Students’ Perceptions of Simulation-Based Learning in Speech Pathology: A Pilot Study
DOI:
https://doi.org/10.18552/ijpblhsc.v8i1.558Keywords:
clinical education, simulation, simulation-based learning, speech pathology, student learningAbstract
Due to increased student numbers and workforce limitations, speech pathology students have fewer opportunities to develop skills in working with adult populations in traditional clinical placements. Using simulation-based learning has proven to be advantageous in other disciplines. The use of simulation to develop clinical skills in speech pathology range of practice areas, including speech, language and swallowing in adults, has been less well researched. The aim of this study was to investigate students’ overall perceptions about simulation-based learning, particularly their confidence related to specific clinical skills and perceived anxiety about working with adult clients. Six final year speech pathology students enrolled in either a 4-year undergraduate or 2.5-year masters program participated in this research. Students engaged in five simulation-based learning activities across one day. Purposefully developed pre- and post- surveys were completed to explore students’ anxiety levels and perceptions of confidence regarding clinical skills across domains of foundation knowledge, case history, assessment, intervention, interaction and clinical reasoning, and anxiety levels. The Satisfaction with Simulation Experience (SSE) Scale was completed post-simulation experience. Students also participated in a focus group discussion following the simulation experience. Student median ratings of clinical skills improved from pre- to post-simulation across the six domains. All students reported that the simulation-based learning experience was valuable and reported increased levels of confidence and enhanced preparedness for their clinical placements. Findings from this study suggested that students value simulation-based learning and future research should explore learning outcomes from a longer, more intensive simulation program.
References
Barrows, H. (1993). An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine, 68(6), 443–453. https://doi.org/10.1097/00001888-199306000-00002
Blackstock, F. C., Watson, K. M., Morris, N. R., Jones, A., Wright, A., McMeeken, J. M., Rivett, D.A., O’Connor, V., Peterson, R. F., Haines, T. P., Watson, G., & Jull, G. A. (2013). Simulation can contribute a part of cardiorespiratory physiotherapy clinical education. Simulation in Healthcare, 8(1), 32–42. https://doi.org/10.1097/SIH.0b013e318273101a
Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research (2nd ed.). Sage.
Dudding, C. C., & Nottingham, E. E. (2018). A national survey of simulation use in university programs in communication sciences and disorders. American Journal of Speech-Language Pathology, 27(1), 71–81. https://doi.org/10.1044/2017_AJSLP-17-0015
Fenwick, T., & Dahlgren, M. A. (2015). Towards socio-material approaches in simulation-based education: Lessons from complexity theory. Medical Education, 49(4), 359–367. https://doi.org/10.1111/medu.12638
Finch, E., Fleming, J., Brown, K., Lethlean, J., Cameron, A., & McPhail, S. (2013). The confidence of speech-language pathology students regarding communicating with people with aphasia. BMC Medical Education, 13(1), 92.
Gore, T., Hunt, C., Parker, F., & Raines, K. (2011). The effects of simulated clinical experience on anxiety: Nursing students’ perspectives. Clinical Simulation in Nursing, 7(5), e175–e180. https://doi.org/10.1016/j.ecns.2010.02.001
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
Hayden, J., Smiley, R., Alexander, M., Kardong-Edgren, S., & Jeffries, P. (2014). The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), S3–S40. https://doi.org/10.1016/S2155-8256(15)30062-4
Health Workforce Australia. (2014). Australia’s health workforce series: Speech pathologists in focus. Health Workforce Australia.
Hewat, S., Penman, A., Davidson, B., Baldac, S., Howells, S., Walters, J., Purcell, A., Cardell, E., McCabe, P., Caird, E., Ward, E.C., & Hill, A.E. (in press). A framework to support development of quality simulation-based learning programs in speech-language pathology. International Journal of Language and Communication Disorders
Higgs, J., & Titchen, A. (2001). Rethinking the practice-knowledge interface in an uncertain world: a model for practice development. British Journal of Occupational Therapy, 64(11), 526-533.
Hill, A. E, Davidson, B. J., & Theodoros, D. G. (2010). A review of standardized patients in clinical education: Implications for speech-language pathology programs. International Journal of Speech-Language Pathology, 12(3), 259–270. https://doi.org/10.3109/17549500903082445
Hill, A. E., Davidson, B. J., & Theodoros, D. G. (2013). Speech-language pathology students’ perceptions of a standardised patient clinic. Journal of Allied Health, 42(2), 84–91.
Howard, V., Englert, N., Kameg, K., & Perozzi, K. (2011). Integration of simulation across the undergraduate curriculum: Student and faculty perspectives. Clinical Simulation in Nursing, 7(1), e1–e10. https://doi.org/10.1016/j.ecns.2009.10.004
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96–103.
Kelly, M. A., Hopwood, N., Rooney, D., & Boud, D. (2016). Enhancing students’ learning through simulation: Dealing with diverse, large cohorts. Clinical Simulation in Nursing, 12(5), 171–176. https://doi.org/10.1016/j.ecns.2016.01.010
Ker, J., & Bradley, P. (2014). Simulation in medical education. In T. Swanwick (Ed.), Understanding medical education: Evidence, theory and practice (2nd ed.). Wiley Blackwell.
