Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News
The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carrie...
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| Veröffentlicht in: | Journal of cancer education 2019-06, Vol.34 (3), p.463-471 |
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| creator | Yakhforoshha, Afsaneh Emami, Seyed Amir Hossein Shahi, Farhad Shahsavari, Saeed Cheraghi, Mohammadali Mojtahedzadeh, Rita Mahmoodi-Bakhtiari, Behrooz Shirazi, Mandana |
| description | The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (
n
= 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist (
B
= 1.126,
F
= 3.221,
G
= 2.241;
p
|
| doi_str_mv | 10.1007/s13187-018-1324-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2007424316</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2007424316</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-f1af38502118778a7d497689b2724419f52482cf227a9192beb9b31234f5ab1a3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxi0EokvLA3BBlrj0EvD4z8Y5tlULlSqKoD1bTjJOUxK72Anb3rjyCH29Pgne3QISEiePxr_v84w_Ql4BewuMle8SCNBlwUAXILgsbp-QBSgpckfJp2TBtFaFhkrtkBcpXbPc5kw9Jzu8kkstq3JBfh47h83Uf0ePKdHg6KmfsIt26n1Hv_TjPOQyeLrqpyt6EKfi0CZs6QXa5mqDTJnFrscs9vTcN2EI3R09wWEIq_Tw455-wuhCHK1vkH7GzsZ2rTuMaL9uCtvSj7hKe-SZs0PCl4_nLrk8Ob44-lCcnb8_PTo4KxpR8qlwYJ3QinHIq5falm3eY6mrmpdcSqic4lLzxnFe2goqXmNd1QK4kE7ZGqzYJftb35sYvs2YJjP2qcnjWo9hTobnn5VcClhm9M0_6HWYo8_TbSgmNIDKFGypJoaUIjpzE_vRxjsDzKxzMtucTM7JrHMyt1nz-tF5rkds_yh-B5MBvgVSvvIdxr9P_9_1Fwqtnxk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2007038115</pqid></control><display><type>article</type><title>Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Yakhforoshha, Afsaneh ; Emami, Seyed Amir Hossein ; Shahi, Farhad ; Shahsavari, Saeed ; Cheraghi, Mohammadali ; Mojtahedzadeh, Rita ; Mahmoodi-Bakhtiari, Behrooz ; Shirazi, Mandana</creator><creatorcontrib>Yakhforoshha, Afsaneh ; Emami, Seyed Amir Hossein ; Shahi, Farhad ; Shahsavari, Saeed ; Cheraghi, Mohammadali ; Mojtahedzadeh, Rita ; Mahmoodi-Bakhtiari, Behrooz ; Shirazi, Mandana</creatorcontrib><description>The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (
n
= 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist (
B
= 1.126,
F
= 3.221,
G
= 2.241;
p
< 0.05). Similarly, the significant level change in fellows’ score rated by faculty members in post-training was
B
= 1.091,
F
= 3.273,
G
= 1.724;
p
< 0.05. There was no significant change in trend of fellows’ performance after the intervention. Our results showed that using an integrating simulation with art-based teaching strategies may help oncology fellows to improve their communication skills in different facets of BBN performance. Iranian Registry of Clinical Trials ID: IRCT2016011626039N1</description><identifier>ISSN: 0885-8195</identifier><identifier>EISSN: 1543-0154</identifier><identifier>DOI: 10.1007/s13187-018-1324-x</identifier><identifier>PMID: 29468497</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Check Lists ; Clinical Competence - standards ; Communication ; Communication Skills ; Educational Strategies ; Fellowships and Scholarships - standards ; Female ; Humans ; Iran ; Male ; Medical Oncology - education ; Middle Aged ; Oncology ; Performance evaluation ; Pharmacology/Toxicology ; Simulation ; Simulation Training - standards ; Students, Medical - psychology ; Teaching methods ; Truth Disclosure</subject><ispartof>Journal of cancer education, 2019-06, Vol.34 (3), p.463-471</ispartof><rights>American Association for Cancer Education 2018</rights><rights>Journal of Cancer Education is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f1af38502118778a7d497689b2724419f52482cf227a9192beb9b31234f5ab1a3</citedby><cites>FETCH-LOGICAL-c372t-f1af38502118778a7d497689b2724419f52482cf227a9192beb9b31234f5ab1a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13187-018-1324-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13187-018-1324-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29468497$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yakhforoshha, Afsaneh</creatorcontrib><creatorcontrib>Emami, Seyed