Being a Hybrid for a Day; Phenomenological Analysis of Simulated Patient’s Experience. (1090-002318) (Research Abstract Professor Rounds: Group 5)
Start time: Friday, January 29, 2021, 10:00 AM End time: Friday, January 29, 2021, 11:00 AM Session Type: Research Abstracts (Completed Studies)
Medical students in year III are introduced to Hybrid Simulation for teaching male and female reproductive system examination. Hybrid simulation allows a better simulation experience for medical students during procedure skills learning, which is a demanding clinical skill where communication with patients is often neglected. However, there are not much literature in exploring the experience of simulated patients who are part of the whole experience as hybrid(1). This study explores the experience of simulated patients who were part of hybrid simulation experience at the University . Primary Research Question: As a simulated patient in a hybrid simulation, how do SPs describe their subjective lived experience? Secondary Research Questions • What practical insights can be gained from this experience? • How can these experience contribute to SP training in hybrid simulation? • Is there anything different, SPs want to do during the hybrid experience?
Qualitative Approach – Phenomenology In this study, the major data gathering method involves primarily in-depth interviews(2) .The purpose of a phenomenological interview is to describe the meaning of a phenomenon that several individuals share (3) Face to face interviews focused on simulated patient’s experience were done. It was minimally structured to allow the information and themes to be as true as possible to their experience in accordance with phenomenological methodology(4). The questions were in depth addressing the participants’ experience, feeling, emotions and belief. Duration varied based on the depth in which the SPs were discussing the topic. This ranged from 30 to 45 minutes. Nine SPs participated in this study. All of them were part of hybrid simulation session for reproductive system examination. They were selected randomly. All participants signed informed consent form before starting the study.
Based on Hycner’s (1999) explicitation process, Six themes were identified. The first theme was 'experience' where most of the SPs communicated their experience and felt it as unique. The next theme was feeling as 'extension of manikin' where they prepared themselves to feel like an extension. They had to put a conscious effort to focus and be attentive and feel or pretend the sensation like, touch, cold hands, pain, etc. The third theme was of 'emotions' where they conveyed their emotions during hybrid simulation. Some of them felt a bit awkward and some female SPs felt uncomfortable when male students were doing hybrid simulation. The fourth theme identified was 'communication' where they shared the communication with students. Next theme was 'repeating' where were willing to do again if needed. But they liked doing their regular SP sessions more comfortable than hybrid sessions. The last theme identified was about 'to do or see differently'. They shared suggestions regarding that.
SPs regularly contribute to communication skills training, physical examination training and various assessment. We recommend debriefing and deroling of SPs after every hybrid simulation session. Even though the procedure is done on a manikin, the experiences shared by the SPs reveal that there is emotional impact as well as feeling of awkwardness. The SPs had to deliberately put effort to make them feel as an extension of manikin. As hybrid simulation sessions were in areas involving intimate physical examination on simulators, some of the SPs felt unsafe being with opposite gender students. As SP trainers, it is our responsibility to provide proper pre briefing and ensuring a safe environment. The experiences shared by SPs are valuable for future SP training sessions. Orientation to environment, clear roles and responsibilities, sharing experiences of SPs, piloting etc will be useful. Feedback from SPs need to be incorporated and any changes required need to be adapted.