Abstract
Objective
Simulation-based learning experiences (SBLEs) are widely used in education for health
professionals, but this literature has not yet been synthesized for dietetics. The
aim of this study was to describe presupervised practice SBLEs using simulated patients
within programs credentialing dietitians.
Methods
A systematic review following the Preferred Reporting Items for Systematic Reviews
and Meta-Analyses guidelines. A total of 8 databases were searched (MEDLINE by EBSCO
HOST, CINAHL Plus with Full Text, Web of Science, PsycINFO, Scopus, ERIC ProQuest,
Embase, and ProQuest Education) for studies published up to November 2, 2018 with
the terms “dietitian,” “standardized patient,” “student,” and their synonyms.
Results
Fourteen out of 740 studies were identified. Most focused on development/assessment
of communication and counseling skills. Learning outcomes were measured in 12 studies
with 8 different tools.
Conclusions and Implications
The dietetics profession needs robust and consistent reporting methods to enable the
development of a high-quality body of evidence on SBLEs. The quality and quantity
of SBLE research need to improve to ensure that simulations are pedagogically sound
and are accompanied by measures of quality and impact on learning.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessSNEB Member Login
SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.Subscribe:
Subscribe to Journal of Nutrition Education and BehaviorAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Simulation in clinical teaching and learning.Med J Aust. 2012; 196: 594
- Simulation-based dysphagia training: teaching interprofessional clinical reasoning in a hospital environment.Dysphagia. 2016; 31: 407-415
- Objective Structured Clinical Examination (OSCE) improves perceived readiness for clinical placement in nutrition and dietetic students.J Allied Health. 2015; 44: 208-214
- Is it possible to enhance the confidence of student dietitians prior to professional placements? A design-based research model.J Hum Nutr Diet. 2017; 30: 588-595
- Effective teaching of communication to health professional undergraduate and postgraduate students: a systematic review.JBI Libr Syst Rev. 2012; 10: 1-12
- Simulation-based assessments in health professional education: a systematic review.J Multidiscip Healthc. 2016; 9: 69
- High-fidelity patient simulation in physiotherapy education.Aust J Physiother. 2007; 53: 3-5
- Healthcare Simulation Dictionary.
- The utility of simulation in medical education: what is the evidence?.Mt Sinai J Med. 2009; 76: 330-343
- Simulation in medical education.in: Swanwick T Understanding Medical Education: Evidence Theory and Practice. John Wiley & Sons, Hoboken, NJ2010: 164-180
Health Workforce Australia. Final Report on Simulated Learning Environment Project Conducted for Health Workforce Australia. Canberra, Australia: Health Workforce Australia; 2011.
- Low‐to high‐fidelity simulation–a continuum of medical education?.Med Educ. 2003; 37: 22-28
- The future vision of simulation in health care.Qual Saf Health Care. 2004; 13: i2-10
Milkins L, Moore C, Spiteri J. Simulation based education:professional entry student education and training. Gladesville, Australia: Health Education and Training Institute; 2014.
- Development of a phenomenologically derived method to assess affective learning in student journals following impactive educational experiences.Med Teach. 2017; 39: 1250-1260
- An Australian mixed methods pilot study exploring students performing patient risk screening.Nurs Health Sci. 2016; 18: 203-209
- A randomised controlled trial of extended immersion in multi-method continuing simulation to prepare senior medical students for practice as junior doctors.BMC Med Educ. 2014; 14: 90
- Revisiting ‘A critical review of simulation-based medical education research: 2003–2009.’.Med Educ. 2016; 50: 986-991
- Simulation‐based learning in nurse education: systematic review.J Adv Nurs. 2010; 66: 3-15
- Developing clinical skills in paediatric dysphagia management using human patient simulation (HPS).Int J Speech Lang Pathol. 2015; 17: 230-240
- Simulated learning environments in speech-language pathology: an Australian response.Int J Speech Lang Pathol. 2013; 15: 345-357
- Assessment of student competency in a simulated speech-language pathology clinical placement.Int J Speech Lang Pathol. 2014; 16: 464-475
- Simulated learning environment (SLE) in audiology education: a systematic review.Int J Audiol. 2015; 54: 881-888
- Use of simulation learning experiences in physical therapy entry-to-practice curricula: a systematic review.Physiother Can. 2015; 67: 194-202
- A Guide to Innovative Practice Education Placements.BDA, Birmingham, UK2014
