Apprentissage par simulation : activité novatrice de formation interprofessionnelle sur la gestion de la dysphagie
Publication: Canadian Journal of Dietetic Practice and Research
8 Mai 2019
Résumé
Les simulations interprofessionnelles sont une approche pédagogique émergente de plus en plus utilisée dans la formation des professionnels de la santé. Bien que les avantages des simulations soient documentés exhaustivement dans le domaine de la médecine et des sciences infirmières, peu d’études ont exploré le potentiel de cette approche dans la formation des futurs diététistes. Cet article décrit quatre simulations, dont deux interprofessionnelles, axées sur la gestion des soins de la dysphagie qui ont été réalisées dans le cadre d’un programme de baccalauréat spécialisé en sciences de la nutrition et discute les mérites potentiels de cette approche pédagogique dans la formation des futurs diététistes.
Abstract
Interprofessional patient simulations are an emerging pedagogical approach that is increasingly being used in the education of health professionals. Although the benefits of patient simulations have been widely documented in the fields of medicine and nursing, few studies have explored the potential of this approach in educating future dietitians. This article describes 4 patient simulations, including 2 interprofessional simulations, focused on the management of dysphagia, which were carried out as part of an Honours Bachelor in Nutrition Sciences program and discusses the potential merits of this teaching method in educating future dietitians.
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Sources de financement : Les activités de simulations et les ressources de ce projet ont été financées par le Consortium national de formation en santé – Volet Université d’Ottawa.
Conflits d’intérêts : Les auteures déclarent qu’elles n’ont pas d’intérêts concurrentiels.
Références
1
Rofes R, Arreola V, Almirall J, Cabré M, Campins L, García-Peris P, et al. Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterol Res Pract. 2011 Aug;2011:818979.
2
Wirth R, Dziewas R, Beck AM, Clavé P, Hamdy S, Heppner HJ, et al. Oropharyngeal dysphagia in older persons—from pathophysiology to adequate intervention: a review and summary of an international expert meeting. Clin Interv Aging. 2016 Feb;11:189–208.
3
Clavé P and Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol. 2015 May;12(5):259–70.
4
Butt K, Lamb P. The role of the registered dietitians in dysphagia assessment and treatment: a discussion paper. Toronto, ON: Les diététistes du Canada; 2005 [cité le 20 avr 2016]. Disponible depuis : http://www.dietitians.ca/Downloads/Public/Role-DC-in-Dysphagia-Assessment-n-Treatment.aspx.
5
Lanspa MJ, Peyrani P, Wiemken T, Wilson EL, Ramirez JA, and Dean NC. Characteristics associated with clinician diagnosis of aspiration pneumonia: a descriptive study of afflicted patients and their outcomes. J Hosp Med. 2015 Feb;10(2):90–6.
6
Barker LA, Gout BS, and Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health. 2011 Feb;8(2):514–27.
7
Heersink JT, Brown CJ, Dimaria-Ghalili RA, and Locher JL. Undernutrition in hospitalized older adults: patterns and correlates, outcomes, and opportunities for intervention with a focus on processes of care. J Nutr Elder. 2010 Jan;29(1):4–41.
8
Chatalalsingh C. Survey provides insight into high risk activities in dietetics. Toronto, ON: Ordre des diététistes de l’Ontario; 2014 [cité le 25 jan 2019]. Disponible depuis : https://www.collegeofdietitians.org/resources/professional-practice/survey-provides-insight-into-high-risk-activities.aspx.
9
Ordre des diététistes de l’Ontario. Competencies for dysphagia assessment and management. Toronto, ON: Ordre des diététistes de l’Ontario; 2017 [cité le 18 nov 2017]. Disponible depuis : http://collegeofdietitiansofbc.org/home/documents/2017/Competencies_for_Dysphagia _Assessment_and_Management_in_Dietetic_Practice _June_17.pdf.
10
Les diététistes du Canada. Defining the role of the dietitian in dysphagia assessment and management. Toronto, ON: Les diététistes du Canada; 2015 [cité le 20 avr 2016]. Disponible depuis : https://www.dietitians.ca/Downloads/Public/Dysphagia-Role-Paper-2015.aspx.
11
Giammariano C, Adams E, Moriarty C, and Cristian A. Safety concerns and multidisciplinary management of the dysphagic patient. Phys Med Rehabil Clin N Am. 2012 May;23(2):335–42.
12
Brody RA, Touger-Decker R, VonHagen S, and Maillet JO. Role of registered dietitians in dysphagia screening. J Am Diet Assoc. 2000 Sep;100(9):1029–37.
13
Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53:143–51.
14
Organisation mondiale de la santé. Framework for action on interprofessional education and collaborative practice. Geneva, Switzerland: OMS; 2010 [cité le 25 jan 2019]. Disponible depuis : https://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf; jsessionid=F7FC684DBD1B0126168E16214CFC8C38? sequence=1.
15
Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004 Oct;13(Suppl. 1):i2–10.
16
Thompson KL and Gutschall MD. The time is now: a blueprint for simulation in dietetics education. J Acad Nutr Diet. 2015 Feb;115(2):183–94.
17
Berndt J. Patient safety and simulation in prelicensure nursing education: an integrative review. Teaching and Learning in Nursing. 2014 Jan;9(1):16–22.
