A qualitative study of provider feedback on the feasibility and acceptability of virtual patient simulations for suicide prevention training.

IF 2.2 Q2 HEALTH CARE SCIENCES & SERVICES
mHealth Pub Date : 2022-10-30 eCollection Date: 2022-01-01 DOI:10.21037/mhealth-22-15
Kimberly H McManama O'Brien, Kristen Quinlan, Laura Humm, Andrea Cole, Warren Jay Pires, Ariel Jacobs, Julie Goldstein Grumet
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引用次数: 1

Abstract

Background: Healthcare organizations are often committed to preventing suicide among their patients, but they can struggle to adequately train providers and implement strategies grounded in evidence-based suicide prevention practices. Virtual patient simulations (VPS) offer the opportunity for providers at healthcare organizations and educational institutions to learn suicide prevention strategies using a realistic and risk-free environment. The purpose of this study was to gather feedback from leaders in the healthcare field regarding the feasibility and acceptability of VPS for their organizations.

Methods: Participants (N=9) included administrators, managers, and educators from a variety of health care settings. They were invited to independently test the VPS and participate in a subsequent focus group to provide feedback. Participants were asked about VPS acceptability, satisfaction, potential fit within the intended context, feasibility of delivery, motivation to use, and likelihood of adoption. Responses were audio recorded and transcribed for coding and thematic analysis.

Results: Themes emerged regarding perceived benefits of the VPS, considerations related to cost, barriers to implementation, and suggestions for improvement. Participants reported VPS trainings were acceptable and feasible, filling an important gap in the field especially around suicide safety planning, particularly for newer clinicians and students in training. Participants felt that this type of virtual training was particularly feasible given the recent increase in need for online trainings. Suggested improvements included the need to normalize the trial-and-error nature of the VPS for trainees prior to the start of the training, and to consider shortening the duration of the simulation due to learners not being able to bill for time while training.

Conclusions: VPS may help to fill an important training need in the field of suicide prevention. The training suite may be best suited for certain settings, such as educational institutions, and most useful for populations including students and new clinicians. VPS may be particularly feasible for organizations that already utilize remote options for work and training.

关于虚拟病人模拟自杀预防训练的可行性和可接受性的提供者反馈的定性研究。
背景:医疗机构经常致力于防止患者自杀,但他们可以努力充分培训提供者和实施基于循证自杀预防实践的策略。虚拟患者模拟(VPS)为医疗保健组织和教育机构的提供者提供了使用现实和无风险环境学习自杀预防策略的机会。本研究的目的是收集医疗保健领域领导者关于VPS对其组织的可行性和可接受性的反馈。方法:参与者(N=9)包括来自各种卫生保健机构的行政人员、管理人员和教育工作者。他们被邀请独立测试VPS,并参加随后的焦点小组以提供反馈。参与者被问及VPS的可接受性、满意度、与预期环境的潜在契合度、交付的可行性、使用的动机和采用的可能性。对答复进行录音和转录,以便编码和专题分析。结果:出现了关于VPS的感知收益、与成本相关的考虑、实施障碍和改进建议的主题。参与者报告VPS培训是可接受和可行的,填补了该领域的重要空白,特别是在自杀安全规划方面,特别是对新临床医生和培训学生。与会者认为,鉴于最近对联机培训的需求有所增加,这种虚拟培训特别可行。建议的改进措施包括,需要在培训开始前使学员VPS的试错性质正常化,并考虑缩短模拟的持续时间,因为学员无法在培训期间计费。结论:VPS可能有助于填补自杀预防领域的重要培训需求。培训套件可能最适合某些环境,例如教育机构,并且对包括学生和新临床医生在内的人群最有用。VPS对于已经利用远程工作和培训的组织来说可能特别可行。
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CiteScore
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