Developing an integrated educational simulation model by considering art approach: Teaching Empathic Communication skills
Abstract
Introduction: Simulation plays an important role in integrated learning of communication skills. Communication skills are known as the heart and art of medicine. Although, designing high-impact learning experiences in simulated environments are essential elements in the process of communication training, it has encountered some challenges. Art-based education by providing ‘simulation’ of the wider experience of life as well as making creative thinking in medical students can help to overcome these issues. This article aims to develop a new model of simulation for communication skills education, the Integrated Model for Communication Skills (IMCS), by integrating the essential features of simulation and art.
Materials and Methods: A review was done on the current literature of medical education, simulation model and main framework of art approach. Then, an expert panel by the use of nominal group technique (NGT) was held with medical education experts in Iran and Sweden to design, select an appropriate simulation model and approve the final model (IMCS) following some modifications.
Results: IMCS is an integrated model in 3 concepts of Jeffries simulation model based on art approaches: simulation design, simulation intervention and outcome. The model used activity theory and transformative learning theory to foster outcomes of skill-based and emotional-based communication skills.
Conclusion: Arts strategies could be incorporated into the simulation model. The IMCS has the potential to promote emotional and technical aspects of communication skills to make the healthcare providers as competent communicators.
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Khan, F.H., Hanif, R., Tabassum, R., Qidwai, W. & Nanji, K. (2014). Patient attitudes towards physician nonverbal behaviors during consultancy: result from a developing country. ISRN Family Medicine doi: 10.1155/2014/473654.
Silverman, J. & Kinnersley, P. (2010). Doctors' non-verbal behaviour in consultations: look at the patient before you look at the computer. British Journal of General Practice 60 (571) 76-78.
Baile, W.F. & Blatner, A. (2014). Teaching communication skills: using action methods to enhance role-play in problem-based learning. Simulation in Healthcare 9 (4) 220-227.
Lurie, S.J., Mooney, C.J. & Lyness, J.M. (2009). Measurement of the general competencies of the accreditation council for graduate medical education: a systematic review. Academic Medicine 84 (3) 301-309.
Rider, E.A., Hinrichs, M.M. & Lown, B.A. (2006). A model for communication skills assessment across the undergraduate curriculum. Medical Teacher 28 (5) e127-e134.
van den Eertwegh, V., van Dalen, J., van Dulmen, S., van der Vieuten, C. & Scherpbier, A. (2014). Residents' perceived barriers to communication skills learning: comparing two medical working contexts in postgraduate training. Patient Education and Counseling 95 (1) 91-97.
Shield, R.R., Tong, I., Tomas, M. & Besdine, R.W. (2011). Teaching communication and compassionate care skills: an innovative curriculum for pre-clerkship medical students. Medical Teacher 33 (8) e408-e416.
Rao, J.K., Anderson, L.A., Inui, T.S. & Frankel, R.M. (2007). Communication interventions make a difference in conversations between physicians and patients: a systematic review of the evidence. Medical Care 45 (4) 340-349.
Oliveira, V.C., Ferreira, M.L., Pinto, R.Z., Filho, R.F., Refshauge, K. & Ferreira, P.H. (2015). Effectiveness of Training Clinicians' Communication Skills on Patients' Clinical Outcomes: A Systematic Review. Journal of Manipulative Physiological Therapeutics 38 (8) 601-616.
Salmon, P. & Young, B. (2011). Creativity in clinical communication: from communication skills to skilled communication. Medical Education 45 (3) 217-226.
Kidd, J., Patel, V., Peile, E. & Carter, Y. (2005). Clinical and communication skills. British Medical Journal 330, 374-375.
Ha, J.F. & Longnecker, N. (2010). Doctor-patient communication: a review. Ochsner Journal 10 (1) 38-43.
Moulton, C-A., Tabak, D., Kneebone, R., Nestel, D., MacRae, H. & LeBlanc, V.R. (2009). Teaching communication skills using the integrated procedural performance instrument (IPPI): A randomized controlled trial. The American Journal of Surgery 197 (1) 113-118.
Zoppi, K. & Epstein, R.M. (2002). Is Communication a Skill? Communication Behaviors and Being in Relation. Family Medicine 34 (5) 319-324.
Shirazi, M., Mohammadikia, A. & Jahanian, I. (2015). A Systematic Review of Studies Regarding Applying Standardized Patients for Teaching Communication Skills to Medical Students Between 2000 - 2013. Journal of Medical Education 10 (2) 150-162.
