scholarly journals Simulation-based Boot-camp Improves the Self-efficacy of Newly Inducted Hospital Residents and Interns 

2021 ◽  
Author(s):  
Mehak Ismail Rajani ◽  
Charles Docherty ◽  
Aysha Almas ◽  
Farah Khalid ◽  
Salman Alam
Keyword(s):  
Self Efficacy ◽  
Clinical Skills ◽  
Hospital Setting ◽  
Boot Camp ◽  
The Self ◽  
University Hospital ◽  
Boot Camps ◽  
Simulation Based ◽  
Interns And Residents ◽  
Control Post

Abstract IntroductionExpectation of competence from interns and residents from outset stresses the need for bridging the gap between undergraduate and post-graduate worlds, in terms of clinical skills. Worldwide, simulation-based boot camps ease this transition and equip novice trainees with essential foundation knowledge, technical skills, and effective communication. This study describes the introduction, change management process, and analyzes effectiveness of first-ever boot camp in Pakistan aimed at improving self-efficacy of PGME interns and residents. A boot camp of 4 days duration was conducted in December 2018 at The Aga Khan University Hospital (AKUH) for newly inducted PGME interns and residents. 40 residents and 68 interns completed a self-administered self-efficacy questionnaire after boot camp.ResultsThere was a significant overall improvement in self-efficacy of trainees across all skills. Self-efficacy improved most in CVC insertion, hospital management software) and communication, while, least gain was seen in infection control post-boot camp. Boot camp approach has proven to be an efficient, safe, forgiving, experiential learning environment for healthcare professionals and prepares them to thrive in a new hospital setting. Analysis supports effectiveness of boot camp in improving the self-efficacy of new trainees and provides direction for future planning of boot camps.

scholarly journals Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Judith Hough ◽  
Daniel Levan ◽  
Michael Steele ◽  
Kristine Kelly ◽  
Megan Dalton
Keyword(s):  
Student Satisfaction ◽  
Student Performance ◽  
Self Efficacy ◽  
Clinical Decision Making ◽  
Learning Strategy ◽  
Clinical Skills ◽  
Future Research ◽  
Clinical Placements ◽  
Paediatric Patients ◽  
Simulation Based

Abstract Background The Australian Physiotherapy Council mandates that physiotherapy clinical education be sufficient to produce graduates who are competent to practice across the lifespan. Due to a lack of opportunities for paediatric clinical placements, there is a risk of graduates not having the opportunity to develop competency in paediatric physiotherapy. To address this risk, simulation-based education (SBE) has been proposed as an educational strategy to address the placement shortfall. Despite encouraging evidence for its use in physiotherapy education, there is limited evidence supporting its use specifically in paediatric populations. The aims of this research were to investigate the effect of SBE on student self-efficacy in the physiotherapy assessment and management of paediatric clients, and to determine student satisfaction with SBE as a learning strategy. Methods Three interactive SBE sessions were run during the undergraduate paediatric physiotherapy unit at the campus of one Australian university. Self-efficacy was surveyed before and after each session, to determine confidence in clinical skills, clinical decision-making, treatment preparation and planning, communication skills; evaluating and modifying interventions, and interprofessional practice. Student satisfaction with SBE as a learning strategy was surveyed after the final SBE session. Results For the 164 participants included in this study, self-efficacy survey response rate varied from 77 to 96% for each session. Significant increases in mean student self-efficacy were recorded for all questions (p <  0.001). A total of 139 (85%) responded to the learning reactionnaire with 78.6% indicating they were very satisfied with SBE as a learning strategy. Written comments from 41 participants identified ‘experience’ as the primary theme. Conclusion SBE had a significant positive effect on student self-efficacy in the physiotherapy assessment and management of paediatric patients. Students also perceived SBE to be a valuable learning experience. Future research is needed to investigate whether the improvement in self-efficacy achieved through SBE translates into improved student performance during workplace-based clinical placements.

scholarly journals An Innovative Clinical Skills “Boot Camp” for Dental Medicine Residents

