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Table 3 Actions of the main performers in Scenario 1 (excerpts from some of the characters)

From: Practical training using immersive roleplay and an intensive course on clinical ethics consultation in Japan

   

Patient

Patient’s partner

Attending physician

Time

 

Major Events

 

Content/Scripted part

 

Content/Scripted part

 

Contents/Scripted part

8:40

 

Consulting request

      

8:45

 

Move to the stage

      

8:50

8:52

Declaration of refusal

Hospital Room B

Conversation with doctor

Refusal of treatment

  

Hospital Room B

Doctor’s rounds

Conversation with the patient

8:50

8:52

    

Come to the hospital and go to husband’s hospital room

  

8:55

8:57

Patient’s roughness

Wife’s exhaustion

Nurses’ exhaustion

Hospital Room B

Refusing care from nurses

Awkward silence

Hospital Room B

Harassing interactions between husband and nurse

Awkward silence

Nr. St

Script [Ph Action 1].

9:00

9:02

Apology to medical staff

Wife’s exhaustion

Hospital Room B

To his wife, “Leave me alone.”

Nr. St lounge

Leaves the HR and apologizes to the nurse at Nr. St.

Moved to the lounge alone

  

9:00

9:02

Head nurse and attending physician

    

Nr. St

Conversation with the head nurse

9:03

9:05

Differences in policies between doctors and nurses

    

Examination room

Conversation with the head nurse

9:05

9:10

 

Hospital Room B

Script [patient Action 1].

Lounge

Script [wife Action 1].

Examination room

Script [Ph Action 2].

9:15

9:17

Concerns about medical errors

Hospital Room B

 

Lounge

Conversation with the physician

Nr. St lounge

Found patient’s wife in the lounge, conversation

9:15

9:20

Patient’s true feelings,

Nurse’s change of heart

 

Conversation with the head nurse

    

9:18

9:22

Head nurse and patient’s partner

Hospital Room B

Script [patient Action 2].

Lounge

Conversation with the head nurse

 

Script [Ph Action 3].

9:25

9:30

  

Script [patient Action 3].

 

Script [wife Action 2].

  

9:40

9:42

Physician’s hesitation

Hospital Room B

Script [patient Action 4].

Lounge

Script [wife Action 3].

Examination room

Conversation with the nurse

   

Hospital Room B

 

Lounge

Script [wife Action 4].

Examination room

Script [Ph Action 4].

9:40

9:42

The dilemma of doctors and nurses

Hospital Room B

Script [patient Action ].

Lounge

Hospital Room B

Script [wife Action 5]

Return to HRB

Examination room

Conversation with the nurse

9:45

9:50

Briefing sessions, statement of refusal of treatment by the patient

HRB

Examination room

Move to doctor’s office

Briefing session begins

HRB

Examination room

Move to doctor’s office

Briefing session begins

Examination room

Briefing session begins

9:52

9:54

Head nurse and attending physician

Examination room

Return to Hospital Room B

Examination room

Return to Hospital Room B

Examination room

Conversation with the head nurse

10:00

10:02

     

Examination room

Call a consultant

  1. There were 11 performers in Scenario 1, but the five people most involved with the CEC consultant were the patient, the patient’s partner, the attending physician, the nurse, and the head nurse (the consultant client). Detailed action charts were created for the afore-mentioned five persons, out of which three are described here. The performers were experienced actors and seminar staff (actual MDs and Ns) who had been training for several months
  2. HRB: hospital room B, MD: medical doctor; N: nurse; Nr. St: nurse’s station, Ph: attending physician