SC47 A scoping review: what is known about how individuals, and their experiences of illness/healthcare are represented by simulated participants (sp's) in healthcare professional education (HPE)?. (3rd November 2019)

• Record Type: Journal Article
• Authors: Chianáin, Linda Ní; McNaughton, Nancy; Dornan, Tim; Gormley, Gerry
• Is Part Of: BMJ simulation & technology enhanced learning. Volume 5(2019)Supplement 2
• Page Start: A46
• Page End: A47
• Publication Date: 2019-11-03
• Subjects: Medicine -- Simulation methods -- Periodicals; Medical innovations -- Periodicals; 610.113
• DOI: 10.1136/bmjstel-2019-aspihconf.84
• Languages: English
• ISSNs: 2056-6697

Abstract

Abstract : Background: The term 'real patients as SP', has been described as a person who is trained to portray a patient or a patient who is trained to portray their own illness/condition in a consistent manner repeatedly (Rowland and Kumagai, 2018). Are authentic patient voices and their experiences being lost in the process of simulating? A scoping review investigating what is known about how individuals, and their experiences of illness/healthcare are represented by Simulated Participants (SP's) in Health Professions Education (HPE) has been carried out. The rational to conduct this scoping review is to help us identify gaps in the existing literature and better understand the tensions that exist within the work of patients and SPs, summarize and disseminate the research findings of this six step approach (Arksey and O'Malley, 2005). Summary of project: A search strategy was developed and refined in order to answer the research question 'What is known about how individuals, and their experiences of illness/healthcare are represented by Simulated Participants (SP's) in Healthcare Professional Education (HPE)'. The search strategy was entered into five electronic databases – MEDLINE, EMBASE, Scopus, Web of Science and CINAHL. Initial citations were 9, 795. Databases were modified, limiters applied to reflect <10 yrs, English, Article, Journal and Reviews. All 5, 437 citations were imported into Covidence a review software. Once the duplicates were removed, 2, 948 articles were independently screened by title and abstract. Disagreements were discussed until consensus was reached. Finally, full texts were reviewed to determine the articles eligible for inclusion in the review. In an iterative process key elements from articles were charted and a data extraction template was developed. To ensure that all relevant data is extracted according to the research question, all articles were assessed, and charted by the research team. Summary of results: A summary of the information found will be shared, and results will be categorized by how patients are being represented by SP in the different articles. Finally, the results will be discussed and implications for further research, practice, and policy will be described. Discussion: The implications of these findings will be discussed. Conclusions and recommendations: Reviewers will consider how health professions educators can guarantee that authentic patient voices, and their experiences, are not lost or devalued in the Simulation Based Education (SBE) process; and will identify recommendations. References: Arksey, H., ; O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice, 8(1), 19–32. Rowland, P., Kumagai, A. K. (2018) 'Dilemmas of Representation: Patient Engagement in Health Professions Education', Academic Medicine, 93(6), pp. 869–873.