Evaluating multisite multiprofessional simulation training for a hyperacute stroke service using the Behaviour Change Wheel

BMC Medical Education
Alastair RossJonathan Birns

Abstract

Stroke is a clinical priority requiring early specialist assessment and treatment. A London (UK) stroke strategy was introduced in 2010, with Hyper Acute Stroke Units (HASUs) providing specialist and high dependency care. To support increased numbers of specialist staff, innovative multisite multiprofessional simulation training under a standard protocol-based curriculum took place across London. This paper reports on an independent evaluation of the HASU training programme. The main aim was to evaluate mechanisms for behaviour change within the training design and delivery, and impact upon learners including potential transferability to the clinical environment. The evaluation utilised the Behaviour Change Wheel framework. Procedures included: mapping training via the framework; examination of course material; direct and video-recorded observations of courses; pre-post course survey sheet; and follow up in-depth interviews with candidates and faculty. Patient management skills and trainee confidence were reportedly increased post-course (post-course median 6 [IQ range 5-6.33]; pre-course median 5 [IQ range 4.67-5.83]; z = 6.42, P < .001). Thematic analysis showed that facilitated 'debrief' was the key agent in supporting both ...Continue Reading

References

Dec 14, 1995·The New England Journal of Medicine·UNKNOWN National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group
Aug 10, 2002·BMJ : British Medical Journal·Sheldon Stone
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Michelle JordonReuben R McDaniel
Apr 29, 2010·Journal of Advanced Nursing·Robyn P Cant, Simon J Cooper
May 6, 2010·Chest·Susan Murin, Nicholas S Stollenwerk
Feb 4, 2011·Nurse Education Today·Tracy Levett-JonesJan Roche
Jun 28, 2011·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·William C McGaghieDimitrios Stefanidis
Jul 12, 2011·Nurse Education Today·Louise C Stayt
Nov 16, 2011·Disease-a-month : DM·Morris KharaschErnest E Wang
Jan 14, 2012·British Journal of Nursing : BJN·Angela RootsJonathan Birns
Mar 21, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Susan MichieCaroline E Wood
Jul 16, 2013·Social Science & Medicine·Bruno MarchalRay Pawson
Nov 5, 2013·Journal of the American College of Surgeons·John T PaigeWilliam Swartz
Jun 20, 2014·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·C HookwayC E Weekes
May 27, 2015·The Clinical Teacher·Peter JayeGabriel Reedy

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Citations

Feb 23, 2017·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Pamela J Mahaffey, Megan Robertson
Jul 27, 2018·Practical Neurology·Clare M GaltreyAnthony C Pereira
Oct 15, 2019·Nursing & Health Sciences·Ki Sook Bae, Young Sook Roh
Dec 21, 2020·The Clinical Teacher·Claire MullenderJonathan Birns
Jan 30, 2021·British Journal of Hospital Medicine·A H MacCuishJ Birns
Apr 4, 2021·International Journal of Environmental Research and Public Health·Annabelle WorkmanFay H Johnston

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Software Mentioned

SMOTS Observation and Training System
SaIL
SPSS
HyperRESEARCH

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