Fiala Clare, Ragothaman Sowmithree, Johl Gursukhmani, Sabbineni Monica, Wojkowski Sarah, Chan Teresa M
Michael G. DeGroote School of Medicine McMaster University Hamilton Ontario Canada.
Physiotherapy, Faculty of Health Sciences McMaster University Hamilton Ontario Canada.
AEM Educ Train. 2024 Sep 12;8(5):e11023. doi: 10.1002/aet2.11023. eCollection 2024 Oct.
The emergency department (ED) is a challenging fast-paced environment with high-acuity, undifferentiated patients who often require extensive interdisciplinary care. This paper introduces ExpandED, an expansion pack to the serious board game GridlockED, designed to enhance players' understanding of interprofessional collaboration in the ED and the diverse scope of practice of different ED professionals including physicians, residents, registered nurses, registered practical nurses, social workers, occupational therapists, and physiotherapists. This investigation evaluates the effectiveness of ExpandED as a teaching tool for medical and allied health professions students about interprofessional collaboration in the ED.
A program evaluation harnessing a playtest framework was employed. Participants completed pre- and postgame surveys including quantitative measures (e.g., Likert scales) and qualitative free-text feedback that focused on participant familiarity with ED functioning, valuation of interprofessional collaboration before and after playing, and feedback on game usability and effectiveness.
Recruitment was open to students in all health care and allied health professional programs at the institution. Forty-five participants were recruited from medical doctor, nursing, physiotherapy, and speech language pathology programs. ExpandED enhances participants' understanding of ED workflow ( < 0.001) and provides an enjoyable playing experience. However, participants' valuation of interdisciplinary teamwork did not change significantly before and after game play ( = 0.17). Participants expressed satisfaction with the game's accuracy in simulating the ED environment and appreciated the opportunity to collaborate with peers from different disciplines. Challenges reported included some tension among players, potential biases, and limitations of fidelity to a real-life ED.
While this study has limitations regarding participant sampling and duration of gameplay sessions, it highlights the potential of ExpandED for teaching interprofessional collaboration in the ED. These findings will guide further development to optimize the expansion pack's effectiveness and its implementation into health care curricula.
急诊科是一个充满挑战、节奏快的环境，有许多病情严重、症状不明确的患者，他们通常需要广泛的多学科护理。本文介绍了ExpandED，这是一款严肃棋盘游戏GridlockED的扩展包，旨在增强玩家对急诊科跨专业协作以及急诊科不同专业人员（包括医生、住院医师、注册护士、注册执业护士、社会工作者、职业治疗师和物理治疗师）不同业务范围的理解。本研究评估ExpandED作为一种教学工具，对医学和健康相关专业学生进行急诊科跨专业协作教学的有效性。
采用基于游戏测试框架的项目评估。参与者完成赛前和赛后调查，包括定量指标（如李克特量表）和定性的自由文本反馈，重点是参与者对急诊科运作的熟悉程度、游戏前后对跨专业协作的重视程度，以及对游戏可用性和有效性的反馈。
该机构所有医疗保健和健康相关专业课程的学生均可参与招募。从医学、护理、物理治疗和言语病理学专业课程中招募了45名参与者。ExpandED增强了参与者对急诊科工作流程的理解（<0.001），并提供了愉快的游戏体验。然而，参与者对跨学科团队合作的重视程度在游戏前后没有显著变化（P=0.17）。参与者对游戏模拟急诊科环境的准确性表示满意，并赞赏有机会与来自不同学科的同龄人合作。报告的挑战包括玩家之间的一些紧张关系、潜在偏见以及与现实生活中的急诊科相比逼真度的局限性。
虽然本研究在参与者抽样和游戏时长方面存在局限性，但它突出了ExpandED在急诊科跨专业协作教学中的潜力。这些发现将指导进一步的开发，以优化扩展包的有效性及其在医疗保健课程中的实施。
