Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients

Journal article


Hough, Judith, Levan, Daniel Anthony, Steele, Michael, Kelly, Kristine and Dalton, Megan. (2019). Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients. BMC Medical Education. 19(1), pp. 1 - 11. https://doi.org/10.1186/s12909-019-1894-2
AuthorsHough, Judith, Levan, Daniel Anthony, Steele, Michael, Kelly, Kristine and Dalton, Megan
Abstract

Background The Australian Physiotherapy Council mandates that physiotherapy clinical education be sufficient to produce graduates who are competent to practice across the lifespan. Due to a lack of opportunities for paediatric clinical placements, there is a risk of graduates not having the opportunity to develop competency in paediatric physiotherapy. To address this risk, simulation-based education (SBE) has been proposed as an educational strategy to address the placement shortfall. Despite encouraging evidence for its use in physiotherapy education, there is limited evidence supporting its use specifically in paediatric populations. The aims of this research were to investigate the effect of SBE on student self-efficacy in the physiotherapy assessment and management of paediatric clients, and to determine student satisfaction with SBE as a learning strategy. Methods Three interactive SBE sessions were run during the undergraduate paediatric physiotherapy unit at the campus of one Australian university. Self-efficacy was surveyed before and after each session, to determine confidence in clinical skills, clinical decision-making, treatment preparation and planning, communication skills; evaluating and modifying interventions, and interprofessional practice. Student satisfaction with SBE as a learning strategy was surveyed after the final SBE session. Results For the 164 participants included in this study, self-efficacy survey response rate varied from 77 to 96% for each session. Significant increases in mean student self-efficacy were recorded for all questions (p <  0.001). A total of 139 (85%) responded to the learning reactionnaire with 78.6% indicating they were very satisfied with SBE as a learning strategy. Written comments from 41 participants identified ‘experience’ as the primary theme. Conclusion SBE had a significant positive effect on student self-efficacy in the physiotherapy assessment and management of paediatric patients. Students also perceived SBE to be a valuable learning experience. Future research is needed to investigate whether the improvement in self-efficacy achieved through SBE translates into improved student performance during workplace-based clinical placements.

Keywordssimulation; paediatrics; physiotherapy
Year2019
JournalBMC Medical Education
Journal citation19 (1), pp. 1 - 11
PublisherBiomed Central Ltd
ISSN1472-6920
Digital Object Identifier (DOI)https://doi.org/10.1186/s12909-019-1894-2
Scopus EID2-s2.0-85076672809
Open accessOpen access
Page range1 - 11
Research GroupSchool of Allied Health
Publisher's version
License
Place of publicationUnited Kingdom
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Effect of body position on ventilation distribution in ventilated preterm infants
Hough, Judith L., Johnston, Leanne, Brauer, Sandy, Woodgate, Paul and Schibler, Andreas. (2013). Effect of body position on ventilation distribution in ventilated preterm infants. Pediatric Critical Care Medicine. 14(2), pp. 171 - 177. https://doi.org/10.1097/PCC.0b013e31826e708a
Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer
Alcorn, Kylie, Gerrard, John, Macbeth, Deborough and Steele, Michael Craig. (2013). Seasonal variation in health care-associated bloodstream infection: Increase in the incidence of gram-negative bacteremia in nonhospitalized patients during summer. American Journal of Infection Control. 41(12), pp. 1205 - 1208. https://doi.org/10.1016/j.ajic.2013.05.019
Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial
Perez, Siegfried R.S., Keijzers, Gerben B., Steele, Michael Craig, Byrnes, Joshua and Scuffham, Paul A.. (2013). Intravenous 0.9% sodium chloride therapy does not reduce length of stay of alcohol-intoxicated patients in the emergency department: A randomised controlled trial. EMA - Emergency Medicine Australasia. 25(6), pp. 527 - 534. https://doi.org/10.1111/1742-6723.12151
A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests
Steele, Michael Craig, Smart, Neil A., Hurst, Cameron and Chaseling, Janet. (2012). A comparison of the power of the discrete Kolmogorov-Smirnov and Chi-Square goodness-of-fit tests. In K. Kumar and A. Chaturvedi (Ed.). International Conference on Recent Developments in Statistics, Econometrics and Forecasting, University of Allahabad, India, December 27-28, 2010. United States of America: Brown Walker Press. pp. 104 - 109
Baseline evidence based practice use, knowledge, and attitudes of allied health professionals : A survey to inform staff training and organisational change
Wilkinson, Shelley, Hinchliffe, Fiona, Hough, Judith and Chang, Anne. (2012). Baseline evidence based practice use, knowledge, and attitudes of allied health professionals : A survey to inform staff training and organisational change. Journal of Allied Health. 41(4), pp. 177 - 184.
Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure
Hough, Judith L., Johnston, Leanne, Brauer, Sandy G., Woodgate, Paul G., Pham, Trang MT and Schibler, Andreas. (2012). Effect of body position on ventilation distribution in preterm infants on continuous positive airway pressure. Pediatric Critcal Care Medicine. 13(4), pp. 446 - 451. https://doi.org/10.1097/PCC.0b013e31822f18d9
Talipes equinovarus (clubfoot)
Hough, Judith Leigh, Bagley, Catherine and Koorts, Pieter J.. (2012). Talipes equinovarus (clubfoot). In In M. W. Davies, G. D. T. Inglis and L. A. Jardine & P. J. Koorts (Ed.). Antenatal consults : A guide for neonatologists and paediatricians pp. 281-284 Churchill Livingstone.
Reduction of post-surgical pericardial adhesions using a pig model
Alizzi, Ali M., Summers, Phillip, Boon, Virginia H., Tantiongco, John-Paul, Thompson, Teresa, Leslie, Belinda J., Williams, David, Steele, Michael Craig, Bidstrup, Benjamin P. and Diqer, Al-Mutazz A.. (2012). Reduction of post-surgical pericardial adhesions using a pig model. Heart, Lung and Circulation. 21(1), pp. 22 - 29. https://doi.org/10.1016/j.hlc.2011.10.002
Lung recruitment manoeuvres for reducing respiratory morbidity in mechanically ventilated neonates
Jauncey-Cooke, J, Bogossian, F, Hough, J., Schibler, A, Davies, M W., Grant, C A., Gibbons, K and East, C E.. (2012). Lung recruitment manoeuvres for reducing respiratory morbidity in mechanically ventilated neonates. Cochrane Database of Systematic Reviews. Art.No.: CD009969 (Issue 7). https://doi.org/10.1002/14651858.CD009969
Humidified high flow nasal cannulae : Current practice in Australasian nurseries, a survey
Hough, Judith, Shearman, Andrew, Jardine, Luke and Davies, Mark. (2012). Humidified high flow nasal cannulae : Current practice in Australasian nurseries, a survey. Journal of Paediatrics and Child Health. 48(2), pp. 106 - 113. https://doi.org/10.1111/j.1440-1754.2011.02070.x
A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients
Smart, Neil A. and Steele, Michael Craig. (2012). A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients. Congestive Heart Failure. 18(4), pp. 205 - 211. https://doi.org/10.1111/j.1751-7133.2011.00274.x
Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients
Tan, Chee K., Ulett, Kimberly B., Steele, Michael C., Benjamin, William H. and Ulett, Glen C.. (2012). Prognostic value of semi-quantitative bacteruria counts in the diagnosis of group B streptococcus urinary tract infection: A 4-year retrospective study in adult patients. BMC Infectious Diseases. 12(273), pp. 1 - 8. https://doi.org/10.1186/1471-2334-12-273
The Assessment of Physiotherapy Practice (APP) is a reliable measure of professional competence of physiotherapy students: A reliability study
Dalton, Megan, Davidson, Megan and Keating, Jennifer L.. (2012). The Assessment of Physiotherapy Practice (APP) is a reliable measure of professional competence of physiotherapy students: A reliability study. Journal of Physiotherapy. 58(1), pp. 49 - 56. https://doi.org/10.1016/S1836-9553(12)70072-3
Using community surveillance data to differentiate between emerging and endemic amphibian diseases
Young, Sam, Skerratt, Lee F., Mendez, Diana, Speare, Rick, Berger, Lee and Steele, Michael Craig. (2012). Using community surveillance data to differentiate between emerging and endemic amphibian diseases. Diseases of Aquatic Organisms. 98(1), pp. 1 - 10. https://doi.org/10.3354/dao02416
Building sustainable capacity in physiotherapy clinical education: An innovative Queensland state-wide collaboration
Dunwoodie, R., Moller, M., Teys, P., Blackwell, L., Dalton, Megan Bernadette, Kirwan, G. M., Offord, Sonia S., Pellatt, A. and Stuart, R.. (2011). Building sustainable capacity in physiotherapy clinical education: An innovative Queensland state-wide collaboration. World Physical Therapy 2011. Amsterdam: Elsevier. pp. eS1474 - eS1475
A systematic review of instruments for the assessment of professional competence of physiotherapy students
Dalton, Megan, Davidson, Megan and Keating, Jennifer L.. (2011). A systematic review of instruments for the assessment of professional competence of physiotherapy students. World Physical Therapy 2011. Amsterdam: Elsevier. pp. eS256 - eS257
The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review
Smart, Neil A. and Steele, Michael Craig. (2011). The effect of physical training on systemic proinflammatory cytokine expression in heart failure patients: A systematic review. Congestive Heart Failure. 17(3), pp. 110 - 114. https://doi.org/10.1111/j.1751-7133.2011.00217.x
