Brar Gurmun, Lambert Sam, Huang Simon, Dang Rebecca, Chan Teresa M
University of Ottawa Ottawa Ontario.
McMaster University Hamilton Ontario.
AEM Educ Train. 2020 May 23;5(2):e10456. doi: 10.1002/aet2.10456. eCollection 2021 Apr.
The use of serious games as an educational tool may be an effective strategy to improve knowledge and skill among health care trainees. GridlockED is a serious board game designed to simulate a shift in the emergency department (ED) that incorporates concepts such as prioritization in a multipatient environment and stewardship of finite resources. Serious games can present concepts to learners that are not easily accessible through other teaching methods. GridlockED was designed to demonstrate the principles behind ED flow and how to prioritize in a complex multipatient environment. The objective of this study was to identify teaching points to which learners are exposed while playing the GridlockED game.
We conducted a prospective, observational study from May to August 2017. Practicing emergency physicians, residents, and nurses were recruited as participants to play GridlockED. Participants were instructed on how to play the game and then engaged in playing GridlockED, during which their gameplay was video recorded. The videos of the play sessions were qualitatively analyzed using an interpretive description technique. All teaching points explicitly stated by players or implicitly observed by researchers were recorded.
Teaching points were identified in the GridlockED play sessions centered around the concepts of patient prioritization and staff placement. Major themes present in gameplay, as well as deviations from reality and frequent misconceptions about emergency care, were also identified.
Observations of experienced ED practitioners reveal that the GridlockED board game creates opportunities for engaging medical learners in systems-level teaching. Our findings will help create the basis for future education modules, but further study is required to ensure that junior trainees actually learn when playing the game.
使用严肃游戏作为一种教育工具可能是提高医护学员知识和技能的有效策略。GridlockED是一款严肃的棋盘游戏，旨在模拟急诊科的轮班情况，其中融入了多患者环境中的优先级排序和有限资源管理等概念。严肃游戏能够向学习者呈现通过其他教学方法难以获取的概念。GridlockED旨在展示急诊流程背后的原则以及如何在复杂的多患者环境中进行优先级排序。本研究的目的是确定学习者在玩GridlockED游戏时所接触到的教学要点。
我们在2017年5月至8月进行了一项前瞻性观察研究。招募了在职急诊医生、住院医师和护士作为参与者来玩GridlockED。指导参与者如何玩游戏，然后让他们参与玩GridlockED，在此期间对他们的游戏过程进行录像。使用解释性描述技术对游戏过程的视频进行定性分析。记录玩家明确表述或研究人员隐含观察到的所有教学要点。
在GridlockED游戏过程中确定了围绕患者优先级排序和人员安排概念的教学要点。还确定了游戏过程中出现的主要主题，以及与现实情况的偏差和对急救护理的常见误解。
对经验丰富的急诊科从业者的观察表明，GridlockED棋盘游戏为让医学学习者参与系统层面的教学创造了机会。我们的研究结果将有助于为未来的教育模块奠定基础，但需要进一步研究以确保初级学员在玩游戏时真正学到东西。
