Browsing by Author "Kelly, Michelle A."
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Item Conversations about Organ and Tissue Donation: The Role of Simulation(2017-01-01) Kelly, Michelle A.; McKay, Leigh; Gatward, JonathanA simulation-based education programme was created to help clinicians in New South Wales (NSW) lead difficult conversations about organ and tissue donation (OTD) with the families of dead or dying patients. Participants led a planning meeting with the Intensive Care Unit (ICU) team, then a family donation conversation (FDC) with the family of the potential donor. Professional actors played family members during scenarios based on real cases. A three-stage debriefing process including video-reflexive feedback followed the FDC. Eighty participants completed the training, which was universally well received, with participants reporting a wide range of educational benefits and increased confidence. There has been an increase in the family consent rate for OTD in NSW over the duration of the programme. Whether the training contributed to this increase is unclear at this stage.
Item Simulation-Based Communication Skills Training for Experienced Clinicians to Improve Family Conversations About Organ and Tissue Donation(2017-12-01) Perry, Lin; Elliott, Rosalind M.; McCann, Ellie; McKay, Leigh; Kelly, Michelle A.; Gatward, Jonathan J.; Potter, Julie ElizabethIntroduction:
The approach, communication skills, and confidence of clinicians responsible for raising deceased organ donation may influence families’ donation decisions. The aim of this study was to increase the preparedness and confidence of intensive care clinicians allocated to work in a “designated requester” role.
Design:
We conducted a posttest evaluation of an innovative simulation-based training program. Simulation-based training enabled clinicians to rehearse the “balanced approach” to family donation conversations (FDCs) in the designated requester role. Professional actors played family members in simulated clinical settings using authentic scenarios, with video-assisted reflective debriefing. Participants completed an evaluation after the workshop. Simple descriptive statistical analysis and content analysis were performed.
Results:
Between January 2013 and July 2015, 25 workshops were undertaken with 86 participants; 82 (95.3%) returned evaluations. Respondents were registered practicing clinicians; over half (44/82; 53.7%) were intensivists. Most attended a single workshop. Evaluations were overwhelmingly positive with the majority rating workshops as outstanding (64/80; 80%). Scenario fidelity, competence of the actors, opportunity to practice and receive feedback on performance, and feedback from actors, both in and out of character, were particularly valued. Most (76/78; 97.4%) reported feeling more confident about their designated requester role.
Discussion:
Simulation-based communication training for the designated requester role in FDCs increased the knowledge and confidence of clinicians to raise the topic of donation.