAL CLINIC AND ART OBSERVATION CENTER

Objective. Both technology and time limitations in medicine have challenged healthcare to keep humanism in patient care. NSU-COM\u27s innovative solution is providing instructional tools for students to develop observation skills and reinforce the learning using virtual encounters with patients. Background. Student observation skills have declined, with 20 medical schools developing courses or workshops incorporating art observation. NSU-COM developed a pilot program in collaboration with the NSU Museum of Art (MOA) as well as utilizing a 3-D instructional tool in Second Life (SL) virtual world. Methods. During orientation first year students participate in an observation skills experience at the MOA. The observation skills are reinforced in the NSU-COM Virtual Clinic and Art Observation center in second life. This provides a flexible instructional medium where students can practice patient-centered clinical skills in a fun way anywhere and relate this experience to patient care. Students complete pre and post tests. Feedback has been very positive. Results. The results of the pilot program were encouraging and expanding the experience is a first step in teaching students additional ways to improve patient care. Student comments about the experience were decidedly positive and built camaraderie among colleagues. The results of the testing data will be shared with attendees as a basis for expanding inter-professional approaches across HPD. Conclusion. SL virtual world is a way to advance a new pattern in medical education. Using the art museum and virtual world, the potential to create a longitudinal thread through healthcare professions curriculum could be adapted for any of the HPD colleges. SL could foster inter-professional research with in-world discussion and collaboration. Combining SL and Art, Medicine and Observation is a unique and forward thinking way to teach and reinforce the patient experience through cutting edge curriculum. Grants. This study is currently seeking funding at inter-professional level

Using Interpretative Phenomenological Analysis in Human-Computer Interaction (HCI) Research

The desire to maintain an independent lifestyle is one shared by an increasing number of older adults as well as persons with disabilities. Family and friends, also known as informal caregivers, play an integral role in helping their loved ones maintain independence. Remote monitoring technologies (RMTs) such as wearable sensors, mobile emergency devices, and teleoperated robots can be used to sense, record, and communicate a person’s daily activities. However, an understanding is limited of the informal caregiver’s needs and perceptions of RMTs used in an in-home setting. The purpose of our “in-progress” qualitative research study is to explore how informal caregivers perceive RMTs and their use for monitoring and supporting their care recipients who choose to live independently. In this presentation, we will describe how interpretative phenomenological analysis (IPA) will be used to analyze the data collected from interviews conducted informal caregivers about their unique caregiving tasks, perceived use of existing RMTs, and concerns about RMT adoption and use. IPA is useful when the goal is to understand the process and the meaning within a specific context as opposed to specific or concrete outcomes, causes, and consequences. We anticipate the results of this study will serve as the basis for developing awareness and training programs that will assist informal caregivers and their care recipients in adoption and use of existing RMTs, as well as engineering the design of new user-centered RMT prototypes