title: Sequential simulation of a patient journey.
abstract: OBJECTIVE
  To develop an intervention for educating pharmacists (community and hospital) about integrated care and their role in implementing it.
  
  
  METHODS
  We developed a sequential simulation derived from a patient's journey, with the key scenario featuring a community pharmacist. The scenarios were designed with input from pharmacists and patients, and emphasised the point that operating in silos can have an affect on the patient. Operating in silos can have an affect on the patient EVALUATION: Evaluation was by questionnaire, field notes and analysis of video material. Of the 37 participants in total, 21 (56.7%) responded to the questionnaire, and 19 of the 21 expressed that they felt the event was a good or excellent educational experience, had improved their confidence in their capability to improve patient care, and said that their knowledge and understanding of integrated care had been enhanced. The sequential simulation was appreciated as a way of visualising integrated care, with 19/21 describing it as good or excellent. Further themes were identified through video analysis and field-note analysis.
  
  
  CONCLUSIONS
  Sequential simulation is a novel and practical approach to present current care pathways, aiming to generate a mutual focus, create participant empathy and bring the conventionalities of integrated care to life. We consider this approach helpful in preparing frontline staff to participate in integrated care.
authors.affiliation: Centre for Engagement & Simulation Science, Imperial College London, UK.
authors.forename: Sharon-Marie
authors.initials: SM
authors.lastname: Weldon
authors.affiliation: Centre for Engagement & Simulation Science, Imperial College London, UK.
authors.forename: Shvaita
authors.initials: S
authors.lastname: Ralhan
authors.affiliation: North West London Integrated Care Programme, UK.
authors.forename: Lis
authors.initials: L
authors.lastname: Paice
authors.affiliation: Centre for Engagement & Simulation Science, Imperial College London, UK.
authors.forename: Roger
authors.initials: R
authors.lastname: Kneebone
authors.affiliation: Centre for Engagement & Simulation Science, Imperial College London, UK.
authors.forename: Fernando
authors.initials: F
authors.lastname: Bello
mesh_terms: D003157:Community Pharmacy Services / Q000458:organization & administration*; D004513:Education, Pharmacy, Continuing / Q000379:methods*; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D016544:Patient Simulation; D024382:Professional Role; D015397:Program Evaluation; D006113:United Kingdom