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The Role of Simulation in Pedagogies of Higher Education for the Health Professions: Through a Practice-Based Lens

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Abstract

The preparation of future professionals for practice is a key focus of higher education institutions. Among a range of approaches is the use of simulation pedagogies. While simulation is often justified as a direct bridge between higher education and professional practice, this paper questions this easy assumption. It develops a conceptually driven argument to cast new light on simulation and its unarticulated potential in professional formation. The argument unfolds in, and is illustrated via, three accounts of a simulation event in an Australian undergraduate nursing program. This begins with a familiar approach, moves to one that problematizes this through a focus on disruption, culminating in a third that draws on socio-material theorisations. Here, simulation is conceived as emergent, challenging stable notions of fidelity, common in simulation literature. New possibilities of simulation in the production of agile practitioners and learners in practice are surfaced. This paper extends and enriches thinking by providing distinctive new ways of understanding simulation and the relationship it affords between education and professional practice, and by illuminating the untapped potential of simulation for producing agile practitioners.

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Notes

  1. Observations were conducted by three authors Hopwood, Rooney and Boud while a fourth author, Kelly, was the lead tutor for some observed classes, and in a supporting tutor role for others. A fifth team member Collier contributed to the first round of observation and early discussions. The project was made possible through funding from the Faculty of Arts and Social Sciences’ Research Development Grant scheme.

References

  • Arthur, C., Kable, A., & Levett-Jones, T. (2011). Human patient simulation manikins and information communication technology use in Australian schools of nursing: a cross-sectional survey. Clinical Simulation in Nursing, 7(6), e219–e227.

  • Arthur, C., Levett-Jones, T., & Kable, A. (2013). Quality indicators for the design and implementation of simulation experiences: a Delphi study. Nurse Education Today, 33(11), 1357–1361.

  • Berragan, L. (2011). Simulation: an effective pedagogical approach for nursing? Nurse Education Today, 31(7), 660–663.

    Article  Google Scholar 

  • Billett, S. (2009). Realising the educational worth of integrating work experiences in higher education. Studies in Higher Education, 34(7), 827–843.

    Article  Google Scholar 

  • Boeije, H. (2002). A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Quality and Quantity, 36, 391–409. doi:10.1023/A:1020909529486.

    Article  Google Scholar 

  • Boud, D., & Rooney, D. (2015). What can higher education learn from the workplace? In A. Dailey-Herbert & K. Dennis (eds), Transformative perspectives and processes in higher education (pp. 195–210). Dordrecht: Springer.

  • Breckwoldt, J., Gruber, H., & Wittmann, A. (2014). Simulation learning. In S. Billett, C. Harteis, & H. Gruber (Eds.), International handbook of researching professional and practice-based learning (pp. 673–698). London: Springer.

    Google Scholar 

  • Cooper, L., Orrel, J., & Bowden, M. (2010). Work integrated learning: A guide to effective practice. Abingdon: Routledge.

    Google Scholar 

  • Dieckmann, P., & Krage, R. (2013). Simulation and psychology: creating, recognizing and using learning opportunities. Current Opinion in Anaesthesiology, 26(6), 714–720.

    Article  Google Scholar 

  • Dieckmann, P., Molin, F. S., Lippert, A., & Østergaard, D. (2012). Goals, success factors, and barriers for simulation-based learning: a qualitative interview study in health care. Simulation & Gaming, 43(5), 627–647.

    Article  Google Scholar 

  • Fritz, P. Z., Gray, T., & Flanagan, B. (2008). Review of mannequin‐based high‐fidelity simulation in emergency medicine. Emergency Medicine Australasia, 20(1), 1–9.

    Article  Google Scholar 

  • Frost, N., Nolas, S. M., Brooks-Gordon, B., Esin, C., Holt, A., Mehdizadeh, L., & Shinebourne, P. (2010). Pluralism in qualitative research: the impact of different researchers and qualitative approaches on the analysis of qualitative data. Qualitative Research, 10(4), 441–460. doi:10.1177/1468794110366802.

