Use of tabletop exercises for healthcare education: a scoping review protocol

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Abstract

Introduction

There is a growing interest in developing interprofessional education (IPE) in the community of healthcare educators. Tabletop exercises (TTX) have been proposed as a mean to cultivate collaborative practice. A TTX simulates an emergent situation in an informal environment. Healthcare professionals need to take charge of this situation as a team through a discussion-based approach. As TTX are gaining in popularity, performing a review about their uses could guide educators and researchers. The aim of this scoping review is to map the uses of TTX in healthcare.

Methods and analysis

A search of the literature will be conducted using medical subject heading terms and keywords in PubMed, Medline, EBM Reviews (Evidence-Based Medicine Reviews), CINAHL (Cumulative Index of Nursing and Allied Health Literature), Embase and ERIC (Education Resources Information Center), along with a search of the grey literature. The search will be performed after the publication of this protocol (estimated to be January 1st 2020) and will be repeated 1 month prior to the submission for publication of the final review (estimated to be June 1st 2020). Studies reporting on TTX in healthcare and published in English or French will be included. Two reviewers will screen the articles and extract the data. The quality of the included articles will be assessed by two reviewers. To better map their uses, the varying TTX activities will be classified as performed in the context of disaster health or not, for IPE or not and using a board game or not. Moreover, following the same mapping objective, outcomes of TTX will be reported according to the Kirkpatrick model of outcomes of educational programs.

Ethics and dissemination

No institutional review board approval is required for this review. Results will be submitted for publication in a peer-reviewed journal. The findings of this review will inform future efforts to TTX into the training of healthcare professionals.

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Most cited references 19

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What is the value of health emergency preparedness exercises? A scoping review study

Elena Skryabina, Gabriel Reedy, Richard Amlôt … (2017)

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The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018

May Nawal Lutfiyya, Linda Feng Chang, Cynthia McGrath … (2019)

Introduction If interprofessional collaborative practice is to be an important component of healthcare reform, then an evidentiary base connecting interprofessional education to interprofessional practice with significantly improved health and healthcare outcomes is an unconditional necessity. This study is a scoping review of the current peer reviewed literature linking interprofessional collaborative care and interprofessional collaborative practice to clearly identified healthcare and/or patient health-related outcomes. The research question for this review was: What does the evidence from the past decade reveal about the impact of Interprofessional collaborative practice on patient-related outcomes in the US healthcare system? Materials and methods A modified preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach was followed. Results Of an initial 375 articles retrieved 20 met review criteria. The most common professions represented in the studies reviewed were physicians, pharmacists and nurses. Primary care was the most common care delivery setting and measures related to chronic disease the most commonly measured outcomes. No study identified negative impacts of interprofessional collaborative practice. Eight outcome categories emerged from a content analysis of the findings of the reviewed studies. Conclusions The results suggest a need for more research on the measurable impact of interprofessional collaborative practice and/or care on patient health-related outcomes to further document its benefits and to explore the models, systems and nature of collaborations that best improve population health, increase patient satisfaction, and reduce cost of care.

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Stroke training of prehospital providers: an example of simulation-enhanced blended learning and evaluation.

S. Barry Issenberg, Emil R Petrusa, William C. McGaghie … (2005)

Since appropriate treatment of patients in the first few hours of ischemic stroke may decrease the risk of long-term disability, prehospital providers should recognize, assess, manage and communicate about stroke patients in an effective and time-efficient manner. This requires the instruction and evaluation of a wide range of competencies including clinical skills, patient investigation and management and communication skills. The authors developed and assessed the effectiveness of a simulation-enhanced stroke course that incorporates several different learning strategies to evaluate competencies in the care of acute stroke patients. The one-day, interactive, emergency stroke course features a simulation-enhanced, blended-learning approach that includes didactic lectures, tabletop exercises, and focused-examination training and small-group sessions led by paramedic instructors as standardized patients portraying five key neurological syndromes. From January to October 2000, 345 learners were assessed using multiple-choice tests as were randomly selected group of 73 learners using skills' checklists during two pre- and two post-course simulated patient encounters. Among all learners there was a significant gain in knowledge (pre: 53.9%+/-13.9 and post: 85.4%+/-8.5; p<0.001), and for the 73 learners a significant improvement in their clinical and communication skills (p<0.0001 for all). By using a simulation-enhanced, blended-learning approach, pre-hospital paraprofessionals were successfully trained and evaluated in a wide range of competences that will lead to the more improved recognition and management of acute stroke patients.

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Author and article information

Journal

Journal ID (nlm-ta): BMJ Open

Journal ID (iso-abbrev): BMJ Open

Journal ID (hwp): bmjopen

Journal ID (publisher-id): bmjopen

Title: BMJ Open

Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )

ISSN (Electronic): 2044-6055

Publication date Collection: 2020

Publication date (Electronic): 7 January 2020

Volume: 10

Issue: 1

Electronic Location Identifier: e032662

Affiliations

[1 ] departmentDepartment of Emergency Medicine , Hôpital du Sacré-Coeur de Montréal , Montreal, Quebec, Canada

[2 ] departmentFaculty of Medicine , Université de Montréal , Montreal, Quebec, Canada

[3 ] departmentResearch department , Institut de Cardiologie de Montréal , Montreal, Quebec, Canada

[4 ] departmentFaculty of Nursing , Université de Montréal , Montreal, Quebec, Canada

[5 ] departmentDepartment of Emergency Medicine , Hôpital Maisonneuve-Rosemont , Montreal, Quebec, Canada

[6 ] departmentDirection of Education and of CHUM Academy , Centre hospitalier de l'Université de Montréal , Montreal, Quebec, Canada

[7 ] departmentEmergency Medicine Department , Centre hospitalier de l'Université de Montréal , Montreal, Quebec, Canada

[8 ] departmentResearch and International Development , Institut de Cardiologie de Montréal , Montreal, Quebec, Canada

[9 ] departmentDepartment of Emergency Medicine , Université Laval , Lévis, Quebec, Canada

Author notes

[Correspondence to ] Dr Amélie Frégeau; amelie.fregeau@ 123456umontreal.ca

Author information

Amélie Frégeau http://orcid.org/0000-0002-7135-1145

Marc-André Maheu-Cadotte http://orcid.org/0000-0003-3190-0901

Article

Publisher ID: bmjopen-2019-032662

DOI: 10.1136/bmjopen-2019-032662

PMC ID: 6955537

PubMed ID: 31915165

SO-VID: 0ae2f6e0-6376-40fe-8686-4793ee6b9848

License:

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

History

Date received : 30 June 2019

Date revision received : 12 December 2019

Date accepted : 13 December 2019

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ScienceOpen disciplines: Medicine

Keywords: medical education and training,accident and emergency medicine,health services administration and management,intensive and critical care,primary care,qualitative research

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ScienceOpen disciplines: Medicine

Keywords: medical education and training, accident and emergency medicine, health services administration and management, intensive and critical care, primary care, qualitative research

Use of tabletop exercises for healthcare education: a scoping review protocol

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Abstract

Introduction

Methods and analysis

Ethics and dissemination

Related collections

Journal of Medical Education Research

Most cited references 19

What is the value of health emergency preparedness exercises? A scoping review study

The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018

Stroke training of prehospital providers: an example of simulation-enhanced blended learning and evaluation.

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