Prioritizing Simulation Facilitators’ Competencies for Professional Development Using Q-Methodology

IF 3.4 3区医学 Q1 NURSING Clinical Simulation in Nursing Pub Date : 2024-04-10 DOI:10.1016/j.ecns.2024.101527

Beth A. Rogers PhD, RN, CNE, CHSE , Laura A. Killam MScN, RN, PhD in Nursing Student , Robin D. Lockhart Ph.D., RN, CNE , Kelly Foltz-Ramos PhD, RN, FNP-BC, CHSE , Marian Luctkar-Flude PhD, RN , Suzanne H. Campbell PhD, RN, FCNEI, CCSNE, IBCLC , Jane Tyerman PhD, RN, CCSNE , Melissa Ehmke DNP, RN , Ashley E. Franklin PhD, RN, CNE, CHSE-A

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Abstract

Background

High-quality simulation requires competent facilitation. The Facilitator Competency Rubric (FCR) identifies facilitator competencies; a gap exists prioritizing competency development.

Methods

Using Watts and Stenner's Q-methodology, 73 simulationists prioritized 29 statements derived from FCR from most to least meaningful. We analyzed data using Spearman correlation and centroid factor analysis with varimax rotation and described viewpoint differences using qualitative analysis.

Results

Two main viewpoints explained 41.5% of variance. Simulationists across both viewpoints agreed creating psychologically-safe environments was most important whereas administrative tasks were least. The two distinct viewpoints emphasized facilitating metacognition during simulation and debriefing verses structuring debriefing.

Implications

This paper provides professional development design recommendations.

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利用 Q 方法确定模拟指导员专业发展能力的优先次序

背景高质量的模拟需要有能力的引导者。方法使用 Watts 和 Stenner 的 Q 方法，73 位模拟专家对从 FCR 中得出的 29 项陈述从最有意义到最无意义进行了优先排序。我们使用斯皮尔曼相关性和变轴旋转中心因子分析法对数据进行了分析，并使用定性分析法描述了观点差异。两种观点的模拟专家都认为创造心理安全的环境最重要，而行政任务最不重要。两种截然不同的观点都强调在模拟和汇报过程中促进元认知，而不是安排汇报。

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来源期刊

Clinical Simulation in Nursing NURSING-

CiteScore

5.50

自引率

15.40%

发文量

107

期刊介绍： Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation. We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria: Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation Innovative teaching/learning strategies using simulation Articles updating guidelines, regulations, and legislative policies that impact simulation Leadership for simulation Simulation operations Clinical and academic uses of simulation.