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Communication Skills Using Simulation for Physicians
(Dealing with Angry Patients and Cultural Sensitivities) Iblagh,Nadia BSc,MA.Leadership MSc.Med.Ed &Diabetes Candidate-University ofDundee
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Introduction Good non- technical (eg. vigilance, anticipation, clear communication, team coordination) can reduce the likelihood of error consequently of accidents. Simulation is a powerful tool because it allows the trainer to systematically control the schedule prime, presentation of feedback and introduction( or suppression) of environmental distractions, within a safe, controlled environment.
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Slide taken from Rhona flins ppt called “safety at the sharp End!
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Leadership Team Work Communication Situation Awareness Decision Making
Personal Limitations – managing stress and fatigue
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Reports of problems caused by mis- communication amongst
Practitioners themselves Patients and the practitioners Non- technical clinical skills vs Technical skills training in Kuwait
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Objectives Designing a training session for HCP
to train them on one NTS at a time .
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Learning Outcomes Identifying techniques for effective communication skills focus on dealing with angry patients Being able to handle cultural issues effectively.
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Methods Standardized patients (SPs), a trained actor used as "real" simulators The SP playing a specific role based on given scenario.
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Teaching Strategies Number of strategies 1- SISFR 2- STEPS
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1- SISFR S = Set the context and identify roles and outcomes. I = Immerse in roles and practice for agreed time frame S = Summary presentation of progress with scenario F = Feedback from self, peers, and tutors R = Refine practice building on feedback. I
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Feedback Information describing students' performance in a given activity. Key step in the acquisition of clinical skills. Often omitted or handled improperly in a clinical training.
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When effective feedback is provided and focuses on directly observable skills and behaviors, important personal and educational progress can occur, Katz
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Feedback & Debriefing Importance of the feedback & debriefing SETGO :
What student Saw. What else the group/student Saw What the student Thinks What Goal do we want to achieve. Any offers how we get there
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The Intervention Videotaping Setting the simulated scenario
Immersion & belief
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Evaluation & Feedback Comments on : the strategies used The reflection
Authenticity Future trainings
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Limitations
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an artificial improvement!!
Notes Improved performance ? true progression ? or an artificial improvement!!
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Conclusion/ Reflection
The results for this study would be used designing and providing non-technical skills session. offering practitioners, clinical skill sessions, using simulation equipped with standards teaching strategies to master those skills is a milestone towards a better health outcome.
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References
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1. Leonard M, Graham S, Bonacum D
1. Leonard M, Graham S, Bonacum D. The Human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 2004;13(Suppl 1):i85–90. 2. BeaubienJ,BakerP. The use of simulation fortraining teamwork skills in healthcare:how low can you go?QualSafHealthCare. 2004;13(Suppl ):i51–6. 3. MaguireP,PitceathlyC. Key communication skills and how to acquire them. BMJ.2002;325:697–700. 4. Johnston P, Fioratou E, Flin R. Non-technical skills in histopathology: Definition and discussion. Histopathology 2011; 59: 259– 5. Flin R, OConnor P, Crichton. Safety at the Sharp End. A Guide to Non-Technical Skills. Aldershot: Ashgate; 2008. 6. Mitchel, A. M, Fioravanti M, Founds S, Hoffmann, R. L., & Libman, R. Using simulation to bridge communication and cultural barriers in health care encounters: Report of an international workshop. Clinical Simulation in Nursing, 2010; 6(5):193–198.
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7. Fay-Hiller TM, Regan RV, Gordon MG
7. Fay-Hiller TM, Regan RV, Gordon MG. Communication and Patient Safety in Simulation for Mental Health Nursing Education. Issues in Mental Health Nursing 2012; 33(11): 8. KaufmanD.M.,ABC of learning and teaching in medicine: Applying educational henry in practice.BMJ(2003),326, 9. JarcheH. Modelling,nots haping.[homepageontheInternet].2012[cited2012Nov 29]. Available from: shaping/
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Torre D. M. , Daley B. J. , Sebastian J. L. , Elnicki D. M
Torre D.M., Daley B.J., Sebastian J.L., Elnicki D.M. Overview of Current Learning Theories for Medical Educators. American Journal of Medicine 2006;119 (10): Chronister C, Brown D. Comparison of Simulation Debriefing Methods. Clinical Simulation in Nursing, 2012; 8(7): Pendleton D, Schofield T, Tate P., A method for giving feedback. In: The consultation: an approach to learning and teaching.Oxford: Oxford University Press, –71. Carr S., The foundation program assessment tools: an opportunity to enhance 2006;82:576-9.
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