Khan, M. E., Anker, M., Patel, B. C., Barge, S., Sadhwani, H., & Kohle, R. (1991). The use of focus groups in social and behavioural research: Some methodological issues. World Health Statistics Quarterly, 44(3), 145–149.
Kolb, A. Y., & Kolb, D. A. (2005). Learning styles and learning spaces: Enhancing experiential learning in higher education. Academy of Management Learning & Education, 4(2), 193–212. https://doi.org/10.5465/AMLE.2005.17268566
Lateef, F. (2010). Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma, and Shock, 3(4), 348–352. https://doi.org/10.4103/0974-2700.70743
Lee, C., & Schmaman, F. (1987). Self-efficacy as a predictor of clinical skills among speech pathology students. Higher Education, 16, 407-416.
Levett-Jones, T., McCoy, M., Lapkin, S., Noble, D., Hoffman, K., Dempsey J., Arthur, C., Roche, J. (2011). The development and psychometric testing of the Satisfaction with Simulation Experience scale. Nurse Education Today, 31(7), 705–710. https://doi.org/10.1016/j.nedt.2011.01.004
MacBean, N., Theodoros, D. G., Davidson, B. J., & Hill, A. E. (2013). Simulated learning environments in speech-language pathology: An Australian response. International Journal of Speech-Language Pathology, 15(3), 345–357. https://doi.org/10.3109/17549507.2013.779024
Mayer, R. (2004). Should there be a three-strikes rule against pure discovery learning? The case for guided methods of instruction. American Psychologist, 59(1), 14–19. https://doi.org/10.1037/0003-066x.59.1.14
Meakim, C., Boese, T., Decker, S., Franklin, A. E., Gloe, D, Lioce, L., Sando, C., & Borum, J. C. (2013). Standards of best practice: Simulation standard I: Terminology. Clinical Simulation in Nursing, 9(6), S3–S11. https://doi.org/10.1016/j.ecns.2013.04.001
Miles, A., Friary, P., Jackson, B., Sekula, J., & Braakhuis, A. (2016). Simulation-based dysphagia training: Teaching interprofessional clinical reasoning in a hospital environment. Dysphagia, 31(3), 407–415. https://doi.org/10.1007/s00455-016-9691-0
Nestel, D., & Bearman, M. (2014). Simulated patient methodology: Theory, evidence and practice. Wiley Blackwell.
Ogilvie, S., Cragg, B., & Foulds, B. (2011). Perceptions of nursing students on the process and outcomes of a simulation experience. Nurse Educator, 36(2), 56–58. https://doi.org/10.1097/NNE.0b013e31820b4fd5
Page-Cutrara, K., & Turk, M. (2017). Impact of prebriefing on competency performance, clinical judgment and experience in simulation: An experimental study. Nurse Education Today, 48, 78–83. https://doi.org/10.1016/j.nedt.2016.09.012
Rose, T. A., Copley, A., & Scarinci, N. A. (2017). Benefits of providing an acute simulated learning environment to speech pathology students: An exploratory study. Focus on Health Professional Education: A Multi-disciplinary Journal, 18(3), 44–59. https://doi.org/10.11157/fohpe.v18i3.186
Sheepway, L., Lincoln, M., & Togher, L. (2011). An international study of clinical education practices in speech-language pathology. International Journal of Speech-Language Pathology, 13(2), 174–185. https://doi.org/10.3109/17549507.2011.491129
Speech Pathology Association of Australia. (SPAA). (2010). What is a speech pathologist? The Speech Pathology Association of Australia.
Speech Pathology Association of Australia. (SPAA). (2011). Competency-Based Occupational Standards (CBOS) for Speech Pathologists: Entry-Level (revised). The Speech Pathology Association of Australia.
Speech Pathology Australia. (2018). Clinical Education in Australia: Building a Profession for the Future. Melbourne: SPA. https://www.speechpathologyaustralia.org.au/
Wallace, D., & Moughrabi, S. (2016). The efficacy of simulation debriefing in developing critical thinkning in accelerated baccalaureate nursing students. Journal of Nursing Education and Practice, 6(5), 13–18. https://doi.org/10.5430/jnep.v6n5p13
Ward, E. C., Baker, S. C., Wall, L. R., Duggan, B. L. J., Hancock, K. L., Bassett, L. V., & Hyde, T. J. (2014). Can human mannequin-based simulation provide a feasible and clinically acceptable method for training tracheostomy management skills for speech-language pathologists?. American Journal of Speech-Language Pathology, 23(3), 421–436. https://doi.org/10.1044/2014_AJSLP-13-0050
Ward, E. C., Hill, A. E., Nund, R. L., Rumbach, A. F., Walker-Smith, K., Wright, S. E., Kelly, K., & Dodrill, P. (2015). Developing clinical skills for paediatric dysphagia management using Human Patient Simulation (HPS). International Journal of Speech-Language Pathology, 17(3), 230–240. https://doi.org/10.3109/17549507.2015.1025846
Watson, K., Wright, A., Morris, N., McMeeken, J., Rivett, D., Blackstock, F., Jones, A., Haines, T., O'Connor, V., Watson, G., Peterson, R., & Jull, G.A. (2012). Can simulation replace part of clinical time? Two parallel randomised controlled trials. Medical Education, 46(7), 657–667. https://doi.org/10.1111/j.1365-2923.2012.04295.x
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