2017 ◽  
Vol 4 ◽  
pp. 238212051771001 ◽  
Author(s):  
Jenny Castillo ◽  
Jared Kutzin ◽  
Kathleen Agoglia ◽  
Patricia Janicke ◽  
Zachary Milligan ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Clinical Skills ◽  
Clinical Skill ◽  
Medical Knowledge ◽  
Boot Camp ◽  
School Curriculum ◽  
Dental School ◽  
Knowledge And Skills ◽  
Inpatient Hospital ◽  
Simulation Based

During a 1-year hospital-based residency, dental residents are required to rotate through many departments including surgery, medicine, and emergency medicine. It became apparent that there was a gap between clinical skills knowledge taught in dental school curriculum and skills required for hospital-based patient care. In response, a simulation-based intensive clinical skill “boot camp” was created. The boot camp provided an intensive, interactive 3-day session for the dental residents. During the 3 days, residents were introduced to medical knowledge and skills that were necessary for their inpatient hospital rotations but were lacking in traditional dental school curriculum. Effectiveness of the boot camp was assessed in terms of knowledge base and comfort through presession and postsession surveys. According to resident feedback, this intensive introduction for the dental residents improved their readiness for their inpatient hospital-based residency.

scholarly journals Evaluation of the clinical self-efficacy of postgraduate midwifery students who took courses related to biochemistry: a cross-sectional study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Funda Kosova ◽  
Hanife Nurseven Şimşek ◽  
Nurcan Çelik
Keyword(s):  
Education Program ◽  
Self Efficacy ◽  
Clinical Skills ◽  
Postgraduate Education ◽  
Cross Sectional Study ◽  
Study Data ◽  
The Self ◽  
Cross Sectional ◽  
Midwifery Education ◽  
Personal Attitudes

Abstract Objectives Postgraduate midwifery students learn the science and art of midwifery in clinical settings through the integration of evidence-based knowledge, practical skills, quality of care, and personal attitudes. These personal attitudes are confidence, intuition, problem solving, critical thinking, and self-efficacy. This study’s goal was to evaluate the clinical self-efficacy of midwifery students who took courses related to biochemistry in the postgraduate education program. Methods A cross-sectional design was used in the study. In the study, data collection was performed using surveys from students in the postgraduate midwifery education program. The study data were collected by employing the “Introductory Information Form” and the “Self-efficacy for Clinical Evaluation Scale.” Data evaluation was performed by number, percentage, mean, and correlation test. Results It was revealed that 67.7% of midwifery students who took the courses were postgraduate students in the thesis stage, 41% of them worked in secondary health services, and 51.6% of them had a clinical experience of 5 years and more. The total score of the self-efficacy perception subscale was 4.22 ± 0.49 (1–5), whereas the total score of the perceived confidence subscale was 4.57 ± 0.45 (1–5). There was a statistically significant correlation between the self-efficacy subscale and the importance subscale. Conclusions The results indicated that postgraduate midwifery students had high clinical self-efficacy scores. We think that the elective courses related to biochemistry in the postgraduate midwifery education program may have positively affected their clinical skills. We anticipate that it will be appropriate to conduct research with a larger sample size to examine the effect of postgraduate midwifery education on students’ clinical self-efficacy.

scholarly journals Determination of self-efficacy levels of diabetic individuals

2019 ◽  
pp. 46-61
Author(s):  
Selin Keskin- Kızıltepe ◽  
Zeliha Koc ◽  
Tugba Kavalali Erdogan ◽  
Zeynep Saglam
Keyword(s):  
Type 2 Diabetes ◽  
Self Efficacy ◽  
Descriptive Statistics ◽  
The Self ◽  
University Hospital ◽  
Diabetic Patients ◽  
Keywords Diabetes ◽  
Item Questionnaire

This study was conducted as descriptive with an aim to determine the self-efficacy levels of diabetic individuals. The study was conducted with the participation of 248 patients receiving inpatient treatment in a university hospital between July 20, 2017, and February 15, 2018. Data were collected using a 28-item questionnaire and Type 2 Diabetes Self-Efficacy Scale. In the evaluation of the data, descriptive statistics and one-way analysis of variance, T-test, Tukey HSD test, Levine test, Kruskal–Wallis test and Mann–Whitney U test were used. It was found that 77% of the patients had a chronic disease, 49.2% used oral anti-diabetes, 33.5% insulin and 15.7% used both oral anti-diabetes and insulin. The median score of the Type 2 Diabetes Self-Efficacy was determined as 70.00 (21–100). In this study, it is recommended to conduct training to increase the self-efficacy levels of diabetic patients. Keywords: Diabetes, self-efficiency, behaviour, knowledge.

