Faculty of Education - Theses

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    Learning through simulation: powerful, purposeful and personal
    Huggins, Christopher Thomas ( 2011)
    Simulation has been in use for many years in the education of health professionals. The value of this as an educational pedagogy is under-researched. While there have been some valuable studies, these mostly focus on the technical aspects of simulation. The aim of this research was to examine simulation beyond the development of technical skills, to determine the validity of simulation in the development of higher-order thinking and clinical judgement. Simulation has been in use in one form or another in the development of health care professionals for many years. Until recently simulation was generally seen as an adjunct to the education and training process, and not part of the overall development of the professional. However in more recent times with the reduction in the availability of clinical practicums and the increased demand for these placements, simulation has become a more important part of the educational process. Yet the research into the effectiveness of simulation in the development of the health care professional is currently under researched as discussed above. For this reason it is an area requiring further research. This is a qualitative study involving educators and students from nursing, medicine, paramedicine and the fire brigade. Eighteen educators and eighteen students were interviewed through semistructured interviews. The observations were restricted to the pseudo-authentic workplace and consisted of seven educators, forty-six students from paramedicine and the non-emergency patient transport sectors. A review of curriculum documents was also undertaken to locate and assess the espoused views of the teaching organisation on simulation in the education of their students. The findings were triangulated to provide reliability to the results. This research has shown that simulation is a pedagogy that can assist in the development of higher-order thinking and judgement-making during “hot action”. This study has identified that the development of higher-order thinking and judgement-making through public reflection occurs best in the third phase of a simulation. In conclusion, simulation is a powerful learning and teaching pedagogy, and can be considered as one of the active learning pedagogies. Furthermore, if the simulation is well constructed and executed, it can provide valid experiences for the participants. These experiences can provide for the development of an epistemology of practice with highly developed higher-order thinking and clinical judgement capabilities.