Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments

Background: Advanced communication skills are vital for allied health professionals, yet students often have limited opportunities in which to develop them. The option of increasing clinical placement hours is unsustainable in a climate of constrained budgets, limited placement availability and incr...

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Main Authors: Quail, M., Brundage, S., Spitalnick, J., Allen, Peter, Beilby, Janet
Format: Journal Article
Published: 2016
Online Access:http://hdl.handle.net/20.500.11937/26949
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author Quail, M.
Brundage, S.
Spitalnick, J.
Allen, Peter
Beilby, Janet
author_facet Quail, M.
Brundage, S.
Spitalnick, J.
Allen, Peter
Beilby, Janet
author_sort Quail, M.
building Curtin Institutional Repository
collection Online Access
description Background: Advanced communication skills are vital for allied health professionals, yet students often have limited opportunities in which to develop them. The option of increasing clinical placement hours is unsustainable in a climate of constrained budgets, limited placement availability and increasing student numbers. Consequently, many educators are considering the potentials of alternative training methods, such as simulation. Simulations provide safe, repeatable and standardised learning environments in which students can practice a variety of clinical skills. This study investigated students’ self-rated communication skill, knowledge, confidence and empathy across simulated and traditional learning environments. Method: Undergraduate speech pathology students were randomly allocated to one of three communication partners with whom they engaged conversationally for up to 30 min: a patient in a nursing home (n = 21); an elderly trained patient actor (n = 22); or a virtual patient (n = 19). One week prior to, and again following the conversational interaction, participants completed measures of self-reported communication skill, knowledge and confidence (developed by the authors based on the Four Habit Coding Scheme), as well as the Jefferson Scale of Empathy – Health Professionals (student version). Results: All three groups reported significantly higher communication knowledge, skills and confidence post-placement (Median d = .58), while the degree of change did not vary as a function of group membership (Median η 2  < .01). In addition, only students interacting with a nursing home resident reported higher empathy after the placement. Students reported that conversing with the virtual patient was more challenging than conversing with a nursing home patient or actor, and students appeared to derive the same benefit from the experience. Conclusions: Participants self-reported higher communication skill, knowledge and confidence, though not empathy, following a brief placement in a virtual, standardised or traditional learning environment. The self-reported increases were consistent across the three placement types. It is proposed that the findings from this study provide support for the integration of more sustainable, standardised, virtual patient-based placement models into allied health training programs for the training of communication skills.
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spelling curtin-20.500.11937-269492017-09-13T15:28:49Z Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments Quail, M. Brundage, S. Spitalnick, J. Allen, Peter Beilby, Janet Background: Advanced communication skills are vital for allied health professionals, yet students often have limited opportunities in which to develop them. The option of increasing clinical placement hours is unsustainable in a climate of constrained budgets, limited placement availability and increasing student numbers. Consequently, many educators are considering the potentials of alternative training methods, such as simulation. Simulations provide safe, repeatable and standardised learning environments in which students can practice a variety of clinical skills. This study investigated students’ self-rated communication skill, knowledge, confidence and empathy across simulated and traditional learning environments. Method: Undergraduate speech pathology students were randomly allocated to one of three communication partners with whom they engaged conversationally for up to 30 min: a patient in a nursing home (n = 21); an elderly trained patient actor (n = 22); or a virtual patient (n = 19). One week prior to, and again following the conversational interaction, participants completed measures of self-reported communication skill, knowledge and confidence (developed by the authors based on the Four Habit Coding Scheme), as well as the Jefferson Scale of Empathy – Health Professionals (student version). Results: All three groups reported significantly higher communication knowledge, skills and confidence post-placement (Median d = .58), while the degree of change did not vary as a function of group membership (Median η 2  < .01). In addition, only students interacting with a nursing home resident reported higher empathy after the placement. Students reported that conversing with the virtual patient was more challenging than conversing with a nursing home patient or actor, and students appeared to derive the same benefit from the experience. Conclusions: Participants self-reported higher communication skill, knowledge and confidence, though not empathy, following a brief placement in a virtual, standardised or traditional learning environment. The self-reported increases were consistent across the three placement types. It is proposed that the findings from this study provide support for the integration of more sustainable, standardised, virtual patient-based placement models into allied health training programs for the training of communication skills. 2016 Journal Article http://hdl.handle.net/20.500.11937/26949 10.1186/s12909-016-0577-5 fulltext
spellingShingle Quail, M.
Brundage, S.
Spitalnick, J.
Allen, Peter
Beilby, Janet
Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title_full Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title_fullStr Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title_full_unstemmed Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title_short Student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
title_sort student self-reported communication skills, knowledge and confidence across standardised patient, virtual and traditional clinical learning environments
url http://hdl.handle.net/20.500.11937/26949