scholarly journals Strategies to improve clinical confidence in nursing students' c: A Narrative review

2021 ◽  
Author(s):  
Sh Ahrari ◽  
F Heshmati-Nabavi ◽  
N Toghian-Chaharsoughi
Keyword(s):  
Nursing Students ◽  
Clinical Skills ◽  
Final Analysis ◽  
Clinical Work ◽  
Educational Interventions ◽  
The Self ◽  
Educational Method ◽  
Self Confidence ◽  
Simulation Based ◽  
Review Study

Introduction: Universities are responsible for nurturing nurses who have clinical skills and confidence. Self-confidence is one of the main components of clinical work and, nursing students have more efficient self-confidence. This review study aimed to find strategies for self-confidence improvement in nursing students. Methods: To conduct this review study initially, using the keywords self-confidence, professional self-confidence and the self-confidence of nursing students in Persian and English, separately and in combination, between 2008 and 2018, a total of 1536 articles were obtained from Medline, CINAHL, ProQuest, Ovid and Science Direct databases. The full text of the articles was reviewed for inclusion and exclusion criteria and finally, 16 articles were selected for the final analysis. Result: The findings indicated the efficacy of the short-term educational program on self-confidence skills of baccalaureate nursing students. Studies have shown that students demonstrate greater abilities in terms of knowledge, critical thinking, clinical understanding, or satisfaction upon simulation-based learning. Conclusion: Simulation-based nursing educational interventions have strong and special educational effects in the field of psychology, especially in promoting the self-confidence of nursing students. Therefore, due to its positive effect on students' self-confidence, this method is proposed as a superior educational method in nursing students.

scholarly journals Retention of Critical Care Skills After Simulation-Based Mastery Learning

2013 ◽  
Vol 5 (3) ◽  
pp. 458-463 ◽  
Author(s):  
Farzad Moazed ◽  
Elaine R. Cohen ◽  
Nicholas Furiasse ◽  
Benjamin Singer ◽  
Thomas C. Corbridge ◽  
...  
Keyword(s):  
Critical Care ◽  
Patient Care ◽  
Clinical Skills ◽  
Mastery Learning ◽  
Boot Camp ◽  
Skill Retention ◽  
Actual Patient ◽  
Testing Occasion ◽  
Simulation Based

Abstract Background Whether cognitive and patient care skills attained during simulation-based mastery learning (SBML) are retained is largely unknown. Objective We studied retention of intensive care unit (ICU) clinical skills after an SBML boot camp experience. Methods Forty-seven postgraduate year (PGY)-1 residents completed SBML intervention designed to increase procedural, communication, and patient care skills. The intervention included ICU skills such as ventilator and hemodynamic parameter management. Residents were required to meet or exceed a minimum passing score (MPS) on a clinical skills examination before starting actual patient care. Skill retention was assessed in 42 residents who rotated in the medical ICU. Residents received a standardized 15-minute booster teaching session reviewing key concepts during the first week of the rotation. During the fourth week of their rotation, PGY-1 residents completed a clinical skills examination at the bedside of an actual ICU patient. Group mean examination scores and the proportion of subjects who met or exceeded the MPS at each testing occasion were compared. Results Residents scored a mean 90% (SD  =  6.5%) on the simulated skills examination immediately after training. Residents retained skills obtained through SBML as the mean score at bedside follow-up testing was 89% (SD  =  8.9%, P  =  .36). Thirty-seven of 42 (88%) PGY-1 residents met or exceeded the MPS at follow-up. Conclusion SBML leads to substantial retention of critical care knowledge, and patient care skills PGY-1 boot camp is a highly efficient and effective model that can be administered at the beginning of the academic year.

scholarly journals Simulation-based training in critical resuscitation procedures improves residents' competence

