A case study and method development research of online simulation gaming to enhance youth care knowlegde exchange. Youth care professionals affirm that the application used has enough relevance as an additional tool for knowledge construction about complex cases. They state that the usability of the application is suitable, however some remarks are given to adapt the virtual environment to the special needs of youth care knowledge exchange. The method of online simulation gaming appears to be useful to improve network competences and to explore the hidden professional capacities of the participant as to the construction of situational cognition, discourse participation and the accountability of intervention choices.
DOCUMENT
Simulation-based assessment is an effective method for evaluating the competence of individuals in emergency situations. Certain skills are challenging to assess since they cannot be simulated. Consequently, participants need to engage in discursive work to facilitate practice and assessment of unsimulable medical information. This study employs an interactional approach to examine how residents and assessors shape the simulated assessments discursively and what effect this has on the assessment. Simulation-based assessments performed by general practitioners were videotaped. The iterative inductive process of conversation analysis was used to analyze and categorize each verbal initiative to discursively introduce unsimulable medical information. The participants used a range of practices to discursively introduce unsimulable medical information in the scenario. In most cases, residents introduced the medical information with a request for information, thus displaying comprehension of the situation. Residents also asked for confirmation of a specific assessment, thus displaying comprehension of the situation and the expectations. Conversely, assessors can introduce the medical information on behalf of the resident, which restricted residents to display their comprehension. The process of bringing unsimulable medical information discursively into play can be seen as a joint construction. This has implications for understanding assessment and learning in simulation contexts.
MULTIFILE
When it comes to hard to solve problems, the significance of situational knowledge construction and network coordination must not be underrated. Professional deliberation is directed toward understanding, acting and analysis. We need smart and flexible ways to direct systems information from practice to network reflection, and to guide results from network consultation to practice. This article presents a case study proposal, as follow-up to a recent dissertation about online simulation gaming for youth care network exchange (Van Haaster, 2014).
DOCUMENT
To prepare medical students appropriately for the management of toxicological emergencies, we have developed a simulation-based medical education (SBME) training in acute clinical toxicology. Our aim is to report on the feasibility, evaluation and lessons learned of this training. Since 2019, each year approximately 180 fifth-year medical students are invited to participate in the SBME training. The training consists of an interactive lecture and two SBME stations. For each station, a team of students had to perform the primary assessment and management of an intoxicated patient. After the training, the students completed a questionnaire about their experiences and confidence in clinical toxicology. Overall, the vast majority of students agreed that the training provided a fun, interactive and stimulating way to teach about clinical toxicology. Additionally, they felt more confident regarding their skills in this area. Our pilot study shows that SBME training was well-evaluated and feasible over a longer period.
DOCUMENT
The following paper presents a methodology we developed for addressing the case of a multi-modal network to be implemented in the future. The methodology is based on a simulation approach and presents some characteristics that make a challenge to be verified and validated. To overcome this limitation, we proposed a novel methodology that implies interaction with subjectmatter experts, revision of current data, collection and assessment of future performance and educated assumptions. With that methodology we could construct the complete passenger trajectory Door to door in Europe. The results indicate that the approach allows to approach infrastructure analysis at an early stage to have an initial estimation of the upper boundary of performance indicators. To exemplify this, we present the results for a case study in Europe.
DOCUMENT
Background: Shared decision-making is one key element of interprofessional collaboration. Communication is often considered to be the main reason for inefficient or ineffective collaboration. Little is known about group dynamics in the process of shared decision-making in a team with professionals, including the patient or their parent. This study aimed to evaluate just that. Methods: Simulation-based training was provided for groups of medical and allied health profession students from universities across the globe. In an overt ethnographic research design, passive observations were made to ensure careful observations and accurate reporting. The training offered the context to directly experience the behaviors and interactions of a group of people. Results: Overall, 39 different goals were defined in different orders of prioritizing and with different time frames or intervention ideas. Shared decision-making was lacking, and groups chose to convince the parents when a conflict arose. Group dynamics made parents verbally agree with professionals, although their non-verbal communication was not in congruence with that. Conclusions: The outcome and goalsetting of an interprofessional meeting are highly influenced by group dynamics. The vision, structure, process, and results of the meeting are affected by multiple inter- or intrapersonal factors.