Bosse, H.M., Nickel, M., Huwendiek, S.R, Schultz, J.H. & Nikendei, C. (2015). Cost-effectiveness of peer role play and standardized patients in undergraduate communication training. BMC Medical Education 15 (1) 183.
Hardee, J.T. & Kasper, I.K. (2005). From standardized patient to care actor: evolution of a teaching methodology. The Permanente Journal 9 (3) 79-82.
Kneebone, R. (2011). The art, science and simulation of performance. Proceedings of the International Symposium on Performance Science.
Kumagai, A.K. (2012). Perspective: acts of interpretation: a philosophical approach to using creative arts in medical education. Academic Medicine 87 (8) 1138-1144.
Weisz, G. & Albury, W. (2010). The medico-artistic phenomenon and its implications for medical education. Medical Hypotheses 74 (1) 169-173.
Choudhary, A. & Gupta, V. (2015). Teaching communications skills to medical students: Introducing the fine art of medical practice. International Journal of Applied Basic Medical Research 5 (Supplement 1) S41.
Potash, J.S., Chen, J.Y., Lam, C.L. & Chau, V.T. (2014). Art-making in a family medicine clerkship: how does it affect medical student empathy? BMC Medical Education 14, 247.
Perrona, N.J., Sommerc, J., Louis-Simonetd, M. & Nendaz, M. (2015). Teaching communication skills: beyond wishful thinking. Swiss Medical Weekly 145, w14064.
Perry, M., Maffulli, N., Willson, S. & Morrissey, D. (2011). The effectiveness of arts-based interventions in medical education: a literature review. Medical Education 45 (2) 141-148.
Chen, R.P. (2011). Moral imagination in simulation-based communication skills training. Nursing Ethics 18 (1) 102-111.
Eisenberg, A., Rosenthal, S. & Schlussel, Y.R. (2015). Medicine as a Performing Art: What We Can Learn About Empathic Communication From Theater Arts. Academic Medicine 90 (3) 272-276.
Brown, J. (2010). Transferring clinical communication skills from the classroom to the clinical environment: perceptions of a group of medical students in the United Kingdom. Academic Medicine 85 (6) 1052-1059.
Jeffrey, E.J., Goddard, J. & Jeffrey, D. (2012). Performance and palliative care: a drama module for medical students. Medical Humanities 38 (2) 110-114.
Kumagai, A.K. (2012). Perspective: acts of interpretation: a philosophical approach to using creative arts in medical education. Academic Medicine 87 (8) 1138-1144.
Staricoff, R.L. (2006). Arts in health: the value of evaluation. Journal of the Royal Society for the Promotion of Health 126 (3) 116-120.
Watson, K. (2011). Perspective: Serious play: teaching medical skills with improvisational theater techniques. Academic Medicine 86 (10) 1260-1265.
Younie, L. (2013). Introducing arts-based inquiry into medical education: ‘exploring the creative arts in health and illness’. Creativity in the Classroom: Case Studies in Using the Arts in Teaching and Learning in Higher Education, pp.23-40. Bristol: Intellect Books.
Bachmann, C., Barzel, A., Roschlaub, S., Ehrhardt, M. & Scherer, M. (2013). Can a brief two-hour interdisciplinary communication skills training be successful in undergraduate medical education? Patient Education and Counseling 93 (2) 298-305.
Bell, B.S., Kanar, A.M. & Kozlowski, S.W. (2008). Current issues and future directions in simulation-based training. CAHRS Working Paper Series 492.
Bennett, K. & Lyons, Z. (2011). Communication skills in medical education: an integrated approach. Education Research and Perspectives 38 (2) 45.
Lanning, S.K., Ranson, S.L. & Willett, R.M. (2008). Communication skills instruction utilizing interdisciplinary peer teachers: program development and student perceptions. Journal of Dental Education 72 (2) 172-182.
Smith, J.R. & Cole, F.S. (2009). Patient safety: effective interdisciplinary teamwork through simulation and debriefing in the neonatal ICU. Critical Care Nursing Clinics of North America 21 (2) 163-179.
Brathwaite, A.C. (2003). Selection of a conceptual model/framework for guiding research interventions. Internet Journal of Advanced Nursing Practice 6 (1) 1-10.
Jeffries, P.R. (2005). A framework for designing, implementing, and evaluating: Simulations used as teaching strategies in nursing. Nursing Education Perspectives 26 (2) 96-103.
Jeffries, P.R. (2012). Simulation in nursing education: From conceptualization to evaluation National League for Nursing. New York.