Amir Hossein</creatorcontrib><creatorcontrib>Shahi, Farhad</creatorcontrib><creatorcontrib>Shahsavari, Saeed</creatorcontrib><creatorcontrib>Cheraghi, Mohammadali</creatorcontrib><creatorcontrib>Mojtahedzadeh, Rita</creatorcontrib><creatorcontrib>Mahmoodi-Bakhtiari, Behrooz</creatorcontrib><creatorcontrib>Shirazi, Mandana</creatorcontrib><title>Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News</title><title>Journal of cancer education</title><addtitle>J Canc Educ</addtitle><addtitle>J Cancer Educ</addtitle><description>The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (
n
= 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist (
B
= 1.126,
F
= 3.221,
G
= 2.241;
p
< 0.05). Similarly, the significant level change in fellows’ score rated by faculty members in post-training was
B
= 1.091,
F
= 3.273,
G
= 1.724;
p
< 0.05. There was no significant change in trend of fellows’ performance after the intervention. Our results showed that using an integrating simulation with art-based teaching strategies may help oncology fellows to improve their communication skills in different facets of BBN performance. Iranian Registry of Clinical Trials ID: IRCT2016011626039N1</description><subject>Adult</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Check Lists</subject><subject>Clinical Competence - standards</subject><subject>Communication</subject><subject>Communication Skills</subject><subject>Educational Strategies</subject><subject>Fellowships and Scholarships - standards</subject><subject>Female</subject><subject>Humans</subject><subject>Iran</subject><subject>Male</subject><subject>Medical Oncology - education</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Performance evaluation</subject><subject>Pharmacology/Toxicology</subject><subject>Simulation</subject><subject>Simulation Training - standards</subject><subject>Students, Medical - psychology</subject><subject>Teaching methods</subject><subject>Truth Disclosure</subject><issn>0885-8195</issn><issn>1543-0154</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc9u1DAQxi0EokvLA3BBlrj0EvD4z8Y5tlULlSqKoD1bTjJOUxK72Anb3rjyCH29Pgne3QISEiePxr_v84w_Ql4BewuMle8SCNBlwUAXILgsbp-QBSgpckfJp2TBtFaFhkrtkBcpXbPc5kw9Jzu8kkstq3JBfh47h83Uf0ePKdHg6KmfsIt26n1Hv_TjPOQyeLrqpyt6EKfi0CZs6QXa5mqDTJnFrscs9vTcN2EI3R09wWEIq_Tw455-wuhCHK1vkH7GzsZ2rTuMaL9uCtvSj7hKe-SZs0PCl4_nLrk8Ob44-lCcnb8_PTo4KxpR8qlwYJ3QinHIq5falm3eY6mrmpdcSqic4lLzxnFe2goqXmNd1QK4kE7ZGqzYJftb35sYvs2YJjP2qcnjWo9hTobnn5VcClhm9M0_6HWYo8_TbSgmNIDKFGypJoaUIjpzE_vRxjsDzKxzMtucTM7JrHMyt1nz-tF5rkds_yh-B5MBvgVSvvIdxr9P_9_1Fwqtnxk</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Yakhforoshha, Afsaneh</creator><creator>Emami, Seyed Amir Hossein</creator><creator>Shahi, Farhad</creator><creator>Shahsavari, Saeed</creator><creator>Cheraghi, Mohammadali</creator><creator>Mojtahedzadeh, Rita</creator><creator>Mahmoodi-Bakhtiari, Behrooz</creator><creator>Shirazi, Mandana</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190601</creationdate><title>Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News</title><author>Yakhforoshha, Afsaneh ; Emami, Seyed Amir Hossein ; Shahi, Farhad ; Shahsavari, Saeed ; Cheraghi, Mohammadali ; Mojtahedzadeh, Rita ; Mahmoodi-Bakhtiari, Behrooz ; Shirazi, Mandana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-f1af38502118778a7d497689b2724419f52482cf227a9192beb9b31234f5ab1a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cancer Research</topic><topic>Check Lists</topic><topic>Clinical Competence - standards</topic><topic>Communication</topic><topic>Communication Skills</topic><topic>Educational Strategies</topic><topic>Fellowships and Scholarships - standards</topic><topic>Female</topic><topic>Humans</topic><topic>Iran</topic><topic>Male</topic><topic>Medical Oncology - education</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Performance evaluation</topic><topic>Pharmacology/Toxicology</topic><topic>Simulation</topic><topic>Simulation Training - standards</topic><topic>Students, Medical - psychology</topic><topic>Teaching methods</topic><topic>Truth Disclosure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yakhforoshha, Afsaneh</creatorcontrib><creatorcontrib>Emami, Seyed Amir Hossein</creatorcontrib><creatorcontrib>Shahi, Farhad</creatorcontrib><creatorcontrib>Shahsavari, Saeed</creatorcontrib><creatorcontrib>Cheraghi, Mohammadali</creatorcontrib><creatorcontrib>Mojtahedzadeh, Rita</creatorcontrib><creatorcontrib>Mahmoodi-Bakhtiari, Behrooz</creatorcontrib><creatorcontrib>Shirazi, Mandana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cancer education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yakhforoshha, Afsaneh</au><au>Emami, Seyed Amir Hossein</au><au>Shahi, Farhad</au><au>Shahsavari, Saeed</au><au>Cheraghi, Mohammadali</au><au>Mojtahedzadeh, Rita</au><au>Mahmoodi-Bakhtiari, Behrooz</au><au>Shirazi, Mandana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News</atitle><jtitle>Journal of cancer education</jtitle><stitle>J Canc Educ</stitle><addtitle>J Cancer Educ</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>34</volume><issue>3</issue><spage>463</spage><epage>471</epage><pages>463-471</pages><issn>0885-8195</issn><eissn>1543-0154</eissn><abstract>The task of breaking bad news (BBN) may be improved by incorporating simulation with art-based teaching methods. The aim of the present study was to assess the effect of an integrating simulation with art-based teaching strategies, on fellows’ performance regarding BBN, in Iran. The study was carried out using quasi-experimental methods, interrupted time series. The participants were selected from medical oncology fellows at two teaching hospitals of Tehran University of Medical Sciences (TUMS), Iran. Participants were trained through workshop, followed by engaging participants with different types of art-based teaching methods. In order to assess the effectiveness of the integrating model, fellows’ performance was rated by two independent raters (standardized patients (SPs) and faculty members) using the BBN assessment checklist. This assessment tool measured seven different domains of BBN skill. Segmented regression was used to analyze the results of study. Performance of all oncology fellows (
n
= 19) was assessed for 228 time points during the study, by rating three time points before and three time points after the intervention by two raters. Based on SP ratings, fellows’ performance scores in post-training showed significant level changes in three domains of BBN checklist (
B
= 1.126,
F
= 3.221,
G
= 2.241;
p
< 0.05). Similarly, the significant level change in fellows’ score rated by faculty members in post-training was
B
= 1.091,
F
= 3.273,
G
= 1.724;
p
< 0.05. There was no significant change in trend of fellows’ performance after the intervention. Our results showed that using an integrating simulation with art-based teaching strategies may help oncology fellows to improve their communication skills in different facets of BBN performance. Iranian Registry of Clinical Trials ID: IRCT2016011626039N1</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29468497</pmid><doi>10.1007/s13187-018-1324-x</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0885-8195 |
| ispartof | Journal of cancer education, 2019-06, Vol.34 (3), p.463-471 |
| issn | 0885-8195 1543-0154 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Biomedical and Life Sciences Biomedicine Cancer Research Check Lists Clinical Competence - standards Communication Communication Skills Educational Strategies Fellowships and Scholarships - standards Female Humans Iran Male Medical Oncology - education Middle Aged Oncology Performance evaluation Pharmacology/Toxicology Simulation Simulation Training - standards Students, Medical - psychology Teaching methods Truth Disclosure |
| title | Effectiveness of Integrating Simulation with Art-Based Teaching Strategies on Oncology Fellows’ Performance Regarding Breaking Bad News |
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