Using interactive workshops and high-fidelity simulation to provide training in the management of aggressive parent behaviours in the paediatric multidisciplinary ambulatory care home environment
Philip Lo1 1Royal Children’s Hospital, Parkville, VIC, Australia
Abstract
Aim:
A pilot program was instigated to provide Paediatric Ambulatory Care staff with practical communication training to better manage challenging parental behaviours in the paediatric ambulatory care home environment, which escalated during the COVID pandemic.
Methods:
An interactive workshop was developed, focusing on training to manage challenging behaviours in the home environment. This included content on identifying and managing challenging behaviours, with simulation-based education to train in the utilisation of a defined communication framework that assists with de-escalation of aggression. Case studies were utilised to practise the communication framework. Two high fidelity simulation scenarios with an actor to practise the framework in a realistic situation followed, including a facilitated reflection and discussion with the group after each scenario.
Evaluations were completed at the end of the session which included qualitative and quantitative data (open free text and Likert scale responses).
Results:
Eighteen staff from the paediatric multidisciplinary Ambulatory Care Home visit Team attended one of three workshops in 2021 – 2022. After attending the session, 100% of participants agreed that felt confident in recognising and responding appropriately to a distressed/angry parent and/or patient. Eighty percent of participants strongly agreed they could demonstrate key communication skills, utilises cognitive aids and de-escalation language during these situations. All participants stated they would highly recommend the training to their colleagues.
Conclusions:
This pilot program assisted staff to learn how to de-escalate distressed parents with a defined communication framework and repetitive practise through simulation-based education. The program was recommended as a training format. Furter follow-up with longer term evaluation of retention of communication skills will be important to demonstrate effectiveness of this educational strategy.
Biography
Philip Lo
B.App.Sci (Physiotherapy), B. Bus.(Mgt), Grad.Dip App Sci (HIM), M.Anim.St (Animal Physiotherapy)
Phil works at the Royal Children’s Hospital Melbourne as the Simulation Allied Health Clinical Educator as well as a Physiotherapist on Wallaby Ward (Hospital in the Home).
He also works as a human and veterinary Physiotherapist in his private practices.
“They say never work with animals and children “ …. but someone has to…
Phil has been a Physiotherapy Manager in Acute and Paediatrics Northern Health and implemented the HWA Simulation program for Latrobe Uni Physiotherapy students across all Northern Health campus sites.
He is a lecturer and examiner at Melbourne Polytechnic/Latrobe University for the 3rd year Bachelor of Veterinary Nursing degree elective subject.