Centre for Learning, Research & Innovation in Long-Term Care Program Evaluation: Aging Simulation Suit Project Project Mentor: Sylvia Davidson Professional Practice Chief, Occupational Therapy, Baycrest In partnership with Gillian Nichol, Director of Continuing Education, The Michener Institute for Applied Health Sciences Centre for Learning, Research & Innovation in Long-Term Care Sakamoto New Aged Simulation Suit (M176) Sakamoto Model Corporation developed suit that allows wearer to experience physical changes due to aging Physical Changes: Impaired vision Impaired hearing Mobility restrictions Grip strength Centre for Learning, Research & Innovation in Long-Term Care Background • Aging simulations have been used in education in health disciplines, specifically nursing and medicine (CannonDiehl, Rugari, & Jones, 2012). • Literature investigating effects of these simulations is limited (Mast, Sawin, & Pantaleo, 2012). • Although role plays of aging have been used for some time, full head-to-toe suits are a relatively new concept Centre for Learning, Research & Innovation in Long-Term Care Need for Project The Michener Institute’s Objective: To obtain feedback from occupational and physiotherapists at Baycrest regarding the use of the Sakamoto suit. Purpose of Simulation: Enhance education for health care professionals via experiential learning Increase knowledge and understanding of geriatric patients Increase empathy towards geriatric patients Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Subject Recruitment Gillian Nichol requested occupational therapists and physiotherapists E-mail was sent out to Rehabilitation Dept., Baycrest Hospital Others (nurses, physicians, educators) were included as well By personal invitation Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Subject Recruitment Participant pool included: 1 occupational therapy student (pilot subject) 1 occupational therapist 1 occupational therapy/physiotherapy assistant 2 physiotherapists 1 registered nursing student 3 registered nurses 1 physician/CEO of Baycrest n = 10 Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Design of Scenarios In collaboration with Gillian Nichol: Chose tasks relevant to Michener Institute programs Created 3 scenarios to be tested on 3 subjects each Modifications to suit were applied in each scenario Considered availability of space and resources in Rehabilitation Department Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Pilot Test Pilot test included 3 scenarios: 1. Waiting room 2. Mock MRI 3. Dressing for examination Subject was given extreme mobility restrictions, impaired vision and impaired hearing Issues raised with pilot test Scenarios shorter than desired Waiting = key component of healthcare visits -> include in all scenarios Availability of Physio Room allowed for creation of additional scenario Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Revisions Scenario Visual Impairment Hearing Impairment Mobility Impairment ✔ Slight 1 Waiting room + mock MRI ✔ 2 Waiting room + mock X-ray ✔ 3 Waiting room + dressing examination Moderate ✔ Severe Centre for Learning, Research & Innovation in Long-Term Care Development of Simulation Questionnaire Centre for Learning, Research & Innovation in Long-Term Care Simulations Centre for Learning, Research & Innovation in Long-Term Care Findings Centre for Learning, Research & Innovation in Long-Term Care Conclusion/Summary • • • Simulation increased knowledge + understanding of geriatric patients Simulation contributed to ability to empathize with geriatric patients Overall Consensus: Aging suit simulation is a beneficial tool to incorporate into programs at the Michener Institute for health care disciplines Centre for Learning, Research & Innovation in Long-Term Care Recommendations 1. Include both an orientation and reflection period following the simulation in order to obtain maximal effectiveness in education. 2. In future simulations, incorporate additional aspects of aging into scenarios – specifically ageism. Centre for Learning, Research & Innovation in Long-Term Care References 1. (2003). The aging game [Documentary]. United States of America: Aquarius Health Care Videos. 2. Cannon-Diehl, M. R., Rugari, S. M., & Jones, T. S. (2012). High-fidelity simulation for continuing education in nurse anesthesia. American Association of Nurse Anesthetists Journal, 80(3), 191-196. 3. Mast, M. E., Sawin, E. M., & Pantaleo, K. A. (2012). Life of a caregiver simulation: Teaching students about frail older adults and their family caregivers. Journal of Nursing Education, 51(7), 396-402. Centre for Learning, Research & Innovation in Long-Term Care Acknowledgements