Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork

Occupational therapy students do not always feel prepared to start fieldwork. The study purposes were to 1) measure the effectiveness of refresher sessions on students’ perceived self-efficacy, knowledge, and skills related to fieldwork preparedness and 2) determine whether using simulation with sta...

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Main Authors: Elena W. Espiritu, Thu M Can, Natalie N. Michaels, Allison Koch, Beth F. Hallmark
Format: Article
Language:English
Published: Eastern Kentucky University 2020-11-01
Series:Journal of Occupational Therapy Education
Subjects:
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author Elena W. Espiritu
Thu M Can
Natalie N. Michaels
Allison Koch
Beth F. Hallmark
author_facet Elena W. Espiritu
Thu M Can
Natalie N. Michaels
Allison Koch
Beth F. Hallmark
author_sort Elena W. Espiritu
collection DOAJ
description Occupational therapy students do not always feel prepared to start fieldwork. The study purposes were to 1) measure the effectiveness of refresher sessions on students’ perceived self-efficacy, knowledge, and skills related to fieldwork preparedness and 2) determine whether using simulation with standardized patients (SPs) was more effective than a discussion-based format. The participants (N=34) were entry-level occupational therapy doctoral (OTD) students. Four students acted as a control group while the remaining 30 students were randomly assigned to experimental groups (discussion or simulation). Outcome measures included a readiness for fieldwork survey (quantitative self-reported ratings and qualitative questions), a knowledge-based exam, and a competency evaluation. The experimental groups’ total mean differences were greater than the control group, although these were not statistically significant (<em>p</em> = .551). However, there were statistically significant differences between the groups for two survey items (<em>p </em>= .010; <em>p </em>= .045). There were also statistically significant differences for within-group measures for each experimental group related to self-efficacy (simulation group, <em>p </em>= .006; discussion group, <em>p </em>= .001), but not for the control group. This suggests that both discussion and simulation were effective in increasing student fieldwork readiness. The qualitative data provided additional insight into student perceptions about fieldwork, patient interactions, and level of confidence. Study findings supported the implementation of refresher sessions and demonstrated that using either discussion or simulation were effective options. Further research examining specific strategies for both interventions and combining the two for optimal student preparation would be beneficial.
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spelling doaj.art-f7d0be7c0f6844058396e4727ab896c12022-12-21T17:13:08ZengEastern Kentucky UniversityJournal of Occupational Therapy Education2573-13782020-11-014410.26681/jote.2020.040407Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for FieldworkElena W. Espiritu0Thu M Can1Natalie N. Michaels2Allison Koch3Beth F. Hallmark4Belmont UniversityVanderbilt University Medical CenterBelmont UniversityBelmont UniversityBelmont UniversityOccupational therapy students do not always feel prepared to start fieldwork. The study purposes were to 1) measure the effectiveness of refresher sessions on students’ perceived self-efficacy, knowledge, and skills related to fieldwork preparedness and 2) determine whether using simulation with standardized patients (SPs) was more effective than a discussion-based format. The participants (N=34) were entry-level occupational therapy doctoral (OTD) students. Four students acted as a control group while the remaining 30 students were randomly assigned to experimental groups (discussion or simulation). Outcome measures included a readiness for fieldwork survey (quantitative self-reported ratings and qualitative questions), a knowledge-based exam, and a competency evaluation. The experimental groups’ total mean differences were greater than the control group, although these were not statistically significant (<em>p</em> = .551). However, there were statistically significant differences between the groups for two survey items (<em>p </em>= .010; <em>p </em>= .045). There were also statistically significant differences for within-group measures for each experimental group related to self-efficacy (simulation group, <em>p </em>= .006; discussion group, <em>p </em>= .001), but not for the control group. This suggests that both discussion and simulation were effective in increasing student fieldwork readiness. The qualitative data provided additional insight into student perceptions about fieldwork, patient interactions, and level of confidence. Study findings supported the implementation of refresher sessions and demonstrated that using either discussion or simulation were effective options. Further research examining specific strategies for both interventions and combining the two for optimal student preparation would be beneficial.experiential learning educationoccupational therapystudentstandardized patientsimulation
spellingShingle Elena W. Espiritu
Thu M Can
Natalie N. Michaels
Allison Koch
Beth F. Hallmark
Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
Journal of Occupational Therapy Education
experiential learning education
occupational therapy
student
standardized patient
simulation
title Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
title_full Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
title_fullStr Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
title_full_unstemmed Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
title_short Effectiveness of Instructor-Led Discussion versus Simulation to Prepare Students for Fieldwork
title_sort effectiveness of instructor led discussion versus simulation to prepare students for fieldwork
topic experiential learning education
occupational therapy
student
standardized patient
simulation
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AT thumcan effectivenessofinstructorleddiscussionversussimulationtopreparestudentsforfieldwork
AT natalienmichaels effectivenessofinstructorleddiscussionversussimulationtopreparestudentsforfieldwork
AT allisonkoch effectivenessofinstructorleddiscussionversussimulationtopreparestudentsforfieldwork
AT bethfhallmark effectivenessofinstructorleddiscussionversussimulationtopreparestudentsforfieldwork