Adamson, K. (2015). A Systematic review of the Literature related to the NLN/Jeffries Simulation framework. Nursing Education Perspectives 36 (5) 281-291.
Kneebone, R. (2005). Evaluating clinical simulations for learning procedural skills: a theory-based approach. Academic Medicine 80 (6) 549-553.
Kneebone, R. & Nestel, D. (2005). Learning clinical skills-the place of simulation and feedback. The Clinical Teacher 2 (2) 86-90.
Kneebone, R., Scott, W., Darzi, A. & Horrocks, M. (2004). Simulation and clinical practice: strengthening the relationship. Medical Education 38 (10) 1095-1102.
Dieckmann, P. (2009). Using simulation for education, training and research. Lengerich, Germany: Pabst Science.
Campbell, S. & Daley, K. (2009). Simulation scenarios for nurse educators: Making it real. New York: Springer Publishing Company.
Keskitalo, T., Ruokamo, H. & Väisänen, O. (2010). How does the facilitating, training and learning model support characteristics of meaningful learning in a simulation-based learning environment from facilitators’ and students’ perspectives. Proceedings of world conference on educational multimedia, hypermedia and telecommunications. AACE Chesapeake, VA.
Park, M., McMillan, M., Conway, J., Cleary, S., Murphy, L. & Griffiths, S.K. (2013). Practice-based simulation model: a curriculum innovation to enhance the critical thinking skills of nursing students. Australian Journal of Advanced Nursing 30 (3) 41-51.
Aebersold, M. & Titler, M.G. (2014). A simulation model for improving learner and health outcomes. Nursing Clinics of North America 49 (3) 431-439.
Addison, N. & Burges, L. (2008). Learning to Teach Art and Design in the Secondary School. Second edn: Taylor & Francis e-Library.
Berragan, E. 2013. Conceptualising learning through simulation: Towards an expansive model of learning. Belfast: RCN International Research Society Conference.
Battista, A. (2015). Activity Theory and Analyzing Learning in Simulations. Simulation & Gaming 46 (2) 187-196.
Frambach, J.M., Driessen, E.W., van der Vleuten, C.P. (2014). Using activity theory to study cultural complexity in medical education. Perspectives on Medical Education 3 (3) 190-203.
Archibald, M.M., Caine, V. & Scott, S.D. (2014). The Development of a Classification Schema for Arts-Based Approaches to Knowledge Translation. Worldviews on Evidence-Based Nursing 11 (5) 316-324.
Chiniara, G., Cole, G., Brisbin, K., Huffman, D., Cragg, B., Lamacchia, M., Norman, D. & Canadian Network for Simulation In Healthcare. Guidelines Working Group. (2013). Simulation in healthcare: a taxonomy and a conceptual framework for instructional design and media selection. Medical Teacher 35 (8) e1380-e1395.
Poikela, E. & Poikela, P. (2012). Towards simulation pedagogy Developing Nursing Simulation in a European Network: Rovaniemi University of Applied Sciences Publications.
Chesak, S. (2010). The essentials of debriefing in simulation learning: a concept analysis. Nursing Education Perspectives 31 (1) 46.
Moorman, M. (2015). The meaning of visual thinking strategies for nursing students. Humanities 4 (4) 748-759.
Riggins, E.C. (2014). Integrating the Arts and Sciences in the Museum Setting. Seton Hall University Dissertations and Theses.
Rooney, R. (2004). Arts-Based Teaching and Learning; a review of literatre 2004. Prepared for:VSA ARTS, Washington, DC. Retrieved from: http://www.kennedy-center.org/education/vsa/resources/VSAarts_Lit_Rev5-28.pdf.
Grapczynski, C.A., Schuurman, S., Booth, A.D., Bambini, D. & Beel-Bates, C. (2015). The Integrated Model for Interprofessional Education: A Design for Preparing Health Professions' Students to Work in Interprofessional Teams. Journal of Allied Health 44 (2) 108-114.
Kononowicz, A.A., Narracott, A.J., Manini, S., Bayley, M.J., Lawford, P.V., McCormack, K. & Zary, N. (2014). A framework for different levels of integration of computational models into web-based virtual patients. Journal of Medical Internet Research 16 (1) e23.
Cowan University PWA. (2008). Bridging the Theory to Practice Gap Using Performance Based Simulation. Edu-Com International Conference. Western Australia in association with Khon Kaen University, Thailand and Bansomdejchaopraya Rajabhat University, Thailand.
DOI: http://dx.doi.org/10.5750/ejpch.v5i1.1299
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