Skip to main content

Abstract

Healthcare today usually consists of various services covering various parts of the total healthcare of a region or country. These services are required to coordinate and collaborate, often using procedures and IT collaboration tools that may not be designed for interoperating across the evolving wider landscape of healthcare services. We posit that it is necessary to train personnel in collaboration skills using whatever infrastructure is in place. To this end, we present design principles for simulation-based collaboration training scenarios that emphasizes the inclusion of suboptimal infrastructure elements. We applied the principles in a co-creational workshop with healthcare stakeholders from a hospital and surrounding municipalities in Norway where we discussed cases where collaboration training is perceived as critical. We elicited five training vignettes concerning the general case of detecting, and following up on, clinical deterioration in a patient at home or in a nursing home. We found that the design principles spurred highly relevant discussions among participants and that novel ideas for collaboration training were brought forth on the basis of these principles. We conclude that there is a potential in using these principles for eliciting training vignettes that address the actual situation more accurately.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 79.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Akoglu, C., Dankl, K.: Co-creation for empathy and mutual learning: a framework for design in health and social care. CoDesign 17(3), 296–312 (2019). https://doi.org/10.1080/15710882.2019.1633358

    Article  Google Scholar 

  2. Brattheim, B.J., Hellesø, R., Melby, L.: Planning for post-hospital care–local challenges to general benefits of e-messages: hospital staff’s perspectives. In: Proceedings of the 3rd European Workshop on Practical Aspects of Health Informatics (PAHI) (2015)

    Google Scholar 

  3. Centre for Development of Institutional and Home Care Services: Klinisk observasjonskompetanse i kommunehelsetjenesten (2021). https://www.utviklingssenter.noklinisk-observasjonskompetanse

  4. Davis, M.M., Devoe, M., Kansagara, D., Nicolaidis, C., Englander, H.: ‘Did I do as best as the system would let me?’ Healthcare professional views on hospital to home care transitions. J. Gen. Intern. Med. 27, 1649–1656 (2012)

    Article  Google Scholar 

  5. Dhaka, S.: Co-creation: literature review and research issues. Int. J. Res. - Granthaalayah 3(2), 20–37 (2015). https://doi.org/10.29121/granthaalayah.v3.i2.2015.3037

    Article  Google Scholar 

  6. Direktoratet for e-helse: Bruk av pleie- og omsorgsmeldinger i pasientforløp. Technical report. HITS 80806:2012, Direktoratet for e-helse, Oslo, Norway, July 2012

    Google Scholar 

  7. Dugstad, J., Eide, T., Nilsen, E.R., Eide, H.: Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia. BMC Health Serv. Res. 19(1), 366 (2019). https://doi.org/10.1186/s12913-019-4191-1

  8. Edgren, M.G.: Cloud-enabled modular services: a framework for cost-effective collaboration. In: Proceedings of the NATO Modelling and Simulation Group Symposium on Transforming Defence through Modelling and Simulation-Opportunities and Challenges (STO-MP-MSG-094) (2012)

    Google Scholar 

  9. Ericsson, K.A., Charness, N., Feltovich, P.J., Hoffman, R.R. (eds.): The Cambridge Handbook of Expertise and Expert Performance. Cambridge University Press, Cambridge (2006)

    Google Scholar 

  10. Foronda, C.L., Fernandez-Burgos, M., Nadeau, C., Kelley, C.N., Henry, M.N.: Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simul. Healthcare: J. Soc. Simul. Healthcare 15(1), 46–54 (2020). https://doi.org/10.1097/SIH.0000000000000411

    Article  Google Scholar 

  11. Fuglerud, K.S., Lauritzen, B.H., Eide, H.: Innovativ Rehabilitering i Indre Østfold, Nasjonalt forsøk med kommunal rehabilitering. Sluttrapport følgeevaluering; oppsummering av tjeneste og modell. Technical report, 71, Universitetet i Sørøst-Norge (2021)

