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Table 2 Summary of clinically relevant activities, operational definitions, and identified examples

From: An activity theory perspective of how scenario-based simulations support learning: a descriptive analysis

Clinically relevant activity Operational definition Examples
Use of physical clinical tools and artifacts Physical items that are present in the simulated setting that form the simulated system that student participants may interact with or utilize to achieve their goals Patient simulator, standardized participant, diagnostic tools (e.g., stethoscope), and diagnostic findings (e.g., lab results, vital signs)
Social interactions Exchanges that student participants have with others in the simulated context, such as peers, standardized patients and other simulated participants (e.g., patient, patient’s support person, anesthesiologist). Social interactions are also considered tools that student participants interact with or use to achieve their goals. Diagnostic questioning, education and counseling, social and emotional support, and situational management
Structured interventions Activities that student participants perform that are governed by a set of predetermined rules guiding the processes of how or when they are used. Diagnostic activities (e.g., auscultation, palpation), therapeutic interventions (e.g., medication administration), and patient safety practices (e.g., hand hygiene)