- The time is now: a blueprint for simulation in dietetics education.J Acad Nutri Diet. 2015; 115: 183-194
- Computer-simulated clinical encounters. I. Development, utilization, and evaluation of a program.J Am Diet Assoc. 1977; 70: 382-384
- Computer-assisted instruction for decision making in food systems management.J Am Diet Assoc. 1981; 78: 338-342
- Computer-assisted instruction improves clinical reasoning skills of dietetics students.J Am Diet Assoc. 1995; 95: 868-873
- Dietetics students’ ability to choose appropriate communication and counseling methods is improved by teaching behavior-change strategies in computer-assisted instruction.J Am Diet Assoc. 2010; 110: 892-897
- Visioning Report 2017: a preferred path forward for the nutrition and dietetics profession.J Acad Nutri Diet. 2017; 117: 110-127
- A typology of reviews: an analysis of 14 review types and associated methodologies.Health Info Libr J. 2009; 26: 91-108
- Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.Ann Intern Med. 2009; 151: 264-269
- The role of Google Scholar in evidence reviews and its applicability to grey literature searching.PLoS One. 2015; 10e0138237
- A systematic review of the content of critical appraisal tools.BMC Med Res Methodol. 2004; 4: 22
- A review of critical appraisal tools show they lack rigor: alternative tool structure is proposed.J Clin Epidemiol. 2011; 64: 79-89
- Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements.Adv Simul (Lond). 2016; 1: 25
- Microteaching: a model for employee counseling education.J Am Diet Assoc. 1979; 75: 674-678
- Evaluation of clinical skills for nutrition counseling.J Am Coll Nutri. 1985; 4: 521-529
- The testing of clinical skills in dietetic students prior to entering clinical placement.J Hum Nutr Diet. 2004; 17: 17-24
- An objective structured clinical examination to assess preclinical skills.Nutr Diet. 2010; 67: 102-105
- Measuring the success of an objective structured clinical examination for dietetic students.J Hum Nutri Diet. 2010; 23: 212-216
- Interprofessional and intraprofessional teams in a standardized patient assessment lab.Pharm Educ. 2007; 7: 159-166
- Comparison of standardized patients and real patients as an experiential teaching strategy in a nutrition counseling course for dietetic students.Patient Educ Couns. 2015; 98: 168-173
- Developing communication skills of undergraduate students through innovative teaching approaches.NACTA J. 2015; 59: 313-318
- Assessing communication skills in dietetic consultations: the development of the reliable and valid DIET-COMMS tool.J Hum Nutri Diet. 2014; 27: 321-332
- Use of actors as simulated patients in nutritional counseling.J Nutr Educ Behav. 2007; 39: 101-102
- Effect of simulated patient practice on the self-efficacy of Japanese undergraduate dietitians in nutrition care process skills.J Nutri Educ Behav. 2018; 50: 610-619
- Dietetic students’ performance of activities in an objective structured clinical examination.J Hum Nutr Diet. 2010; 23: 224-229
- An observational study investigating the impact of simulated patients in teaching communication skills in preclinical dietetic students.J Hum Nutr Diet. 2016; 29: 529-536
- From competent to proficient; nutrition education and counselling competency dilemmas experienced by Australian clinical dietitians in education of individuals.Nutr Diet. 2008; 65: 84-89
- A joint leap into a future of high-quality simulation research—standardizing the reporting of simulation science.Simul Healthc. 2016; 11: 236-237
- Quality Indicators for the Design and Implementation of Simulation Experiences.Newcastle, Australia: University of Newcastle, 2010https://www.newcastle.edu.au/__data/assets/pdf_file/0008/107486/quality-indicators.pdfDate accessed: March 21, 2019
- Professional attributes of the emerging academic dietetic educator workforce in Australia.Nutri Diet. 2016; 73: 275-282
- Quality indicators for the design and implementation of simulation experiences: a Delphi study.Nurse Educ Today. 2013; 33: 1357-1361
- A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing.Nurs Educ Perspect. 2005; 26: 96-103
- Seven principles for good practice in undergraduate education.AAHE Bull. 1987; : 3-7
- Future Dietitian 2025: informing the development of a workforce strategy for dietetics.J Hum Nutr Diet. 2018; 31: 23-32
- Student-Assisted Services (SAS): an innovative clinical education model that prepares graduates for the future, contributes to health service delivery, and addresses internship shortages.J Acad Nutri Diet. 2015; 115: 351-352
Article info
Publication history
Published online: July 23, 2019
Accepted:
June 10,
2019
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2019 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
