Simulation-based education in the Pacific Islands: educational experience, access, and perspectives of healthcare workers

IF 1.5 4区医学 Q3 SURGERY

ANZ Journal of Surgery Pub Date : 2024-08-28 DOI:10.1111/ans.19188

Samuel James Alexander Robinson BMedSc (Hons), Elizabeth McLeod MD, MPH, FRACS (Paeds), Debra Nestel AM, PhD, FSSH, FAcadMEd, Maurizio Pacilli MBBS (Hons), Paed Surg (IT), MD (Res), FRCS (Eng), FRACS, Ramesh Mark Nataraja MBBS BSc (Hons), GCCS (Hons), MSurgicalEd, FRCSEd (Paed.Surg), FFSTEd, SFHEA FRACS (Paeds)

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引用次数: 0

Abstract

Background

The World Health Organization (WHO) recommends simulation-based education (SBE) to acquire skills and accelerate learning. Literature focusing on SBE in the Pacific Islands is limited. The aim of this study was to determine Pacific Island healthcare workers' experiences, perspectives, and access to SBE.

Methods

This was a cross-sectional survey of Pacific Island healthcare workers. We designed an online questionnaire based on existing literature and expert consultation. The questionnaire included Likert scales, multiple-choice, multi-select and open-ended questions. Participants were healthcare workers recruited from professional networks across the region. Descriptive statistics and relative frequencies summarized data, and comparative testing included unpaired t-tests, Mann–Whitney U, Chi-squared and Fisher's exact tests. Free-text responses were presented to illustrate findings.

Results

Responses from 56 clinicians working in 11 Pacific Island countries were included. Fifty were medical doctors (89%), including 31 (55%) surgeons. Participants reported experience with scenario-based simulation (73%), mannequins (71%), and simulated patients (61%). Discrepancies were identified between previous simulation experience and current access for simulated patients (P = 0.002) and animal-based part-task trainers (P = 0.002). SBE was seen as beneficial for procedural skills, communication, decision-making and teamwork. Interest in further SBE was reported by most participants (96%). Barriers included equipment access (59%), clinical workload (45%) and COVID-19 restrictions (45%).

Conclusion

Some Pacific Island healthcare workers have experience with SBE, but their ongoing access is predominantly limited to low-technology modalities. Despite challenges, there is interest in SBE initiatives. These findings may inform planning for SBE in the Pacific Islands and may be considered prior to programme implementation.

Abstract Image

查看原文本刊更多论文

太平洋岛屿的模拟教育：医护人员的教育经验、机会和观点。

背景：世界卫生组织（WHO）建议通过模拟教育（SBE）来掌握技能和加快学习。有关太平洋岛屿模拟教育的文献十分有限。本研究旨在了解太平洋岛国医护人员的经验、观点以及接受模拟教育的机会：这是一项针对太平洋岛国医护人员的横断面调查。我们在现有文献和专家咨询的基础上设计了一份在线问卷。问卷包括李克特量表、多项选择、多选和开放式问题。参与者是从该地区的专业网络中招募的医护人员。描述性统计和相对频率总结了数据，比较测试包括非配对 t 检验、曼-惠特尼 U 检验、卡方检验和费雪精确检验。自由文本回复用于说明调查结果：共有来自 11 个太平洋岛国 56 名临床医生的回复。其中 50 人为医生（89%），包括 31 名外科医生（55%）。参与者报告了使用情景模拟（73%）、人体模型（71%）和模拟病人（61%）的经验。先前的模拟经验与目前使用模拟病人（P = 0.002）和基于动物的部分任务训练器（P = 0.002）之间存在差异。人们认为，模拟医疗教学有利于提高手术技能、沟通、决策和团队合作能力。大多数参与者（96%）都表示对进一步开展 SBE 有兴趣。障碍包括设备使用（59%）、临床工作量（45%）和 COVID-19 限制（45%）：结论：一些太平洋岛国的医护人员有使用 SBE 的经验，但他们目前使用的 SBE 主要限于低技术模式。尽管存在挑战，但人们对 SBE 计划仍有兴趣。这些研究结果可为太平洋岛屿的校外教育计划提供参考，并可在计划实施前予以考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ANZ Journal of Surgery 医学-外科

CiteScore

2.50

自引率

11.80%

发文量

720

审稿时长

2 months

期刊介绍： ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.