DESIGNING FOR TEAM SIMULATION

& COMMUNICATION TRAINING

Sabrina Koh

Assistant Director, Nursing

Sengkang Health, Singapore

Overview

• Approach and structure for team simulation

• Using and teaching communication tools

• Hybrid simulation: Creative use of hardware and role establishing in designing scenario

Team Simulation

Interprofessional Education

• When 2 or more professions come together to learn together

Learning Theories

• Adult Learning Theory

– relevant to life and work

– replicates environment

– immediate feedback

• Problem-Based Learning

• Experiential Learning

• Behaviorism

• Social Learning

• Emotional Learning

• Train and enhance team’s ability to synthesize and evaluate situations

• Higher intellectual engagement

• Collective agreement in team’s actions as oppose to individual’s actions

• Leadership towards collaboration vs. leadership towards outcome

Team Activities

Structuring Learning Sessions

• Critical Thinking

• Pause the Action

• Intervening

• Teamwork, Collaboration, Communication

• Observation

Factors to Consider when

Designing Team Simulation

Challenges are Necessary

• Objectives

• Technical component

• Communication component

• “Triggers” & “Noise”

Group Size Matters

• Estimate the group size to avoid• Over crowding• Short of staff

Hw do you plan to Debrief?

• Use a co-debriefer

• Address issues and work processes

instead of people and personality

Debriefing Models

• Advocacy Inquiry

• GAS

• Plus / Delta ?

SCENARIO DESIGN

Design Components

• Review objectives

• Identify skillset

– Technical

– Communication

• Select an appropriate clinical setting

• Scripts for

– Actors / Confederates

– Patient simulator

Design Components

• Triggers to induce:

– conflicts

– Situations

• Noises

– A demanding next-of-kin

– An angry colleague

– First day on the job!

Tools• Simulators, part task models

• Actors as family, healthcare providers, others

Group Task

Design a scenario to provide an experience for:

– Using TeamSTEPPS Team Communication Tools

• SBAR

• CUS

• 2 Challenge Rule

– Clinical decision making as a team

– Task performance as a team

*avoid resuscitation in the scenario

THANK YOU