title: An acute interprofessional simulation experience for occupational and physical therapy students: Key findings from a survey study.
abstract: Due to the fast pace and high complexity of managing patients in intensive and acute care units (ICUs), healthcare students often feel challenged and unprepared to practice in this environment. Simulations and standardised patients provide "hands-on" learning experiences that are realistic and help students to gain competence and confidence. This study examined the impact of an intensive case simulation laboratory using a patient simulator and standardised patients on students' perceptions of their confidence and preparedness to work in acute care settings. Second-year Masters of Occupational Therapy (MOT; n = 127) and Doctor of Physical Therapy (DPT; n = 105) students participated in a three-hour intensive care simulation laboratory comprised of four stations that were designed to simulate common ICU patient care scenarios. Data analysed were student pre- and post-simulation surveys and written comments, and clinical instructors' (CIs; n = 51) ratings on DPT students' preparedness and confidence within the first two weeks of their acute care internships obtained after the laboratory. There was a significant increase for DPT (p < 0.0001) and MOT (p < 0.10) students in median ratings of how prepared they felt to practice in acute care settings following the ICU simulation compared to before the laboratory. CIs rated the DPT students as either prepared or very prepared for and moderately confident or very confident in the acute care setting. The use of simulation training using standardised patients and patient simulators was beneficial in increasing student confidence and preparing OT and PT students to practice in the acute care setting. Health professional educators should consider using an interprofessional simulation experience to improve their students' confidence and preparedness to provide appropriate care in the acute setting.
authors.affiliation: a Department of Physical Therapy , School of Health and Rehabilitation Sciences, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Thomas
authors.affiliation: b Department of Occupational Therapy , School of Health and Rehabilitation Sciences, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Melinda F
authors.initials: MF
authors.lastname: Rybski
authors.affiliation: a Department of Physical Therapy , School of Health and Rehabilitation Sciences, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Tonya L
authors.initials: TL
authors.lastname: Apke
authors.affiliation: a Department of Physical Therapy , School of Health and Rehabilitation Sciences, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Deb A
authors.initials: DA
authors.lastname: Kegelmeyer
authors.affiliation: a Department of Physical Therapy , School of Health and Rehabilitation Sciences, The Ohio State University , Columbus , Ohio , USA.
authors.forename: Anne D
authors.initials: AD
authors.lastname: Kloos
mesh_terms: D000328:Adult; D002983:Clinical Competence; D004500:Education, Graduate / Q000379:methods; D004521:Educational Measurement; D005178:Faculty / Q000523:psychology; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009788:Occupational Therapy / Q000193:education*; D016544:Patient Simulation; D026761:Physical Therapy Specialty / Q000193:education*; D000066908:Simulation Training / Q000379:methods*; D013334:Students / Q000523:psychology*
keywords: Interprofessional education; occupational therapy; patient-centred practice; physical therapy; standardised patients; team-based care