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    Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trials

    Access Status
    Open access via publisher
    Authors
    Blackstock, Felecity
    Watson, Kathryn
    Morris, Norman
    Jones, Anne
    Wright, Tony
    McMeeken, Joan
    Rivett, Darren
    O'Connor, Vivienne
    Peterson, Raymond
    Haines, Terry
    Watson, Geoffrey
    Jull, Gwendolen
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Blackstock, Felicity and Watson, Kathryn and Morris, Norman and Jones, Anne and Wright, Anthony and McMeeken, Joan and Rivett, Darren et al. 2013. Simulation can contribute a part of cardiorespiratory physiotherapy clinical education: Two randomized trials. Simulation in Healthcare. 8 (1): pp. 32-42.
    Source Title
    Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
    DOI
    10.1097/SIH.0b013e318273101a
    ISSN
    1559-2332
    URI
    http://hdl.handle.net/20.500.11937/5197
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Simulated learning environments (SLEs) are used worldwide in health professional education, including physiotherapy, to train certain attributes and skills. To date, no randomized controlled trial (RCT) has evaluated whether education in SLEs can partly replace time in the clinical environment for physiotherapy cardiorespiratory practice. Methods: Two independent single-blind multi-institutional RCTs were conducted in parallel using a noninferiority design. Participants were volunteer physiotherapy students (RCT 1, n = 176; RCT 2, n = 173) entering acute care cardiorespiratory physiotherapy clinical placements. Two SLE models were investigated as follows: RCT 1, 1 week in SLE before 3 weeks of clinical immersion; RCT 2, 2 weeks of interspersed SLE/clinical immersion (equivalent to 1 SLE week) within the 4-week clinical placement. Students in each RCT were stratified on academic grade and randomly allocated to an SLE plus clinical immersion or clinical immersion control group. The primary outcome was competency to practice measured in 2 clinical examinations using the Assessment of Physiotherapy Practice. Secondary outcomes were student perception of experience and clinical educator and patient rating of student performance. Results: There were no significant differences in student competency between the SLE and control groups in either RCT, although students in the interspersed group (RCT 2) achieved a higher score in 5 of 7 Assessment of Physiotherapy Practice standards (all P < 0.05). Students rated the SLE experience positively. Clinical educators and patients reported comparability between groups. Conclusions: An SLE can replace clinical time in cardiorespiratory physiotherapy practice. Part education in the SLE satisfied clinical competency requirements, and all stakeholders were satisfied.

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