Developing clinical skills in paediatric dysphagia management using Human Patient Simulation (HPS)

Abstract

Purpose: The use of simulated learning environments to develop clinical skills is gaining momentum in speech-language pathology training programs. The aim of the current study was to examine the benefits of adding Human Patient Simulation (HPS) into the university curriculum in the area of paediatric dysphagia. Method: University students enrolled in a mandatory dysphagia course (n = 29) completed two, 2-hour HPS scenarios: (a) performing a clinical feeding assessment with a medically complex infant; and (b) conducting a clinical swallow examination (CSE) with a child with a tracheostomy. Scenarios covered technical and non-technical skills in paediatric dysphagia management. Surveys relating to students’ perceived knowledge, skills, confidence and levels of anxiety were conducted: (a) pre-lectures; (b) post-lectures, but pre-HPS; and (c) post-HPS. A fourth survey was completed following clinical placements with real clients. Result: Results demonstrate significant additive value in knowledge, skills and confidence obtained through HPS. Anxiety about working clinically reduced following HPS. Students rated simulation as very useful in preparing for clinical practice. Post-clinic, students indicated that HPS was an important component in their preparation to work as a clinician. Conclusion: This trial supports the benefits of incorporating HPS as part of clinical preparation for paediatric dysphagia management. (PsycINFO Database Record (c) 2016 APA, all rights reserved)Centre for Functioning and Health Research, Queensland Health, QLD, Australia. Other Publishers: Informa Healthcare. Release Date: 20150720. Correction Date: 20150921. Publication Type: Journal (0100), Peer Reviewed Journal (0110). Format Covered: Electronic. Document Type: Journal Article. Language: EnglishMajor Descriptor: Clinical Methods Training; Dysphagia; Simulation; Speech Therapy. Minor Descriptor: Pediatrics. Classification: Professional Education & Training (3410). Population: Human (10); Male (30); Female (40). Location: Australia. Age Group: Adulthood (18 yrs & older) (300); Young Adulthood (18-29 yrs) (320); Middle Age (40-64 yrs) (360). Methodology: Empirical Study; Longitudinal Study; Prospective Study; Quantitative Study. Supplemental Data: Appendixes Internet. References Available: Y. Page Count: 11. Issue Publication Date: Jun, 2015. Copyright Statement: Published by Informa UK, Ltd. The Speech Pathology Association of Australia Limited. 2015.Sponsor: Health Workforce Australia, Australia. Grant: FA-2013-044. Recipients: No recipient indicated <br />