2013 - ISODP 2013 Congress


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Oral Presentation 10 on Education and Communications 2

22.4 - Introducing simulation training to improve the organ donation conversation

Presenter: Ellie , McCann, Sydney , Australia
Authors: Ellie McCann, Jonathan Gatward

Introducing simulation training to improve the organ donation conversation

Ellie McCann, Jonathan Gatward

1NSW Organ and Tissue Donation Service, Sydney, Australia

Simulation training within a protected learning environment provides unique opportunities for clinicians to rehearse realistic clinical scenarios and actively participate in role playing within a team setting. Key to the simulation learning experience is a facilitated debriefing session where examples of good practice and areas for improvement are discussed. Together, these processes trigger ongoing reflection about participants knowledge, skills and attitudes.

We developed a simulation course to consolidate skills acquired from the National Education Program, as part of the overall training required to become a Designated Requestor: the specially trained clinician that will conduct the sensitive organ donation conversation and provide information and support to families considering the opportunity to donate.

Our course gives participants the opportunity to rehearse, review and reflect on the difficult ‘family conversation’ in a  simulation setting, using professional actors. The aim of the course is to increase participants’ confidence in undertaking the family conversation in clinical practice and to better support families through the decision making process.

Real scenarios are used with professional actors in the role of family members. The debriefing process is led by qualified experts and utilises video review and feedback from the actors, both ‘in’ and ‘out-of-character’.

This program was piloted in 2012 and formally commenced in January 2013. To date, one pilot and five training sessions have been conducted with 35 participants. Further sessions are scheduled for 2013 and it is anticipated that the program will continue to develop beyond this time.

Evaluations have been overwhelmingly positive with 70% of participants rating the training as outstanding, with requests to provide it regularly as a ‘refresher’ course.

Our presentation will highlight the value of simulation training in improving end of life conversations including those involving organ donations. 

1The Royal Prince Alfred Hospital, Sydney

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