    Article  Google Scholar 

  • Gaba, D. M. (2007). The future vision of simulation in healthcare. Simulation in Healthcare, 2(2), 126–135.

    Article  Google Scholar 

  • Gherardi, S. (2009). Knowing and learning in practice-based studies: an introduction. The Learning Organization, 16(5), 352–359.

    Article  Google Scholar 

  • Gherardi, S., & Perrotta, M. (2014). Between the hand and the head: how things get done, and how in doing the ways of doing are discovered. Qualitative Research in Organizations and Management, 9(2), 134–150.

    Article  Google Scholar 

  • Gijselaers, W. H., Dailey-Hebert, A., & Niculescu, C. (2014). Shaping the new professional for the new professions. In S. Baroncelli, R. Farneti, I. Horga, & S. Vanhoonacker (Eds.), Teaching and learning the European union: Traditional and innovative methods (pp. 9–25). Springer: London.

    Chapter  Google Scholar 

  • Green, B. (Ed.). (2009). Understanding and researching professional practice. Rotterdam: Sense Publishers.

    Google Scholar 

  • Hager, P. (2011). Historical tracing of the development of theory in the field of workplace learning. In M. Malloch, L. Cairns, K. Evans, & B. O’Connor (Eds.), The SAGE handbook of workplace learning (pp. 17–32). London: Sage.

    Chapter  Google Scholar 

  • Hager, P., Lee, A., & Reich, A. (Eds.). (2012). Practice, learning and change: Practice-theory perspectives on professional learning. Dordrecht: Springer.

    Google Scholar 

  • Harteis, C., Morgenthaler, B., Kugler, C., Ittner, K., Roth, G., & Graf, B. (2012). Professional competence and intuitive decision making: A simulation study in the domain of emergency medicine. Vocations and Learning, 5(2), 119–138.

    Article  Google Scholar 

  • Hatala, R., Cook, D., Zendejas, B., Hamstra, S., & Brydges, R. (2014). Feedback for simulation-based procedural skills training: a meta-analysis and critical narrative synthesis. Advances in Health Sciences Education, 19(2), 251–272.

    Article  Google Scholar 

  • Hopwood, N., Rooney, D., Boud, D., & Kelly, M. (2014). Simulation in higher education: a sociomaterial view. Educational Philosophy and Theory, 1–14. doi:10.1080/00131857.2014.971403.

  • Isaranuwatchai, W., Brydges, R., Carnahan, H., Dubrowski, A., & Backstein, D. (2014). Comparing the cost-effectiveness of simulation modalities: a case study of peripheral intravenous catheterization training. Advances in Health Sciences Education, 19(2), 219–232.

    Article  Google Scholar 

  • Jackson, A. Y., & Mazzei, L. A. (2013). Plugging one text into another: thinking with theory in qualitative research. Qualitative Inquiry, 19(4), 261–271. doi:10.1177/1077800412471510.

    Article  Google Scholar 

  • Kardong-Edgren, S., Willhaus, J., Bennett, D., & Hayden, J. (2012). Results of the national council of state boards of nursing national simulation survey: part II. Clinical Simulation in Nursing, 8(4), e117–e123. doi:10.1016/j.ecns.2012.01.003.

    Article  Google Scholar 

  • Kelly, M. A., Forber, J., Conlon, L., Roche, M., & Stasa, H. (2014). Empowering the registered nurses of tomorrow: students’ perspectives of a simulation experience for recognising and managing a deteriorating patient. Nurse Education Today, 34(5), 724–729.

  • Kemmis, S. (2005). Knowing practice: searching for saliences. Pedagogy, Culture and Society, 13(3), 391–426.

    Article  Google Scholar 

  • Kemmis, S., Wilkinson, J., Edwards-Groves, C., Hardy, I., Grootenboer, P., & Bristol, L. (2014). Changing practices, changing education. Singapore: Springer.