    Google Scholar 

  12. Fuglerud, K.S., Schulz, T., Janson, A.L., Moen, A.: Co-creating persona scenarios with diverse users enriching inclusive design. In: Antona, M., Stephanidis, C. (eds.) HCII 2020. LNCS, vol. 12188, pp. 48–59. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-49282-3_4

    Chapter  Google Scholar 

  13. Gautun, H., Syse, A.: Earlier hospital discharge: a challenge for Norwegian municipalities. Nordic J. Soc. Res. 8, 1–17 (2017)

    Google Scholar 

  14. Girdham, M.S.: District nurse views on improving the transfer of care from hospital to home. Primary Healthcare 26, 23–27 (2016)

    Article  Google Scholar 

  15. Halvorsrud, R., Kvale, K., Følstad, A.: Improving service quality through customer journey analysis. J. Serv. Theory Pract. 26(6), 840–867 (2016)

    Article  Google Scholar 

  16. Hannay, J.E., Brathen, K., Hyndøy, J.I.: On how simulations can support adaptive thinking in operations planning. In: Proceedings NATO Modelling and Simulation Group Symposium on M&S Support to Operational Tasks Including War Gaming, Logistics, Cyber Defence (STO-MP-MSG-133) (2015)

    Google Scholar 

  17. Hannay, J.E., Kikke, Y.: Structured crisis training with mixed reality simulations. In: Proceedings of the 16th International Conference on Information Systems for Crisis Response and Management (ISCRAM), pp. 1310–1319 (2019)

    Google Scholar 

  18. Hannay, J.E., Fuglerud, K.S., Østvold, B.M.: Stakeholder journey analysis for innovation. In: Antona, M., Stephanidis, C. (eds.) HCII 2020. LNCS, vol. 12189, pp. 370–389. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-49108-6_27

    Chapter  Google Scholar 

  19. Krarup, N.H.V., Grove, E.L., Rohde, C.V., Løfgren, B.: Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. Int. J. Gener. Med. 5, 117–121 (2012)

    Google Scholar 

  20. Lyngstad, M., Melby, L., Grimsmo, A., Hellesø, R.: Toward increased patient safety? Electronic communication of medication information between nurses in home healthcare and general practitioners. Home Healthcare Manag. Pract. 25, 203–211 (2013)

    Article  Google Scholar 

  21. Melby, L., Brattheim, B.J., Hellesø, R.: Patients in transition-improving hospital-home care collaboration through electronic messaging: providers’ perspectives. J. Clin. Nurs. 24(23–24), 3389–99 (2015)

    Article  Google Scholar 

  22. Nayahangan, L.J., Stefanidis, D., Kern, D.E., Konge, L.: How to identify and prioritize procedures suitable for simulation-based training: experiences from general needs assessments using a modified Delphi method and a needs assessment formula. Med. Teach. 40(7), 676–683 (2018). https://doi.org/10.1080/0142159X.2018.1472756

    Article  Google Scholar 

  23. Object Management Group: Business Process Model and Notation 2.0.2. Technical report. formal/13-12-09, Object Management Group, Milford, Massachusetts, USA, December 2013

    Google Scholar 

  24. Royal College of Physicians: National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Technical report, Royal College of Physicians, London, England (2017)

    Google Scholar 

  25. Salas, E., Wildman, J.L., Piccolo, R.F.: Using simulation-based training to enhance management education. Acad. Manag. Learn. Educ. 8, 559–573 (2009)

    Google Scholar 

  26. Schiza, E.C., et al.: Co-creation of virtual reality re-usable learning objectives of 360\(^{\circ }\) video scenarios for a clinical skills course. In: 2020 IEEE 20th Mediterranean Electrotechnical Conference (MELECON), pp. 364–367, June 2020. https://doi.org/10.1109/MELECON48756.2020.9140530