CJEM ◽  
2009 ◽  
Vol 11 (06) ◽  
pp. 535-539 ◽  
Author(s):  
Trevor S. Langhan ◽  
Ian J. Rigby ◽  
Ian W. Walker ◽  
Daniel Howes ◽  
Tyrone Donnon ◽  
...  
Keyword(s):  
Skill Acquisition ◽  
Clinical Skills ◽  
Skills Training ◽  
The Self ◽  
Self Assessment ◽  
Procedural Skills ◽  
Training Course ◽  
Simulation Based ◽  
The Impact

ABSTRACT Objective: Residents must become proficient in a variety of procedures. The practice of learning procedural skills on patients has come under ethical scrutiny, giving rise to the concept of simulation-based medical education. Resident training in a simulated environment allows skill acquisition without compromising patient safety. We assessed the impact of a simulation-based procedural skills training course on residents' competence in the performance of critical resuscitation procedures. Methods: We solicited self-assessments of the knowledge and clinical skills required to perform resuscitation procedures from a cross-sectional multidisciplinary sample of 28 resident study participants. Participants were then exposed to an intensive 8-hour simulation-based training program, and asked to repeat the self-assessment questionnaires on completion of the course, and again 3 months later. We assessed the validity of the self-assessment questionnaire by evaluating participants' skills acquisition through an Objective Structured Clinical Examination station. Results: We found statistically significant improvements in participants' ratings of both knowledge and clinical skills during the 3 self-assessment periods (p &lt; 0.001). The participants' year of postgraduate training influenced their self-assessment of knowledge (F 2,25 = 4.91, p &lt; 0.01) and clinical skills (F 2,25 = 10.89, p &lt; 0.001). At the 3-month follow-up, junior-level residents showed consistent improvement from their baseline scores, but had regressed from their posttraining measures. Senior-level residents continued to show further increases in their assessments of both clinical skills and knowledge beyond the simulation-based training course. Conclusion: Significant improvement in self-assessed theoretical knowledge and procedural skill competence for residents can be achieved through participation in a simulation-based resuscitation course. Gains in perceived competence appear to be stable over time, with senior learners gaining further confidence at the 3-month follow-up. Our findings support the benefits of simulation-based training for residents.

Coding Boot Camps

2021 ◽  
Vol 21 (2) ◽  
pp. 1-30
Author(s):  
Louise Ann Lyon ◽  
Emily Green
Keyword(s):  
Computer Science ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Structural Data ◽  
Boot Camp ◽  
Boot Camps ◽  
Hiring Managers ◽  
Data Coding ◽  
Computer Science Faculty ◽  
College Educated

College-educated women in the workforce are discovering a latent interest in and aptitude for computing motivated by the prevalence of computing as an integral part of jobs in many fields as well as continued headlines about the number of unfilled, highly paid computing jobs. One of these women's choices for retraining are the so-called coding boot camps that teach programming skills through intensive multi-week courses. This article reports on a qualitative research study focused on the Silicon Valley area of California. We used social cognitive career theory (SCCT) to investigate the larger context surrounding women entering computing professions through boot camp learning sites, including: the environment of a booming technology workforce, boot camps as learning settings , the characteristics of women who attend boot camps, how retraining at a coding boot camp influence women's computing self-efficacy and outcome expectations , and the performance attainments of women at boot camps. Interview data was collected from 14 women who had attended boot camps—first before graduating from the boot camp and again after six months in the workforce. To contextualize the computing ecosystem, we conducted single interviews with 6 boot camp organizers/curriculum developers, 7 industry hiring managers, and 14 university computer science faculty. To provide a contrast with women at boot camps, we interviewed 5 women who majored in computer science at the university and with 17 men who had attended boot camps. Structural data coding and analysis was done focused on the SCCT mechanisms of environment, person inputs, learning experiences, self-efficacy, outcome expectations, and performance attainments. Findings here demonstrate that training at a boot camp can be the catalyst for college-educated women to attain computing jobs and careers, although these entry-level jobs may be a compromise to the goal of a software development job and are unlikely to lead to a job at large, well-known, established technology companies.

scholarly journals The effect of simulation-based education on student self-efficacy in the physiotherapy assessment and management of paediatric patients: An observational study