DOCUMENT
Côte d’Ivoire produces about 42 percent of the world’s total Cocoa but processes only 30 percent of the total production. A large part of the country depends on the commercial benefits of the Cocoa production and supply chain of it. In this paper, we develop a simulation model that assess the performance of the logistics of the Cocoa supply chain in Côte d’Ivoire. The simulation model shed light on the potential of improvements in the logistics of the Cocoa supply chain by identifying inefficiencies, bottlenecks, and blockers that hinder the productivity and performance of the Cocoa supply chain. Results from simulations show that reduction of checkpoints alongthe roads will increase productivity by 30 percent, while the value of beans in the Port will increase 3 percent and of butter 5 percent. Investing in improving secondary and tertiary roads will increase the productivity by 9 percent and value by 1 percent while investing in improving road infrastructure and checkpoints will raise the productivity by 27 percent and the value by 3 percent. The results suggest that a combination of reducing the checkpoints with the investment in secondary and tertiary roads will increase productivity while at the same time the pollution will be reduced importantly. The results also suggest that the switching from only producing beans to butter should be accompanied with the increase in productivity otherwise the value at the market would not be sensitive. Other important results are also presented in this paper, together with suggestions for improvement in order to optimize the logistics of Cocoa supply chain, and increase the profitability of the Cocoa sector, and hence the living conditions and wellbeing of the farmers in the country.
DOCUMENT
DBELA is a Displacement-Based Earthquake Loss Assessment methodology for urban areas which relates the displacement capacity of the building stock to the displacement demand from earthquake scenarios. The building stock is modeled as a random population of building classes with varying geometrical and material properties. The period of vibration of each building in the random population is calculated using a simplified equation based on the height of the building and building type, whilst the displacement capacity at different limit states is predicted using simple equations which are a function of the randomly simulated geometrical and material properties. The displacement capacity of each building is then compared to the displacement demand obtained, from an over-damped displacement spectrum, using its period of vibration; the proportion of buildings which exceed each damage state can thus be estimated. DBELA has been calibrated to the Turkish building stock following the collection of a large database of structural characteristics of buildings from the northern Marmara region. The probabilistic distributions for each of the structural characteristics (e.g. story height, steel properties etc.) have been defined using the aforementioned database. The methodology has then been applied to predict preliminary damage distributions and social losses for the Istanbul Metropolitan Municipality for a Mw 7.5 scenario earthquake.
MULTIFILE
Communication plays an important role in manyprofessional contexts. This is especially truefor students in the field of social work. Theaim of this study was to develop formative,self-regulated multimedia self-assessment ofsocial-communicative competencies for socialwork students. First, a pilot study wasconducted to gain insight into the students'specific characteristics. This insight was usedto design guidelines for the development of theassessment instrument in order to tune these tothe students' perceptions, instructionalpreferences, and personalities and thusenhancing the students' enthusiasm to use theself-assessment instrument. This might increasethe chance for successful implementation ofthis new form of assessment. A first version of a multimedia test wasdeveloped. A quality expert meeting wasorganised to gain insight into expertjudgements on the quality of the test and toobtain indications for improvement of theassessment. A second version of the test wasconstructed and put on the Internet. Nearly 400students completed the assessment and expressedtheir opinions on this new way of communicationassessment. We found it was possible to testsocial-communicative competence by means ofmultimedia, with the help of digital video. Theuse of Internet makes assessments available atany time to fit curriculum needs and alsoresolves time and space constraints. Ourconclusion was that the multimedia test isreasonably valid. All students reported havingliked the multimedia assessment.
LINK
Hoofdstuk in Frontiers in Gaming Simulation. Design thinking, design methodology and design science gain much attention in the domain of gaming and simulation and their theories offer parallels to knowledge exchange in youth care services. Design science research covers context independent engineering and constructionist creativity in pursuit of general values and is built on the synthesis of what already exits and of what might be. Design thinking and design methodology address questions that show similarities to youth care problem solving and future scenario development. The core business of youth care workers is to support positive change and to develop beneficial opportunities for child-rearing. Effective knowledge exchange in networks is the key to successful intervention and simulation gaming might help to study its processes and outcomes, however, we need appropriate validation tools and methods. The author argues that the design and analytical sciences complement each other in research of network exchange. Analytical approaches might develop and test theories about knowledge acquisition and transfer, while design approaches could enhance the exchange of situational, interactional, and interventional expertise. This proposition is explored in a multiple case study in which an analysis tool has been used to structure and study knowledge exchange in youth care networks through simulation gaming.
LINK
