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Type: Journal article
Title: Simulation can contribute a part of cardiorespiratory physiotherapy clinical education two randomized trials
Author: Blackstock, F.
Watson, K.
Morris, N.
Jones, A.
Wright, A.
McMeeken, J.
Rivett, D.
O'Connor, V.
Peterson, R.
Haines, T.
Watson, G.
Jull, G.
Citation: Simulation in Healthcare, 2013; 8(1):32-42
Publisher: Lippincott Williams & Wilkins
Issue Date: 2013
ISSN: 1559-2332
Department: Faculty of Health Sciences
Statement of
Felicity C. Blackstock, Kathryn M. Watson, Norman R. Morris, Anne Jones, Anthony Wright, Joan M. McMeeken, Darren A. Rivett, Vivienne O’Connor, Raymond F. Peterson, Terry P. Haines, Geoffrey Watson, Gwendolen Anne Jull
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.
Keywords: Simulated learning environments; Cardiorespiratory physiotherapy; Randomized controlled trial
Rights: Copyright © 2013 by the Society for Simulation in Healthcare
RMID: 0020125623
DOI: 10.1097/SIH.0b013e318273101a
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Appears in Collections:Paediatrics publications

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