An escape room activity to teach transitions-of-care: Student perceptions and lessons learned

Authors

  • Brittany N. Palasik University of North Texas Health Science Center, College of Pharmacy, United States
  • Hae Jin Cho University of North Texas Health Science Center, College of Pharmacy, United States
  • Adenike Atanda University of North Texas Health Science Center, College of Pharmacy, United States
  • Wei C. Yuet John Peter Smith Health Network, United States

DOI:

https://doi.org/10.46542/pe.2022.221.664671

Keywords:

Diabetes mellitus, Educational game, Escape room, Gaming

Abstract

Introduction: Outside of experiential pharmacy education, there is a lack of curricular innovations focused on teaching transitions-of-care (TOC) to pharmacy students.   

Description of Innovation: A TOC escape room activity was implemented for pharmacy students after learning about diabetes management in the didactic curriculum. A perceptions survey and pre-and post-activity knowledge assessment were administered to assess student knowledge attainment and allow for continual improvement of the activity.   

Evaluation: The majority of students perceived that the escape room activity improved their readiness to treat patients with diabetes during care transitions. The escape room significantly improved knowledge, as demonstrated by an increase in mean scores between pre-and post-activity knowledge assessments.   

Future Implementation: Though the escape room activity was perceived by pharmacy students as an enjoyable opportunity to apply material from a didactic setting, many challenges related to content development, assessment administration, logistics, and material complexity were experienced.

Author Biographies

Brittany N. Palasik , University of North Texas Health Science Center, College of Pharmacy, United States

Department of Pharmacotherapy

Hae Jin Cho, University of North Texas Health Science Center, College of Pharmacy, United States

Department of Pharmacotherapy

Adenike Atanda, University of North Texas Health Science Center, College of Pharmacy, United States

Department of Pharmacotherapy

Wei C. Yuet, John Peter Smith Health Network, United States

Department of Pharmacy Clinical Services

References

American Diabetes Association. Standards of Medical Care in Diabetes – 2019. (2019). Diabetes Care, 42, S1-S193. https://doi.org/10.2337%2Fcd18-0105

Brown, N., Darby, W., Coronel, H. (2019). An escape room as a simulation teaching strategy. Clinical Simulation in Nursing, 30, 1-6. https://doi.org/10.1016/j.ecns.2019.02.002

Burton, R. Health Policy Brief: Improving care transitions. (2012). Health Affairs. Available at: https://www.healthaffairs.org/do/10.1377/hpb20120913.327236/full/

Cain, J. (2019). Exploratory implementation of a blended format escape room in a large enrollment pharmacy management class. Currents in Pharmacy Teaching and Learning, 11(1), 44-50. https://doi.org/10.1016/j.cptl.2018.09.010

Cotner, S., Smith, K.M., Simpson, L., Burgess, D.S., Cain, J. (2018). Incorporating an “Escape Room” game design in infectious disease instruction. Open Forum Infectious Disease, 5(Suppl 1), S401. https://doi.org/10.1093/ofid/ofy210.1144

Dharmarajan, K., Hsieh, A.F., Lin, Z., Bueno, H., Ross, J.S., Horwitz, L.I., Barreto-filho, J.A., Kim, N., Bernheim, S.M., Suter, L.G., Drye, E.E., Krumholz, H.M. (2013). Diagnoses and timing of 30-day readmissions after hospitalization for heart failure, acute myocardial infarction, or pneumonia. Journal of American Medical Association, 309, 355-363. https://doi.org/10.1001/jama.2012.216476

Eltaki, S.M., Singh-Franco, D., Leon, D.J., Nguyen, M.O., Wolowich, W.R. (2018). Allocation of faculty and curricular time to the teaching of transitions of care concepts by colleges of pharmacy. Currents in Pharmacy Teaching and Learning, 10(6), 701-711. https://doi.org/10.1016/j.cptl.2018.03.014

Eukel, H., Frenzel, J.E., Cernusca, D. (2017). Educational gaming for pharmacy students--Design and evaluation of a diabetes-themed escape room. American Journal of Pharmaceutical Education, 81(7), 6265. https://doi.org/10.5688%2Fajpe8176265

Haines, S.T., Pittenger, A.L., Stolte, S.K., Plaza, C.M., Gleason, B.L., Kantorovich, A., McCollum, M., Trujillo, J.M., Copeland, D.A., Lacroix, M.M., Masuda, Q.N., Mbi, P., Medina, M.S., Miller, S.M. (2017).Core Entrustable Professional Activities for New Pharmacy Graduates. American Journal of Pharmaceutical Education, 81(1), Article S2. https://doi.org/10.5688/ajpe811s2

Jencks, S.F., Williams, M.V. (2009). Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine, 360, 1418-1428. https://doi.org/10.1056/nejmsa0803563

Medina, M.S., Plaza, C.M., Stowe, C.D., Robinson, E.T., DeLander, G., Beck, D.E., Melchert, R.B., Supernaw, R.B., Roche, V.F., Gleason, B.L., Strong, M.N., Bain, A., Meyer, G.E., Dong, B.J., Rochon, J., Johnston, P. (2013). Center for the Advancement of Pharmacy Education 2013 Educational Outcomes. American Journal of Pharmaceutical Education, 77(8), Article 162. https://doi.org/10.5688/ajpe778162

Pedersen, C.A., Schneider, P.J., Scheckelhoff, D.J. (2017). ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing—2016. American Journal of Health-System Pharmacy, 74,1336-1352. https://doi.org/10.2146/ajhp170228

Rodrigues, C.R., Harrington, A.R., Murdock, N., Holmes, J.T., Borzadek, E.Z., Calabro, K., Martin, J., Slack, M.K. (2017). Effect of pharmacy-supported transition-of-care interventions on 30-day readmissions: a systematic review and meta-analysis. Annals of Pharmacotherapy, 51(10), 866-889. https://doi.org/10.1177/1060028017712725

Sen, S., Hadley, D., Patterson, B.J., Patel, R.V. (2016). Development and implementation of a transitions of care elective course. Currents in Pharmacy Teaching and Learning, 8(3), 380-390. https://doi.org/10.1016/j.cptl.2016.02.019

Serag-Bolos, E., Miranda, A., Gelot, S., Dharia, S., Shaeer, K. (2017). Assessing students’ knowledge regarding the roles and responsibilities of a pharmacist with focus on care transitions through simulations. Currents in Pharmacy Teaching and Learning, 9(4), 616-625. https://doi.org/10.1016/j.cptl.2017.03.020

Zhang, X.C., Lee, H., Rodriguez, C., Rudner, J., Chan, T.M., Papanagou, D. (2018). Trapped as a Group, Escape as a Team: Applying Gamification to Incorporate Team-building Skills Through an 'Escape Room' Experience. Cureus, 10(3), e2256. https://doi.org/10.7759/cureus.2256

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Published

2022-07-02

How to Cite

Palasik , B. N., Cho, H. J., Atanda, A., & Yuet, W. C. (2022). An escape room activity to teach transitions-of-care: Student perceptions and lessons learned. Pharmacy Education, 22(1). https://doi.org/10.46542/pe.2022.221.664671

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