The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study
Szlezak, Adam, Georgilopoulos, Peter, Bullock-Saxton, Joanne and Steele, Michael. (2011). The immediate effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics :A randomised controlled study. Manual Therapy. 16, pp. 609 - 613. https://doi.org/10.1016/j.math.2011.06.004
Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery
Schibler, Andreas, Pham, Trang, Dunster, Kimble, Foster, Kim, Barlow, A, Gibbons, Kristen and Hough, Judith. (2011). Reduced intubation rates for infants after introduction of high-flow nasal prong oxygen delivery. Intensive Care Medicine. 37(5), pp. 847 - 852. https://doi.org/10.1007/s00134-011-2177-5
The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes
Crilly, Julia, Keijzers, Gerben B., Krahn, Dirken, Steele, Michael Craig, Green, David and Freeman, Janeen. (2011). The impact of a temporary medical ward closure on emergency department and hospital service delivery outcomes. Quality Management in Health Care. 20(4), pp. 322 - 333. https://doi.org/10.1097/QMH.0b013e318231355a
Exercise training in haemodialysis patients: A systematic review and meta-analysis
Smart, Neil and Steele, Michael Craig. (2011). Exercise training in haemodialysis patients: A systematic review and meta-analysis. Nephrology. 16(7), pp. 626 - 632. https://doi.org/10.1111/j.1440-1797.2011.01471.x
The Assessment of Physiotherapy Practice (APP) is a valid measure of professional competence of physiotherapy students: A cross-sectional study with Rasch analysis
Dalton, Megan, Davidson, Megan and Keating, Jennifer L.. (2011). The Assessment of Physiotherapy Practice (APP) is a valid measure of professional competence of physiotherapy students: A cross-sectional study with Rasch analysis. Journal of Physiotherapy. 57(4), pp. 239 - 245. https://doi.org/10.1016/S1836-9553(11)70054-6
Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography
Grant, Caroline, Pham, Trang, Hough, Judith, Riedel, T, Stocker, C and Schibler, Andreas. (2011). Measurement of ventilation and cardiac related impedance changes with electrical impedance tomography. Critical Care. 15(1), pp. 1 - 9. https://doi.org/10.1186/cc9985
Tertiary survey performance in a regional trauma hospital without a dedicated trauma service
Keijzers, Gerben B., Campbell, Don, Hooper, Jeffrey, Bost, Nerolie, Crilly, Julia, Steele, Michael Craig, Eddington, Blake and Geeraedts, Leo M.G.. (2011). Tertiary survey performance in a regional trauma hospital without a dedicated trauma service. World Journal of Surgery. 35(10), pp. 2341 - 2347. https://doi.org/10.1007/s00268-011-1231-3
Promoting and providing expert guidance in work-intensive clinical settings
Henderson, Amanda, Alexander, Heather, Haywood, Alison, Stapleton, Peta, Cooke, Marie, Patterson, Elizabeth, Dalton, Megan and Creedy, Debra K.. (2010). Promoting and providing expert guidance in work-intensive clinical settings. Vocations and Learning. 3(2), pp. 141 - 156. https://doi.org/10.1007/s12186-010-9036-3
Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data
Steele, M., Smart, N., Hurst, C. and Chaseling, J.. (2009). Evaluating the statistical power of goodness-of-fit tests for health and medicine survey data. In R.S. Anderssen, R.D. Braddock and L.T.H. Newham (Ed.). The 18th World IMACS Congress and MODSIM09 International Congress on Modelling and Simulation. United States of America: Modelling and Simulation Society of Australia and New Zealand and International Association for Mathematics and Computers in Simulation, July 2009. pp. 192 - 196
The objective structured clinical examination (OSCE): Optimising its value in the undergraduate nursing curriculum
Mitchell, Marion L., Henderson, Amanda, Dalton, Megan, Groves, Michele and Nulty, Duncan. (2009). The objective structured clinical examination (OSCE): Optimising its value in the undergraduate nursing curriculum. Nurse Education Today. 29(4), pp. 398 - 404. https://doi.org/10.1016/j.nedt.2008.10.007
Boosting morale and improving performance in the nursing setting
Stapleton, Peta, Henderson, Amanda, Creedy, Debra K., Cooke, Marie, Patterson, Elizabeth, Alexander, Heather, Haywood, Alison and Dalton, Megan. (2007). Boosting morale and improving performance in the nursing setting. Journal of Nursing Management. 15(8), pp. 811 - 816. https://doi.org/10.1111/j.1365-2934.2007.00745.x