  27. Shadrick, S.B., Lussier, J.W.: Training complex cognitive skills: a theme-based approach to the development of battlefield skills. In: Ericsson, K.A. (ed.) Development of Professional Expertise, chap. 13, pp. 286–311. Cambridge University Press (2009)

    Google Scholar 

  28. Siegfried, R., et al.: Scenarios in military (distributed) simulation environments. In: Spring Simulation Interoperability Workshop 2012 (2012 Spring SIW), Orlando, Florida, USA, pp. 119–130. Curran Associates Inc., March 2012

    Google Scholar 

  29. Simulation Interoperability Standards Organization: SISO-GUIDE-006-2018 - Guideline on Scenario Development for Simulation Environments (2018)

    Google Scholar 

  30. Stenseth, H.V., et al.: Simulation-based learning supported by technology to enhance critical thinking in nursing students: protocol for a scoping review (preprint). JMIR Preprints, January 2022. https://doi.org/10.2196/preprints.36725. http://preprints.jmir.org/preprint/36725

  31. Stewart, K.: SBAR, communication, and patient safety: an integrated literature review. Honor’s thesis, University of Tennessee Chattanooga, Chattanooga, Tennesee USA, December 2016

    Google Scholar 

  32. The National Audit Office: The National programme for IT in the NHS: an update on the delivery of detailed care records systems (2011), HC 888 Session 2010–2012

    Google Scholar 

  33. The Office of the Auditor General: Riksrevisjonens undersøkelser av: Sak 1: Helse- og omsorgsdepartementets styring av arbeidet med Én innbygger – én journal sak 2: Anskaffelser av konsulenttjenester i Direktoratet for e-helse (2021), 3, 14 (2020–2021)

    Google Scholar 

  34. Toppe, K., Navarsete, L.S.: Representantforslag om å be regjeringen evaluere samhandlingsreformen og fremme sak til Stortinget om nødvendige tiltak for at samhandlingsreformens intensjoner kan nås. Representantforslag Dokument 8, 19 S (2018–2019), Stortinget, Oslo, Norway, October 2018

    Google Scholar 

  35. Valdersnes, A.K., Venjum, M.L.: Konsept Kompetanse-sentralen: Trygg i egen kommune Designdrevet innovasjonsprosjekt DIP. Technical report, Kjeller Innovasjon, Kjeller, Norway (2016)

    Google Scholar 

  36. van den Berg, T.W., Huiskamp, W., Siegfried, R., Lloyd, J., Grom, A., Phillips, R.: Modelling and simulation as a service: rapid deployment of interoperable and credible simulation environments – an overview of NATO MSG-136. In: Winter Simulation Interoperability Workshop 2018 (2018 Winter SIW), Orlando, Florida, USA (2018)

    Google Scholar 

  37. Voorberg, W.H., Bekkers, V.J.J.M., Tummers, L.G.: A systematic review of co-creation and co-production: embarking on the social innovation journey. Public Manag. Rev. 17(9), 1333–1357 (2015). https://doi.org/10.1080/14719037.2014.930505

    Article  Google Scholar 

Download references

Acknowledgements

The authors are grateful to the healthcare professionals, researchers and administrators for participating in the workshop. The authors are grateful to training coordinator and critical-care nurse Eva Linnerud for providing insights into the central aspects in our discussion and for organizing the workshop and its participants. This research is supported by the Norwegian Research Council under project number 321059 Close the Gap – Simulation-based training for collaboration within and between healthcare services.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jo E. Hannay .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Hannay, J.E., Fuglerud, K.S., Leister, W., Schulz, T. (2022). Scenario Design for Healthcare Collaboration Training Under Suboptimal Conditions. In: Duffy, V.G. (eds) Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. Health, Operations Management, and Design. HCII 2022. Lecture Notes in Computer Science, vol 13320. Springer, Cham. https://doi.org/10.1007/978-3-031-06018-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-06018-2_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-06017-5

  • Online ISBN: 978-3-031-06018-2

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics