Background: Active participation in immersive simulation experiences can result in technical and nontechnical skill enhancement. However, when simulations are conducted in large groups, maintaining the interest of observers so that they do not disengage from the learning experience is challenging. Aim: We implemented Tag Team Simulation with the aim of ensuring that both participants and observers had equally active and integral roles in the simulation. This approach is informed by the tenets of forum theatre and applied drama. In this presentation we outline the key pedagogical features of this innovative simulation approach and provide an example of its application to a pain management simulation. Methods: The Tag Team pain simulation was implemented with second year nursing students. Evaluation was conducted using the Satisfaction with Simulation Experience Scale (SSES) . Results: A total of 444 students participated in the evaluation from a population of 536 giving a response rate of 83%. Cronbach’s alpha for the SSES, and the debriefing and reflection, clinical reasoning, and clinical learning subscales were 0.94, 0.94, 0.89 and, 0.88 respectively, indicating high internal consistency and reliability. The mean satisfaction score for those who participated in the simulation (‘actors’) was 4.63 and for the observers (‘audience members’) 4.56. The results of an independent sample t test revealed no significant difference between these scores (t (300) = -1.414, p = 0.16). Conclusion: Tag team simulation is an effective approach for ensuring active engagement of all learners during group-based simulations and one that is highly regarded by students. It has the potential for broad applicability across a range of leaning domains both within and beyond nursing.
6th International Clinical Skills Conference: Creativity and Diversity in Clinical Skills Education and Research, Prato, Italy 17-20 May 2015
6th International Clinical Skills Conference Book of Abstracts / pp.27-28