2019 ◽  
Author(s):  
Judith Hough ◽  
Daniel Levan ◽  
Michael Steele ◽  
Kristine Kelly ◽  
Megan Dalton
Keyword(s):  
Student Satisfaction ◽  
Student Performance ◽  
Self Efficacy ◽  
Clinical Decision Making ◽  
Learning Strategy ◽  
Clinical Skills ◽  
Learning Experience ◽  
Future Research ◽  
Clinical Placements ◽  
Simulation Based

Abstract The Australian Physiotherapy Council mandates that physiotherapy clinical education be sufficient to produce graduates who are competent to practice across the lifespan. Due to a lack of opportunities for paediatric clinical placements, there is a risk of graduates not having the opportunity to develop competency in paediatric physiotherapy. To address this risk, simulation-based education (SBE) has been proposed as an additional educational strategy, and despite encouraging evidence for its use in physiotherapy education, there is limited evidence supporting its use specifically in paediatric populations. The aims of this research were to investigate the effect of SBE on student self-efficacy in the physiotherapy assessment and management of paediatric clients, and to determine student satisfaction with SBE as a learning strategy. Three interactive SBE sessions were run during the undergraduate paediatric physiotherapy unit at the campus of one Australian university. Self-efficacy was surveyed before and after each session, to determine confidence in clinical skills, clinical decision-making, treatment preparation and planning, communication skills; evaluating and modifying interventions, and interprofessional practice. Student satisfaction with SBE as a learning strategy was surveyed after the final SBE session. For the 164 participants included in this study, self-efficacy survey response rate varied from 77-96% for each session. Significant increases in mean student self-efficacy were recorded for all questions (p<0.001). A total of 139 (85%) responded to the reactionnaire with 78.6% indicating they were very satisfied with SBE as a learning strategy. Written comments from 41 participants identified ‘experience’ as the primary theme. Conclusion: SBE had a significant positive effect on student self-efficacy in the physiotherapy assessment and management of paediatric clients. Students also perceived SBE to be a valuable learning experience. Future research is needed to investigate whether SBE improves student performance and how SBE compares to standard educational methods.

scholarly journals Simulation-based education improves student self-efficacy in physiotherapy assessment and management of paediatric patients

2019 ◽  
Author(s):  
Judith Hough ◽  
Daniel Levan ◽  
Michael Steele ◽  
Kristine Kelly ◽  
Megan Dalton
Keyword(s):  
Student Satisfaction ◽  
Student Performance ◽  
Self Efficacy ◽  
Clinical Decision Making ◽  
Learning Strategy ◽  
Clinical Skills ◽  
Future Research ◽  
Clinical Placements ◽  
Paediatric Patients ◽  
Simulation Based

Abstract Physiotherapy students have limited opportunities to develop competency in paediatric physiotherapy due to the lack of paediatric clinical placements. To address this risk, simulation-based education (SBE) has been proposed as an educational strategy to address the placement shortfall. Despite encouraging evidence for its use in physiotherapy education, there is limited evidence supporting its use specifically in paediatric populations. The aims of this research were to investigate the effect of SBE on student self-efficacy in the physiotherapy assessment and management of paediatric clients, and to determine student satisfaction with SBE as a learning strategy. Three interactive SBE sessions were run during the undergraduate paediatric physiotherapy unit at the campus of one Australian university. Self-efficacy was surveyed before and after each session, to determine confidence in clinical skills, clinical decision-making, treatment preparation and planning, communication skills; evaluating and modifying interventions, and interprofessional practice. Student satisfaction with SBE as a learning strategy was surveyed after the final SBE session. For the 164 participants included in this study, self-efficacy survey response rate varied from 77-96% for each session. Significant increases in mean student self-efficacy were recorded for all questions (p<0.001). A total of 139 (85%) responded to the learning reactionnaire with 78.6% indicating they were very satisfied with SBE as a learning strategy. Written comments from 41 participants identified ‘experience’ as the primary theme. Conclusion: SBE had a significant positive effect on student self-efficacy in the physiotherapy assessment and management of paediatric patients. Students also perceived SBE to be a valuable learning experience. Future research is needed to investigate whether the improvement in self-efficacy achieved through SBE translates into improved student performance during workplace-based clinical placements.

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