title: Effectiveness of neurodisability simulation training for NHS staff working in brain injury rehabilitation.
abstract: OBJECTIVE
  Members of a regional inter-disciplinary neuro-rehabilitation service took part in simulation exercises aimed at providing insights into the lived experience of those with a neurodisability. The purpose of the study was to evaluate the impact of training on reflective clinical practice.
  
  
  METHODS
  A sample of 78 professionals working within a U.K. regional neuro-rehabilitation service took part in neurodisability simulation exercises. Participants were drawn from all healthcare professions represented within the neuro-rehabilitation team. Quantitative and qualitative feedback was collected pre- and post-study and 3 months later. Length of working experience was examined as a possible mediating factor influencing attitudes towards and outcome of simulation training.
  
  
  RESULTS
  Results suggest that participants found the simulation exercise experience insightful and increased their self-reported empathy and concern for those they care for. It also helped inform practical ways of working with patients. Length of staff experience was not found to be a significant factor in attitudes towards or outcome of the training.
  
  
  CONCLUSIONS
  Simulation exercises, when organised with the aim of developing insight and empathy can result in positive outcomes for those who take part. Simulation exercises as an integrated learning tool for staff within healthcare settings should be provided.
authors.affiliation: Regional Acquired Brain Injury Unit, Musgrave Park Hospital, Belfast Health and Social Care Trust, Belfast, UK. colin.wilson@belfasttrust.hscni.net
authors.forename: F Colin
authors.initials: FC
authors.lastname: Wilson
authors.forename: Sonia
authors.initials: S
authors.lastname: Nelson
authors.forename: Ciara
authors.initials: C
authors.lastname: Downes
authors.forename: Helen
authors.initials: H
authors.lastname: McQuigg
authors.forename: Caroline
authors.initials: C
authors.lastname: Lockhart
authors.forename: Hilary
authors.initials: H
authors.lastname: Robinson
mesh_terms: D001037:Aphasia / Q000503:physiopathology; D001288:Attention / Q000502:physiology; D001291:Attitude of Health Personnel; D001930:Brain Injuries / Q000503:physiopathology* / Q000534:rehabilitation; D004645:Empathy; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007318:Inservice Training; D009313:National Health Programs; D011369:Professional-Patient Relations; D012678:Sensation Disorders / Q000503:physiopathology; D006113:United Kingdom; D014786:Vision Disorders / Q000503:physiopathology