title: Simulation-Based Dysphagia Training: Teaching Interprofessional Clinical Reasoning in a Hospital Environment.
abstract: This study evaluated hospital readiness and interprofessional clinical reasoning in speech-language pathology and dietetics students following a simulation-based teaching package. Thirty-one students participated in two half-day simulation workshops. The training included orientation to the hospital setting, part-task skill learning and immersive simulated cases. Students completed workshop evaluation forms. They filled in a 10-question survey regarding confidence, knowledge and preparedness for working in a hospital environment before and immediately after the workshops. Students completed written 15-min clinical vignettes at 1 month prior to training, immediately prior to training and immediately after training. A marking rubric was devised to evaluate the responses to the clinical vignettes within a framework of interprofessional education. The simulation workshops were well received by all students. There was a significant increase in students' self-ratings of confidence, preparedness and knowledge following the study day (p < .001). There was a significant increase in student overall scores in clinical vignettes after training with the greatest increase in clinical reasoning (p < .001). Interprofessional simulation-based training has benefits in developing hospital readiness and clinical reasoning in allied health students.
authors.affiliation: Speech Science, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand. a.miles@auckland.ac.nz.
authors.forename: Anna
authors.initials: A
authors.lastname: Miles
authors.affiliation: Speech Science, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
authors.forename: Philippa
authors.initials: P
authors.lastname: Friary
authors.affiliation: Speech Science, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
authors.forename: Bianca
authors.initials: B
authors.lastname: Jackson
authors.affiliation: Nutrition & Dietetics, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
authors.forename: Julia
authors.initials: J
authors.lastname: Sekula
authors.affiliation: Nutrition & Dietetics, The University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.
authors.forename: Andrea
authors.initials: A
authors.lastname: Braakhuis
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003680:Deglutition Disorders; D004046:Dietetics / Q000193:education*; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D000066908:Simulation Training / Q000379:methods*; D013066:Speech-Language Pathology / Q000193:education*; D013336:Students, Health Occupations / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Deglutition; Deglutition disorders; Dietetics; Dysphagia; Interprofessional education; Simulation; Speech-language pathology