Collaborativedesignofavirtualcommunity:engagingstudentsthroughonlinesimulation

CarolineRobinson(Projectlead)RyunFell

TraceyParnellJaneMcCormack

KerriHicksLouiseBrehenyRachelRossiter

Historyandcontextfortheproject

• StartingpointwasafinalyearsubjectintheBPodiatricMedicine• POD404:Complexcasesinpodiatricpractice

• Thissubjectcomprisedfour‘complex’paper-basedscenarios;studentsstudiedonlinewhilstundertakingclinicalplacement• Purposeofthescenarioswastostimulateclinicalreasoning,facilitateonlinediscussionwhichlinkedtheorytopractice,andtoenablepeerreview• Thelevelofstudentengagementwashighlyvariable• Paper-basedscenarioshavetheirlimitations!

Interdisciplinarycollaborationtodeveloponlineresourceswhichengagestudent

learners

Animationscreatedfortwoofthe‘complex

cases’toprovide

studentswithavisualnarrative

Developmentofavirtual

communitywithmultiple

scenariosindifferentplacesandspaces

U!magine projectgrant

It’simportanttore-imaginetheeducationalhierarchy.

Tocreateauthenticonlinescenarios,youneedreal

people.Academic

Sampleofproforma usedfordevelopmentoftheAVresources

Scenario2Aaron+Yasmin Videoclip Supporting information/resources to scaffold the video clip

Location in thecommunity

Descriptionofdevelopment 0.37-3.32 • AutismSpectrumAustraliahttps://www.autismspectrum.org.au/• AspectRiverinaSchoolhttps://www.autismspectrum.org.au/school/aspect-riverina-school-0• DoghelpsboycomeoutofAutism– afriendlikeHenry

https://www.youtube.com/watch?v=vJSu3G0U5SY

Aaron’shome

Impactforbrother 5.28-7.04 • BeinganAutismsiblinghttps://www.youtube.com/watch?v=LsJBhuyq6zQ• AutismSpectrumAustralia– howsiblingscanhelp

https://www.autismspectrum.org.au/content/how-siblings-can-help• SiblingsAustraliahttp://siblingsaustralia.org.au/

Aaron’shome

Supportservicesandtherapy

Sensorygym

12.57-14.29

36.00-37.21

• OverlayYasmin’saudioonthevideoofAaronplayinginhissensorygym(RF)• Creatingasensoryintegrationgyminyourhome

http://ezproxy.csu.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104195987&site=ehost-live

Aaron’shome

UsingtheWii 32.51-35.57

• AutismResearchInstitute:sensoryintegrationhttp://www.autism.com/symptoms_sensory_overview

• AutismResearchInstitute:toewalkinghttp://www.autism.com/symptoms_toe_walking• UsinginnovativetechnologiesastherapeuticandeducationaltoolsforchildrenwithAutism

spectrumdisorderhttp://ezproxy.csu.edu.au/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104802716&site=ehost-live (CRtoordercopyfromthelibrary– notavailableonline)

Aaron’shome

Fourscenarioshavebeendevelopedforthispilotvirtualcommunity

Thepurposeofthisvirtualcommunityistofacilitatestudent-focusedlearning,fostercriticalthinkingandtoenableopportunitiesforinter-professionallearning.InthecontextofCommunityHealth,studentsmayinteractwiththescenariostodetermineaclients’healthneedsandgoals,evaluatefacilitatorsandbarrierstoimprovedhealthexperiences,andanalysewaysinwhichtheycouldprovidesupportorservices.

Studentscaninteractwiththemediaresourcesattheirownpace,usingtheirownsenseoflogic.Itisintendedthatacademicswilllinktothiswebresourcethroughsubjecti2sites,inordertoscaffoldthespecificpurposeofthestudents’learningexperience.

ThedesignofRiverinaShorehasbeenplannedcarefullytoenableintuitivenavigationaroundthecommunity,tostimulatethestudents’curiosityandtoensureeasyaccesstolinkedonlineresources.Thewebsiteisaccessiblethroughmobiledevicestomaximisefunctionality.

https://interact2.csu.edu.au/bbcswebdav/orgs/O-riverina-shore-beta/Pilot/index.html

PreliminaryevaluationofRiverinaShore

• Surveytoundergraduatestudents• Surveytoacademicsandpractitioners

AlliedHA Dentistry Dietetics Nursing OccTherapy Physiotherapy Podiatry SpeechPath

Students 2 1 9 3 4 8 2 29

Academics+practitioners

1 4 3 2 10

Deviceused Levelofintuitiveuse

Tablet Computer Very Somewhat Notatall

Students 21 6 13 11 0

Academicsandpractitioners

7 2 2 7 1

Table1:Numberofparticipantscompletingasurvey

Table2:Interactionwiththevirtualcommunity

PreliminaryevaluationofRiverinaShore

Scenariosviewed PurposeforusingthevirtualcommunityAaron Danny Dick Stewart Increase

knowledgeofspecificconditions

Increaseknowledgeofmultiplefactorsinfluencinghealth

Improveskillsinproblemsolving/clinicalreasoning

ExtendunderstandingofIPP

ExtendknowledgeofscopeofpracticeofHPs

Students 27 26 26 27 13 21 12 17 13Academics+practitioners

5 3 5 6 7 9 8 5 6

32 29 31 33 20 30 20 22 19

Table3:Viewingthefourscenarioswiththeperceivedpurpose(students)andpotentialpurpose(academicsandpractitioners)forusingthisresource