18
Foronda C, Liu S, and Bauman EB. Evaluation of simulation in undergraduate nurse education: an integrative review. Clin Simul Nurs. 2013 Oct;9(10):e409–16.
19
Lapkin S, Levett-Jones T, Bellchambers H, and Fernandez R. Effectiveness of patient simulation manikins in teaching clinical reasoning skills to undergraduate nursing students: a systematic review. Clin Simul Nurs. 2010 Nov–Dec;6(6):e207–22.
20
McGaghie WC, Issenberg SB, Petrusa ER, and Scalese RJ. Effect of practice on standardised learning outcomes in simulation-based medical education. Med Educ. 2006 Aug;40(8):792–7.
21
Ellis D, Crofts JF, Hunt LP, Read M, Fox R, and James M. Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial. Obstet Gynecol. 2008 Mar;111(3):723–31.
22
Holthaus V, Sergakis G, Rohrig L, Wilcox J, Thomas E, McClerking C, et al. The impact of interprofessional simulation on dietetic student perception of communication, decision making, roles, and self-efficacy. Top Clin Nutr. 2015 Oct;30(2):127–42.
23
Dobson R, Taylor J, Cassidy J, Walker D, Proctor P, and Perepelkin J. Interprofessional and intraprofessional teams in a standardized patient assessment lab. Pharmacy Education. 2007 Jun;7(2):159–66.
24
Gibbs H, George K, Barkley R, and Meyer M. Using multiple-patient simulations to facilitate interprofessional communication between dietetic and nursing students and improve nutrition care process skills. Top Clin Nutr. 2015;30(3):230–8.
25
Beshgetoor B and Wade D. Use of actors as simulated patients in nutritional counseling. J Nutr Educ Behav. 2007;39:101–2.
26
Gibson SJ and Davidson ZE. An observational study investigating the impact of simulated patients in teaching communication skills in preclinical dietetic students. J Hum Nutr Diet. 2016;29(4):529–36.
27
Miles A, Friary P, Jackson B, Sekula J, and Braakhuis A. Simulation-based dysphagia training: teaching interprofessional clinical reasoning in a hospital environment. Dysphagia. 2016 Jun;31(3):407–15.
28
Henry BW, Duellman MC, and Smith TJ. Nutrition-based standardized patient sessions increased counseling awareness and confidence among dietetic interns. Top Clinical Nutr. 2009 Jan;24(1):25–34.
29
Hampl JS, Herbold NH, Schneider MA, and Sheeley AE. Using standardized patients to train and evaluate dietetics students. J Am Diet Assoc. 1999 Sep:99(9):1094–7.
30
Henry B. Use of the standardized patient model to develop nutrition counseling skills. J Nutr Educ Behav. 2007 Jan;39(1):50–1.
31
Partenariat pour la formation et la pratique en nutrition. Les compétences intégrées pour l’enseignement et la pratique de la diététique. Toronto, ON: Partenariat pour la formation et la pratique en nutrition; 2013 Apr [cité 7 jan 2018]. Disponible depuis : https://www.pdep.ca/library/Accreditation-Policies-and-Standards/PDEP-Integrated-Competencies-for-Dietetic-Educatio.aspx.
32
Rudolph RW, Simon R, Raemer DB, and Eppich WJ. Debriefing as formative assessment: closing performance gaps in medical education. Acad Emerg Med. 2008 Nov;15(11):1010–6.
33
Anderson M, Holmes TL, LeFlore JL, Nelsen KA, and Jenkins T. Standardized patients in educating student nurses: one school’s experience. Clin Simul Nurs. 2010 Mar;6(2):e61–6.
34
Cranford JS and Bates T. Infusing interprofessional education into the nursing curriculum. Nurse Educ. 2015 Jan;40(1):16–20.
35
Consortium national de formation en santé - Volet Université d’Ottawa. Apprentissage interprofessionnel sur la dysphagie. Ottawa, ON: Consortium national de formation en santé - Volet Université d’Ottawa; sans date [cité le 25 jan 2019]. Disponible depuis : https://www.cnfs.ca/apprentissage-interprofessionnel-sur-la-dysphagie.
36
Proudfoot A, Lordly D, Anderson B, and Gillis D. Enhanced dietetics education through collaboration: a study to identify opportunities. Can J Diet Pract Res. 2014;75(2):101–4.
37
Rose M, McAlpine L, and Strychar I. Learning opportunity and preparedness for practice: perceptions from dietetics programs in Canada. Can J Diet Pract Res. 2005;66(4):221–8.
38
Hayden JK, Smiley RA, Alexander M, Kardong-Edgren S, and Jeffries PR. The NCSBN national simulation study: a longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. J Nurs Regul. 2014 Jul;5(2):S3–40.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 81 • Number 1 • March 2020
Pages: 44 - 48
History
Version of record online: 8 Mai 2019
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© 2020.
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IsabelleGirouxR.D., Ph.D., ElisePauzéR.D., M.Sc., and MylèneRosaR.D.. 2020. Apprentissage par simulation : activité novatrice de formation interprofessionnelle sur la gestion de la dysphagie. Canadian Journal of Dietetic Practice and Research.
81(1): 44-48. https://doi.org/10.3148/cjdpr-2019-016
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