EDD/581 A CTION R ESEARCH P ROPOSAL R ACHEL K ELLER EDD 581 F EBRUARY 17, 2014 S USAN G ERTEL Action Research Proposal 1 P ROBLEM S TATEMENT The problem is the sequence of education in medical simulation. Upon narrowing of the problem, an intervention will be implemented. 2 Action Research Proposal P ROBLEM D ESCRIPTION The problem is inconsistent sequence of education. Setting problems include Acceptability to standardize Students knowledge 3 Action Research Proposal WRITERS ROLE Education Specialist Train multi-discipline medical personal With high fidelity simulation 4 Action Research Proposal P URPOSE OF THE P ROJECT The purpose of this project is to standardize the sequence of education in medical simulation. 5 Action Research Proposal (Microsoft, 2010) P ROBLEM D OCUMENTATION Problem is inconsistent sequence of education Pre Simulation versus Post Simulation Influence learners Perspective Facilitator Conformability Experience 6 Action Research Proposal S URVEY 7 Action Research Proposal S URVEY 8 Action Research Proposal L ITERATURE R EVIEW Simulation in medical education More effective Structure is key component Simulation before education Better performance Increase knowledge 9 Action Research Proposal (Microsoft, 2010) LITERATURE REVIEW Education before simulation Improves learning Simulation before education Negative attitude 10 Action Research Proposal (Microsoft, 2010) L ITERATURE R EVIEW Authors of the study Title of the study Purpose of the study Pertinent findings that support your project Cendan, J. C. and T. R. Johnson Enhancing Learning through Optimal Sequencing of Web- Based and Manikin Simulators to Teach Shock Physiology in the Medical Curriculum. Investigate proper linkage of simulation experiences with medical curricula. The data suggest improved learning when education precedes simulation. Ciceroa, M., Auerbacha, M., Zigmonta, J., Rieraa, A., Chinga, K., and Baum, C. Simulation training with structured debriefing improves residents' pediatric performance. Measure the efficacy simulation in learners' skills. Hypothesis simulations and a structured debriefing would improve performance. Structured education is a key component of simulation education to improve learners performance. 11 Action Research Proposal L ITERATURE R EVIEW Authors of the study Title of the study Purpose of the study Pertinent findings that support your project Lee, J. Effectiveness of computer-based instructional simulation: A meta analysis. Analyze effectiveness between two forms of simulation and modes of instruction. Simulation before education may indicate better performance, but negative attitude towards simulation education. Issenber, B., & McGaghie, E. Features and uses of high-fidelity medical simulations that lead to effective learning. Exploring features and uses of high-fidelity medical simulations that lead to most effective learning High-fidelity medical simulations are effective in medical education. McGaghie, W., Issenber, B., Cohen, E., Barsuk, J., Wayne, D. Does Simulation-based Medical Education with Deliberate Practice Yield Better Results than Traditional Clinical Education? A Meta- Analytic Comparative Review of the Evidence This article presents a comparison of the effectiveness of traditional clinical education toward skill acquisition goals versus simulation- based medical education. Simulation is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals. 12 Action Research Proposal L ITERATURE R EVIEW Authors of the study Title of the study Purpose of the study Pertinent findings that support your project Stefaniak, J., & Turkelson, C. Does the sequence of instruction matter during simulation. Examine sequence of instruction during simulation. Learners who participated in simulation before education demonstrated increased knowledge compared with learners who participated in simulation after a education. Zendejas, B., Cook, D., & Farley, D. Teaching first or teaching last: Does the timing matter in simulation- based surgical scenarios. Examine sequence of instruction during simulation. Participants who received instruction after simulated scenarios achieved higher mean knowledge scores than those who received instruction before simulated scenarios. 13 Action Research Proposal A CTION G OAL The goal of the intervention is to improve knowledge of participants in implementing a standardization in the sequence of education in medical simulation. A three- prong intervention will be implemented to meet the goal, which includes standardizing the sequence of education in medical simulation, instructor training, and weekly collaboration time supported by the administration. 14 Action Research Proposal (Microsoft, 2010) S ELECTED S OLUTIONS Standardizing the sequence of education Instructor training Weekly collaboration 15 Action Research Proposal C ALENDAR P LAN Study Duration March 3, 2014 May 2, 2014 Instructors Educators at the simulation center Participants Nurses