Impact of Virtual Simulation Games to Promote Cultural Humility Regarding the Care of Sexual and Gender Diverse Persons: A Multi-Site Pilot Study

Luctkar-Flude, Marian; Ziegler, Erin; Foronda, Cynthia; Walker, Sarah; Tyerman, Jane

doi:10.1016/j.ecns.2022.07.004

Cited by 9 publications

(5 citation statements)

References 60 publications

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“…In the context of ACP, trainings for providers and non-clinicians could integrate models such as RELATE® (Candrian et al, 2020), which outline skills that reinforce person-centeredness in ACP conversations. Novel training approaches, such as virtual simulations, can also provide an opportunity to develop and strengthen cultural humility skills (Luctkar-Flude et al, 2022). Additionally, existing ACP tools and guides may not be adequately inclusive in their framing (e.g., notions of family) or their imagery and design (e.g., pictures of LGBTQ relationships) (Beringer et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

et al. 2023

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Objectives: Advance care planning (ACP) specifies decision-making surrogates and preferences for serious illness or end-of-life medical care. ACP research has largely neglected sexual minority men (SMM), a population that experiences disparities in health care and health status. Methods: We examined formal and informal ACP among SMM ages 40+ in the Multicenter AIDS Cohort Study ( N = 1,071). Results: For informal ACP (50%), younger SMM and men with past cardiovascular events had greater odds of planning; single men had lower odds of planning. For formal ACP (39%), SMM with greater socioeconomic status had greater odds of planning; SMM who were younger, of racial/ethnic minority identities, who were single or in a relationship without legal protections, and who lacked a primary care home had lower odds of planning. Discussion: Findings warrant further exploration of both informal and formal planning. More equitable, culturally-humble engagement of SMM may facilitate access, uptake, and person-centered planning.

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Section: Discussionmentioning

confidence: 99%

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

et al. 2023

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“…Limitations as noted in the larger study (Luctkar-Flude et al, 2022), such as the small post-test sample size and low response rate, may have affected the results, and impacts the generalizability of these results. We believe that the small post-test sample size was related to the fact that participants needed to access the survey on a different platform than the simulations, and may not have known how to complete the final step.…”

Section: Limitationsmentioning

confidence: 95%

“…Subsequently the VS was evaluated at two university sites with a larger sample of undergraduate nursing students (n = 66). Overall results suggested that learners perceived the SOGI Nursing VS to be highly usable and engaging, and that it contributed to their development of cultural humility and learning related to the care of individuals who identify as LGBTQI2S (Luctkar-Flude et al, 2022). Learning outcomes specific to the Wolfgang's Story VS were measured pre-and post-presentation using a learning outcomes assessment rubric; however, some post-tests were not completed at one study site, resulting in a small post-test sample size (n = 19).…”

Section: Implementation and Evaluationmentioning

confidence: 97%

Wolfigang's Story: A Virtual Simulation Supporting Effective and Supportive Communication With an Older Gay Adult

2022

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Lesbian, gay, bisexual, transgender, queer, intersex, and Two-Spirit (LGBTQI2S) older adults face barriers to quality health care, often because practitioners misunderstand the unique health needs of this population. Education is essential to support nurses in maintaining culturally safe practice. Wolfgang’s Story, a virtual simulation developed as an educational resource to address this need, focuses on an interaction between an older gay adult and a nurse during a health-care encounter, exploring the use of appropriate terminology, personal assumptions, biases, and key concepts related to heterosexism and to grief. The aim of the article is to report on the development, implementation, and evaluation of this project.

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“…The benefits of virtual simulation (VS) pedagogy were especially highlighted during the COVID-19 pandemic when most healthcare education had to shift to virtual formats. Learners report that VS is an engaging and enjoyable educational strategy that is easy to use and contributes to their learning [40]. The advantages of VS learning include the ability to place all learners in decision-making roles, to increase accessibility to larger groups of learners, to provide instant and evidence-based feedback, to increase flexibility in pacing, and have the potential to create a more psychologically safe learning environment [41].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…A minimum of 100 participants will be reached. Figure 1 illustrates the logic model [40] which will be used to track project indicators throughout.…”

Section: The Research Processmentioning

confidence: 99%

The CAPP 2 Study Protocol: Strengthening the capacity of healthcare providers to reduce the impact of COVID-19 on African, Caribbean, and Black communities in Ontario

Etowa,

Loemba,

Bailey

et al. 2023

Preprint

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Introduction: The COVID-19 pandemic emerged as an unprecedented challenge for healthcare systems across the world disproportionately impacting immigrant and racialized populations. Canadian African, Caribbean, and Black (ACB) communities representing some of the most vulnerable populations in terms of their susceptibility to health risks, receipt of adequate care, and chances of recovery. The COVID-19 ACB Providers Project (CAPP 2) aims to strengthen the ability of health care providers (HCP) to address this community's COVID-19 related healthcare needs. Informed by CAPP 1.0 Project, a mixed-method study which examined COVID-19 pandemic impact on ACB communities in Ontario (Ottawa and Toronto), this second study seeks to develop and implement educational programs on five key areas (modules) to strengthen the capacity of HCPs working with ACB populations. The five modules (topics) include: 1) COVID-19 and its impacts on health, 2) social determinants of health and health inequities, 3) critical health literacy, 4) critical racial literacy, and 5) cultural competence and safety. Methods and analysis: An implementation science approach will guide the development, implementation, and evaluation of the evidence-informed interventions. Intersectionality lens, socio-ecological model (SEM) and community-based participatory research (CBPR) frameworks will inform the research process. To ensure active stakeholder engagement, there will be a Project Advisory Committee comprised of 16 ACB community members, health providers, and partner agency representatives. Five modules will be developed: two virtual simulation games in collaboration with leading simulation experts, and three non-simulation modules. Ethics and dissemination: Ethics approval was granted by the University of Ottawa Research Ethics Board on July 18th, 2023 (H - 01- 23 - 8069). The results of this study will be disseminated in community workshops, an online learning platform, at academic conferences and in peer-reviewed publications.

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Impact of Virtual Simulation Games to Promote Cultural Humility Regarding the Care of Sexual and Gender Diverse Persons: A Multi-Site Pilot Study

Cited by 9 publications

References 60 publications

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors

Wolfigang's Story: A Virtual Simulation Supporting Effective and Supportive Communication With an Older Gay Adult

The CAPP 2 Study Protocol: Strengthening the capacity of healthcare providers to reduce the impact of COVID-19 on African, Caribbean, and Black communities in Ontario

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