    Book  Google Scholar 

  • Kneebone, R., Scott, W., Darzi, A., & Horrocks, M. (2004). Simulation and clinical practice: strengthening the relationship. Medical Education, 38(10), 1095–1102.

    Article  Google Scholar 

  • Lather, P. (1991). Getting smart: Feminist research and pedagogy with/in the postmodern. London: Routledge.

    Google Scholar 

  • Lather, P. (1992). Critical frames in educational research: feminist and post-structural perspectives. Theory Into Practice, 31(2), 87–99.

    Article  Google Scholar 

  • Nerland, M., & Jenson, K. (2012). Epistemic practices and object relations in professional work. Journal of Education and Work, 25(1), 101–120.

    Article  Google Scholar 

  • Norman, G. (2014). Simulation comes of age. Advances in Health Sciences Education, 19(2), 143–146.

    Article  Google Scholar 

  • Nystrom, S., Dahlberg, J., Hult, H., & Abrandt Dahlgren, M. (2014) Crossing locations of enacting and observing simulations: ways of constructing interprofessional learning. Paper presented to the Second International ProPEL conference. Professional Matters: Materialities and Virtualities of Professional Learning, Stirling.

  • Paige, J., & Daley, B. (2009). Situated cognition: a learning framework to support and guide high-fidelity simulation. Clinical Simulation in Nursing, 5(3), 97–103.

    Article  Google Scholar 

  • Poikela, P. & Poikela, E. (eds) (2012). Towards simulation pedagogy: developing nursing simulation in a European network. Rovaniemi, Rovaniemi University of Applied Sciences Publications.

  • Poikela, P., & Teräs, M. (2015). A scoping review: conceptualizations and pedagogical models of learning in nursing simulation. Educational Research and Reviews, 10(8), 1023–1033. doi:10.5897/ERR2015.2156.

    Google Scholar 

  • Schatzki, T. (2012). A primer on practices. In J. Higgs, R. Barnett, S. Billett, M. Hutchings, & F. Trede (Eds.), Practice-based education: Perspectives and strategies (pp. 13–26). Rotterdam: Sense Publishers.

    Chapter  Google Scholar 

  • Schatzki, T. R. (2013). The edge of change: On the emergence, persistence, and dissolution of practices. In E. Shove & N. Spurling (Eds.), Sustainable practice: Social theory and climate change (pp. 31–46). London: Routledge.

    Google Scholar 

  • Schiavenato, M. (2009). Reevaluating simulation in nursing education: beyond the human patient simulator. Journal of Nursing Education, 48(7), 388–394.

    Article  Google Scholar 

  • Shearer, J. E. (2012). High-fidelity simulation and safety: an integrative review. Journal of Nursing Education, 52(1), 39–45. doi:10.3928/01484834-20121121-01.

    Article  Google Scholar 

  • Shinnick, M. A., Woo, M. A., & Mentes, J. C. (2011). Human patient simulation: state of the science in prelicensure nursing education. Journal of Nursing Education, 50(2), 65–72.

    Article  Google Scholar 

  • Solomon, N. (2007). Reality bites: bringing the ‘real’ world of work into educational classrooms. In M. Osborne, M. Houston, & N. Toman (Eds.), The pedagogy of lifelong learning: Understanding effective teaching and learning in diverse contexts (pp. 115–126). London: Routledge.

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank the anonymous reviewers for their helpful comments on this paper.

Compliance with ethical standards

Ethical clearance for the project, which enabled data for his paper to be collected, was gained through the university’s Human Research Ethics Committee. All participants provided their informed consent. The project was made possible through funding from the Faculty of Arts and Social Sciences’ Research Development Grant scheme.

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Correspondence to Donna Rooney.

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Rooney, D., Hopwood, N., Boud, D. et al. The Role of Simulation in Pedagogies of Higher Education for the Health Professions: Through a Practice-Based Lens. Vocations and Learning 8, 269–285 (2015). https://doi.org/10.1007/s12186-015-9138-z

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