Adventures in Technology Enhanced Learning @ UoP

Tag: scenario

H5P Branching Scenario: Students as Decision Makers

Adapting during Covid

Due to covid, students have unfortunately missed out on a lot of practical aspects of their courses, which may have been the main reason they decided to take the course in the first place. The Branching Scenario tool in H5P can be used as a substitute of sorts to allow students to have a more meaningful learning experience.

How have we adapted since last March to try and make our courses more content-rich? The use of videos is far more prevalent than before. Videos are great! BUT we need to also use them in conjunction with other learning tools. If you’re asking students to watch video after video it becomes a passive experience and then we fall into a similar situation when we ask them just to read ppts, notes, etc.

How can we show there is “added value” to our courses? 

Interactivity is key here, good synchronous sessions can help engage students, but often there are issues that mean students are unable to attend or the experience of the session is spoiled by a student’s connectivity issue. It’s important not to neglect asynchronous resources. A mix of both makes for a good module and better student feedback! 

The following branching scenario is more of an asynchronous activity but you could also deploy it in a live session if needed. 

In late October 2020, I was approached by a member of the nursing academic team to film some scenarios within our own simulation suite, to be used as an online resource/substitute for activities that could not go ahead due to covid restrictions. The three scenarios involved a student nurse and a patient (played by actors) and covered various aspects of Patient focussed care. 

Being interested in filming (Read my previous blog post), I jumped at this opportunity but I further suggested that we make certain elements interactive, to put the student in charge of making decisions. They would play the role of the student nurse and based on how the scenario panned out they were given 3 key decisions to make with one “good” and one “bad” choice at each decision point.

Set up and execution

The filming was set for the end of November in Covid secure conditions and two of the three scenarios were scripted to have these decision elements within them. In terms of filming style, I decided to go with a three-camera setup, one on the patient, one on the student and a wide-angle also so that students could see the whole environment these characters were in. If I could do it again I might go for a POV (Point of View) style which might give an even more immersive experience.

The editing process was interesting as I had to be creative in some places where audio quality was not as good as I’d hoped and splicing the scenes to make them run more smoothly.

Creation of the H5P object was in itself very easy to do. Once I had exported the individual video files, it was a case of dragging and dropping them into place within the Branching Scenario editor. I would certainly advise anyone who’d like to do this, to map out exactly how you think it will look beforehand so it makes the actual building of the resource much quicker. 

Did it work? 

I received some fantastic feedback from both the academic in charge and the students who used it. I honestly believe that this could be a way forward in bridging the gap between practical elements and online learning. Whilst these types of resources lend themselves well to medical courses where students will need to take important decisions in their future careers, I can also see that this has a broader appeal in Languages, Law, Criminology, Coaching/management and many others.

If you want to have a go at one of the resources I’ve made, check out this link:

https://portsmouthuni.h5p.com/content/1291197333648269337

(You don’t have to be a student nurse to complete this! There’s no difficult terminology or complicated procedures to understand.)

Situational judgement assessment

So I think it is fair to say, Covid-19 has thrown us all into having to think outside of the box when it comes to developing the usual, more ‘normal’, course assessment delivery types. This couldn’t be more true for our academics within the Paramedic Cert HE course. 

A few weeks ago, I was asked to support a colleague within this team to help deliver an online assessment that would replicate what would have been a practical examination on adult and paediatric resuscitation. 

With COVID not going away anytime soon, and practical assessment dates looming, we had a very short space of time to develop an online assessment that would best simulate ‘hands-on’ resuscitation scenarios.

As a response to the need to deliver an alternative assessment, Jane Reid – the Course Leader for the Paramedic Cert HE course – wrote four situational judgement assessments; each scenario had sequential situations and each situation had a series of serious judgement questions to test a student’s knowledge of actions to take within the ever-changing scenario.

Situational judgement assessment has been used in healthcare for years. It allows participants to experience as close to real-life scenarios as possible, without risk (in our case COVID), enabling them to identify, in order, their responses to given situations.

Three different coloured text boxes displaying the steps

Storyboarding a situational judgement test:

  1. Scenario – Includes detailed descriptive text, containing key information that sets the scene. This can also include images, audio or video to further illustrate the scenario.
  2. Situation 1 – Content that builds on the initial scenario, it contains the next layer of information relating to the scenario at hand and includes the first set of serious judgement questions.
  3. Situation 2 – Content builds on the previous situation and includes the next set of serious judgement questions… and so on until the end of the scenario.

There were many considerations that had to be made whilst developing this assessment type – mainly to keep the assessment as authentic as possible. For example:

  • providing media to set the scene; 
  • keeping the narrative on track – ‘time’ is of the essence in any resuscitation scenario, so it was important to include timely details within the situations; and 
  • replicating the quick thinking process that would be required in a real-life situation by using the sequential format in the quiz, so that students had to take notes or work from memory as they couldn’t return to previous situations to guide them.

The student experience was another really important factor in delivering this assessment – most of whom may never have experienced this type of examination. It was essential to provide clear and consistent instructions to guide them through this process. Before the main assessment, we also created a formative version of the quiz so that students could familiarise themselves with what was expected from the assessment.

We used a Google Document, with tables, to structure the content in the development stage and a Moodle Quiz Activity (Multiple Choice) to build and deliver the assessment which worked very well. The feedback from both students and examiners has been really positive, with more scope for using this assessment as a CPD exercise for practitioners. 

Interest has also been shown by academics at other universities who wish to explore this particular method of assessment along with Ambulance Trust managers. The methods for assessing the learning of resuscitation has seen little evolution from the traditional OSCE format therefore, this format that was created for a small group of students may well develop over time.

Developing this was by no means easy given the time constraints. However, it is a great example of an alternative assessment that has been developed from creative thinking during the lockdown.  

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