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BOS3b.003 Utilizing simulated learning to develop non-clinical skills: a unique approach to improving advance care planning processes
  1. Cari Borenko,
  2. Lauren Thomas and
  3. Andrew Saunderson
  1. Fraser Health Authority, British Columbia, Canada, Canada


Background Simulation learning is often associated with clinical skills development, particularly for patients facing high risk urgent situations. In these learning environments, clinicians typically practice urgent acute skills such as Cardio Pulmonary Resuscitation, intubation, and chest tube insertion. Recognizing how successful this learning method is for tangible skills, Fraser Health’s Regional Advance Care Planning (ACP) Team proposed this unique and innovative learning approach for use with other essential skills, namely communication.

The teams’ objectives were:

  1. Increase familiarity with advance care planning processes,

  2. Facilitate knowledge translation of topics such as medical order designation, symptom management, and end of life care.

  3. Improve communication skills between interdisciplinary health care providers, patients and the people who matter most to them.

  4. Establish a debrief culture for reflection and learning.

  5. Demonstrate a shared decision making model.

Methods Quality Improvement

Results In 2022, pilot funding for the project was secured from the Physician Facilitated Engagement Program. An interdisciplinary panel of health care providers created two case studies. Following this, four interdisciplinary acute care simulation sessions were held at a community hospital. The sessions concluded with an extensive debriefing session and post-participation survey to assess confidence and provide suggestions for improvement.

Conclusion In this oral presentation, details of the cases, debriefings and surveys will be shared and be the primary teaching tool. Participants will be encouraged to explore implementing this unique non clinical simulation learning in their own settings of care. Learners will be able to apply simulation learning approach to improve confidence of HCPs to engage in Advance Care Planning, Serious Illness, and End of Life conversations and processes.

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