Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners
Abstract Background Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation‐based training because of the opportunity to think and react in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13834 |
| _version_ | 1797633195817041920 |
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| author | Alison Pilnick Rebecca O'Brien Suzanne Beeke Sarah Goldberg Megan Murray Rowan H. Harwood |
| author_facet | Alison Pilnick Rebecca O'Brien Suzanne Beeke Sarah Goldberg Megan Murray Rowan H. Harwood |
| author_sort | Alison Pilnick |
| collection | DOAJ |
| description | Abstract Background Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation‐based training because of the opportunity to think and react in real time, which alternatives cannot provide. Objective To describe a method for the use of simulation which maximises authenticity by grounding training in real, observed, patterns of patient communication. Design Naturally occurring care interactions were video recorded and analysed using conversation analysis (CA) to identify communication patterns. We focused on sites of recurring interactional trouble as areas for training, and identified more and less effective ways of dealing with these. We used the CA findings to train actors portraying simulated patients, based on the observed interactional patterns. Settings and Participants Patients living with dementia and healthcare practitioners (HCPs) on two acute healthcare of the elderly wards in the English East Midlands. Outcome Measures One month later HCPs reported using the skills learned in clinical practice. Masked‐ratings of before and after simulated patient encounters confirmed these self‐reports in relation to one key area of training. Results The Conversation Analysis Based Simulation (CABS) method used in this setting showed positive results across a range of quantitative and qualitative outcome measures. What is significant for the transferability of the method is that qualitative feedback from trainees highlighted the ability of the method to not only illuminate their existing effective practices, but to understand why these were effective and be able to articulate them to others. Discussion/Conclusion While the CABS method was piloted in the dementia care setting described here, it has potential applicability across healthcare settings where simulated consultations are used in communication skills training. Grounding simulated interaction in the observed communication patterns of real patients is an important means of maximising authenticity. Patient and Public Contribution The VideOing to Improve dementia Communication Education (VOICE) intervention which piloted the CABS method was developed by a multidisciplinary team, including three carers of people with dementia. People living with dementia were involved in the rating of the before and after video simulation assessments. |
| first_indexed | 2024-03-11T11:50:34Z |
| format | Article |
| id | doaj.art-3b6b07364569465eac51a1e7fc0f010a |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-03-11T11:50:34Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-3b6b07364569465eac51a1e7fc0f010a2023-11-09T06:54:53ZengWileyHealth Expectations1369-65131369-76252023-12-012662461247410.1111/hex.13834Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitionersAlison Pilnick0Rebecca O'Brien1Suzanne Beeke2Sarah Goldberg3Megan Murray4Rowan H. Harwood5School of Sociology and Social Policy, University of Nottingham Nottingham UKSchool of Health Sciences, University of Nottingham UK and Nottinghamshire Healthcare NHS Foundation Trust Nottinghamshire UKDivision of Psychology and Language Sciences University College London London UKSchool of Health Sciences University of Nottingham Nottingham UKSimulated Patients Workshop Team Nottingham UKSchool of Health Sciences, University of Nottingham UK and Nottingham University Hospitals NHS Trust Nottingham UKAbstract Background Actors portraying simulated patients are widely used in communication skills training in healthcare, but debates persist over the authenticity of these interactions. However, healthcare professionals value simulation‐based training because of the opportunity to think and react in real time, which alternatives cannot provide. Objective To describe a method for the use of simulation which maximises authenticity by grounding training in real, observed, patterns of patient communication. Design Naturally occurring care interactions were video recorded and analysed using conversation analysis (CA) to identify communication patterns. We focused on sites of recurring interactional trouble as areas for training, and identified more and less effective ways of dealing with these. We used the CA findings to train actors portraying simulated patients, based on the observed interactional patterns. Settings and Participants Patients living with dementia and healthcare practitioners (HCPs) on two acute healthcare of the elderly wards in the English East Midlands. Outcome Measures One month later HCPs reported using the skills learned in clinical practice. Masked‐ratings of before and after simulated patient encounters confirmed these self‐reports in relation to one key area of training. Results The Conversation Analysis Based Simulation (CABS) method used in this setting showed positive results across a range of quantitative and qualitative outcome measures. What is significant for the transferability of the method is that qualitative feedback from trainees highlighted the ability of the method to not only illuminate their existing effective practices, but to understand why these were effective and be able to articulate them to others. Discussion/Conclusion While the CABS method was piloted in the dementia care setting described here, it has potential applicability across healthcare settings where simulated consultations are used in communication skills training. Grounding simulated interaction in the observed communication patterns of real patients is an important means of maximising authenticity. Patient and Public Contribution The VideOing to Improve dementia Communication Education (VOICE) intervention which piloted the CABS method was developed by a multidisciplinary team, including three carers of people with dementia. People living with dementia were involved in the rating of the before and after video simulation assessments.https://doi.org/10.1111/hex.13834authenticitycommunication skills trainingconversation analysishealthcare practitionerssimulated patientssimulation |
| spellingShingle | Alison Pilnick Rebecca O'Brien Suzanne Beeke Sarah Goldberg Megan Murray Rowan H. Harwood Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners Health Expectations authenticity communication skills training conversation analysis healthcare practitioners simulated patients simulation |
| title | Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners |
| title_full | Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners |
| title_fullStr | Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners |
| title_full_unstemmed | Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners |
| title_short | Conversation Analysis Based Simulation (CABS): A method for improving communication skills training for healthcare practitioners |
| title_sort | conversation analysis based simulation cabs a method for improving communication skills training for healthcare practitioners |
| topic | authenticity communication skills training conversation analysis healthcare practitioners simulated patients simulation |
| url | https://doi.org/10.1111/hex.13834 |
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