Article: Using simulation and patient role play to teach electrocardiographic rhythms to physical therapy students

Purpose: THE AIMS OF THE STUDY WERE TO DIFFERENTIATE: (1) physical therapy (PT) students' preferred method for learning electrocardiographic (ECG) recognition utilizing standardized patient (SP) and human patient simulation (HPS) approaches, (2) the impact of HPS or SP on confidence in interpreting ECG, and 3) the effect of HPS or SP on students' ability to make clinical decisions based upon ECG interpretation.

Methods: "Three educational methods were employed to teach ECG recognition to two different years of novice PT students enrolled in a cardiopulmonary physical therapy class. First, all students had a traditional lecture on ECG. Following the lecture, two problem-based learning (PBL) approaches were utilized. One approach used a SP and paper ECG strips, and the second approach utilized HPS with simulated ECG monitoring."(1) Following the two PBL approaches, a post instructional survey regarding the learning experiences was conducted. Following instruction, each cohort (n = 24, n = 29) of PT students was given a mixed methods survey about their experience.

Results: Survey return rate amongst both cohorts was 77%. Independent sample of individual cohort and paired t-tests of combined data comparing HPS to SP revealed a strong preference for HPS (p = 0.003 (2008 cohort) and p = 0.0001 (2010 cohort)) and combined cohort (p = 0.0001). There were no significant differences in responses between cohorts or preference between the HPS method and the use of SP and HPS combined. Additionally, 75% of respondents either strongly agreed or agreed that they felt confident with their skill in ECG interpretation as presented with HPS or SP. 90% either strongly agreed or agreed that they understood how the ECG relates to patient treatment. Summative assessment utilizing HPS revealed that students were competent in their performance in ECG recognition and clinical decision making related to patient treatment.(1)

Conclusion: Data support that HPS was the preferred method to improve student confidence in ECG recognition and interpretation.

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References

1.

Needham D . Mobilizing patients in the intensive care unit: improving neuromuscular weakness and physical function. JAMA. 2008; 300(14):1685-90. DOI: 10.1001/jama.300.14.1685. View

2.

Shoemaker M, Riemersma L, Perkins R . Use of high fidelity human simulation to teach physical therapist decision-making skills for the intensive care setting. Cardiopulm Phys Ther J. 2010; 20(1):13-8. PMC: 2845259. View

3.

Hauer P, Straub C, Wolf S . Learning styles of allied health students using Kolb's LSI-IIa. J Allied Health. 2005; 34(3):177-82. View

4.

Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

5.

Morgan P, Cleave-Hogg D, McIlroy J, Devitt J . Simulation technology: a comparison of experiential and visual learning for undergraduate medical students. Anesthesiology. 2001; 96(1):10-6. DOI: 10.1097/00000542-200201000-00008. View

6.

Hopkins R, Spuhler V, Thomsen G . Transforming ICU culture to facilitate early mobility. Crit Care Clin. 2007; 23(1):81-96. DOI: 10.1016/j.ccc.2006.11.004. View

7.

Curtis K, Martin T . Perceptions of acute care physical therapy practice: issues for physical therapist preparation. Phys Ther. 1993; 73(9):581-94; discussion 594-8. DOI: 10.1093/ptj/73.9.581. View

8.

Gosselink R, Bott J, Johnson M, Dean E, Nava S, Norrenberg M . Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008; 34(7):1188-99. DOI: 10.1007/s00134-008-1026-7. View

9.

Stiller K . Safety issues that should be considered when mobilizing critically ill patients. Crit Care Clin. 2007; 23(1):35-53. DOI: 10.1016/j.ccc.2006.11.005. View

10.

Gaba D . The future vision of simulation in health care. Qual Saf Health Care. 2004; 13 Suppl 1:i2-10. PMC: 1765792. DOI: 10.1136/qhc.13.suppl_1.i2. View

11.

Issenberg S, McGaghie W, Petrusa E, Gordon D, Scalese R . Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005; 27(1):10-28. DOI: 10.1080/01421590500046924. View

12.

Morris P, Herridge M . Early intensive care unit mobility: future directions. Crit Care Clin. 2007; 23(1):97-110. DOI: 10.1016/j.ccc.2006.11.010. View

Using Simulation and Patient Role Play to Teach Electrocardiographic Rhythms to Physical Therapy Students