‘Learning’themes• Seeingpeopleoutsideofaclinic

setting/inthecommunity/inasocialsetting

• Seeingthebiggerpictureforaclient

• Lookingbehindthescenesatwhataperson/family/carersaredealingwith

• Realisingthephysical/psychological/emotional/socialimpactofaconditionontheperson/family/carers/community

• SeeingopportunitiesforIPP• RealisingthepositiveimpactofIPP

ontheperson/family/community• Realism

Studentinteractionwiththevirtualcommunityandwhattheylearnedfromworkingwiththeclientscenarios

Itwaseasyandengaging,much

betterthangettingaplainsheetofpaper

withthecaseinformation

Mirrorsreal-lifesituations

Simpledesign,clearandconcise Lookingbehindthe

scenesatwhataperson/family/carersaredealingwith

Seeingopportunitiesforinterprofessional

practice

PreliminaryevaluationofRiverinaShore

Teachingpurpose Numberofrespondents• Tofacilitatesynchronousonlinediscussion 0• Tofacilitateasynchronousonlinediscussion 1• Tofacilitatediscussionduringanon-campusteachingsession 4• Tofacilitatestudents’self-directedstudy 4• Toscaffoldlearningwithdirectrelevancetoaspecific

assessmenttask7

• Other • Topresentaspecificcasestudyandhighlightinterprofessionaldiscussionpoints

• Toexpandoncurrentlearningopportunitiesbeingexperiencedonclinicalplacement

• Usedaspartoforientationtoplacemente.g.pre-reading• Toincreaseawarenessoftheimpactofconditionsonthe

family/carers• Tocreateperson-centredcareandindividualisedcareplans

Table4:Academicsandpractitionersthoughtsaboutusingthisonlineresourceintheirteaching

Table5:Goodfeaturesofthevirtualcommunityandsuggestedimprovements

Goodfeatures Suggestedimprovements

Students • Reality• Otherpeople’sperspectives• Varietyofcommunitymembersandtheirneeds• Simpledesign,clearandconcise• Accessibleresources• Interactiveandfun• Visuallyappealing• HighlightsIPPandfacilitatesinter-professional learning

• Addmorelabellingtothehomepage• Scaffoldthescenariostoaddmoredetailandstructure• Includemoreinformationaboutandfromarangeofhealthprofessionals• Enableeasybackwardsnavigation• Extendthecommunity– people,places,spacesandresources

Academicsand practitioners • Authenticity• Linkbetweenperson,familyandenvironment• Illustratesaperson’scapabilities• Diverseapplications

• Requirescontextualdetail• Includediscussionprompts/questionstofacilitatestudentlearning• Includehospitalscenarios• Navigationrequiresattention

PotentialuseofRiverinaShore:MasterofNursing

• NRS532:HealthAssessmentforAdvancingNursingPractice• RachelRossiterisinterestedinusingDick’sscenariowithstudentsintheMastersofNursing(registerednursesstudyingonline)

• StudentswillviewthescenariofromtheperspectiveofacommunitynursewhoisfollowingupafterDick’sGPhascontactedtheCommunityHealthCentrebecauseSandra(Dicks’wife)istobeadmittedforunavoidablesurgerynextweek.GiventhatsheisDick’sprimarycarerandtherearenocommunitysupportservicesinplaces,sheisveryconcernedaboutwhatwillhappentoDickinherabsence

• StudentswillbeaskedtoundertakeanassessmentwiththeinformationprovidedthusfarandidentifywhatadditionalinformationwillberequiredforthemtoputinplaceaplanofsupportforDickwhileSandraisinhospital.

Thestudent’sidentificationofadditionalinformationrequired,willassistustofurtherdevelopDick’sstoryfurtherforthenextiterationofRiverinaShoreinrelationtothisparticularperson’sstory.

PotentialUseofRiverinaShore:BPhysiotherapy

• ProblemBasedLearningisintegratedacrossallthreeyearsofthecourse• Allofthescenariospresentvaluableresourcesforscaffoldinglearningrelatedtochronichealthconditions,complexityofconditionsandcriticalthinking• Effectiveonlinelearningresourcefordevelopingunderstandingofinter-professionalpractice;inparticularpre-clinicalplacementattheendofyear2andthenfeedforwardtoreflectionofsimilarcasescenariosinyear3• Providesauthenticscenarioswhichallowstudentstodiscuss,planandmanagereal andongoinglifelongchallenges• PreparestudentsforWPLcapabilitiesacrossaspectrumofbiopsychosocialissues• Scenarioscanbeaccessedonline,outsideoftheclassroom,todeveloppeertopeerengagementthroughforums,groupdiscussionandbest-practicesolutions

Avirtualcommunityenablesonlinelearningwhichisnotlimitedbytime,spaceorplace