Simulation in Healthcare-Journal of the Society for Simulation in Healthcare最新文献

{"title":"Development of a Tool to Evaluate Emotional Support for Patients and Families During Simulated Pediatric Resuscitations: A Modified Delphi Study.","authors":"Ellen L Duncan, Joanne M Agnant, Selin T Sagalowsky","doi":"10.1097/SIH.0000000000000866","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000866","url":null,"abstract":"<p><strong>Background: </strong>Families overwhelmingly want to be present during pediatric resuscitations, and their presence offers myriad benefits. However, there is little evidence on how to teach and assess key patient- and family-centered communication behaviors. Our objective was to apply a modified Delphi methodology to develop and refine a simulation-based assessment tool focusing on crucial behaviors for healthcare providers providing emotional support to patients and families during pediatric medical resuscitations.</p><p><strong>Methods: </strong>We identified 4 behavioral domains and 14 subdomains through a literature review, focus groups with our institution's Family and Youth Advisory Councils, and adaptation of existing simulation-based communication assessment tools. A panel of 9 national experts conducted rounds of iterative revision and rating of candidate behaviors for inclusion, and we calculated mean approval ratings (1 = Do not include; 2 = Include with modifications; 3 = Include as is) for each subdomain.</p><p><strong>Results: </strong>Experts engaged in 5 iterative rounds of revision. None of the candidate behaviors were eliminated, and 1 (\"Option to step out\") was added to the \"Respect and Value\" domain. There was near-perfect consensus on the language of the final tool, with mean approval scores of 3.0 for all but 1 subdomain (\"Introductions\"), which had a mean score of 2.83 for minor grammatical edits; these were incorporated in the final assessment tool.</p><p><strong>Conclusions: </strong>We created a novel simulation assessment tool based on a literature review, key stakeholder input, and a consensus of national experts through a modified Delphi method. Our final simulation assessment tool is behaviorally anchored, can be completed by a simulated participant or observer, and may serve to educate healthcare teams engaged in pediatric resuscitations regarding patient- and family-centered communication.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to Generate a Human Arm-Like Tool for Simulation and Training: The Ghost Experimental Study.","authors":"Côme Slosse, Gaëlle Ambroise-Grandjean, Marc Fauvel, Hind Hani, Nicolas Weber, Julien Oster, Hervé Bouaziz","doi":"10.1097/SIH.0000000000000860","DOIUrl":"10.1097/SIH.0000000000000860","url":null,"abstract":"<p><strong>Introduction: </strong>Learning ultrasound-guided vascular access in simulations requires specially designed phantoms. However, commercial phantoms are expensive, and homemade models suffer from a lack of realism. This study aimed to develop and evaluate a novel homemade phantom prototype for simulation training of the US-guided vascular puncture technique.</p><p><strong>Method: </strong>The prototype had to be low cost, reproducible, modular, realistic, and ecological. The design phase was divided into 2 parts: the first for developing a solid, watertight reusable mold and the second for the internal structure (vessels and internal gel). The prototype was evaluated based on cost, lifespan, echogenicity, and practical utility. For the latter, professionals with expertise in ultrasound-guided vascular puncture tested the prototype and completed a 14-question digital self-questionnaire (4 sociodemographic questions and 10 questions about the prototype).</p><p><strong>Results: </strong>The prototype costs are less than €100 (€67 one-off cost for the external structure + €28,25 consumables) and could be manufactured by one team member in less than half a day of effort (with a short period of assistance from a volunteer model). When stored in a refrigerator, the agarose gel chosen for the project has an estimated shelf life of more than 3 months. The professionals' responses to the questionnaires revealed predominantly positive feedback after experimentation and the superiority of the prototype over other phantoms used in their previous simulation experiences.</p><p><strong>Conclusions: </strong>This prototype is a novel, effective, homemade phantom that meets all of the expected criteria. Its low cost and simplicity make it accessible to many people while offering an immersive simulation experience.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Evaluation of Blue Phantom and SCOBY-Based Models for Ultrasound-Guided Intravenous Cannulation Training.","authors":"Jarred P Williams, Melita Macdonald, Peter A Watts, Brad F Peckler","doi":"10.1097/SIH.0000000000000864","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000864","url":null,"abstract":"<p><strong>Introduction: </strong>Ultrasound-guided intravenous (USIV) cannulation is a common alternative when IV access cannot otherwise be obtained. Many hospitals teach this skill with the commercial CAE Blue Phantom gelatinous training blocks. However, their cost is a barrier. This has led to experimentation with creative alternatives. Recent studies have trialed SCOBY (Symbiotic Culture of Bacteria and Yeast) in the production of training models for medical procedures. SCOBY is a biofilm-like structure appearing as a thick, rubbery film. We aimed to develop a 2-vessel SCOBY-based model and compare its effectiveness for teaching USIV against the Phantom.</p><p><strong>Methods: </strong>Participants, 23 emergency medicine clinicians, performed USIV on each model and completed a pre- and post-procedure questionnaire.</p><p><strong>Results: </strong>Seventy-four percent of participants indicated that the SCOBY model more closely resembled the clinical reality of human tissue compared with 13% for the Phantom. SCOBY provided an improved visual appearance, physical touch, feel of the procedure, and appearance of \"subdermal tissues\" on ultrasound compared to the Phantom.</p><p><strong>Conclusion: </strong>These results suggest a promising future for SCOBY as a cost-effective alternative to teaching clinical skills.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why I Anthropomorphize My High-Fidelity Simulators.","authors":"Athena M Ryals","doi":"10.1097/SIH.0000000000000834","DOIUrl":"10.1097/SIH.0000000000000834","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"198"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nasal Fiber-optic Intubation Training for Nurse Anesthesia Students Incorporating Deliberate Practice and Summative Assessment.","authors":"Thanat Tangpaisarn, John M O'Donnell, Joseph S Goode, Paul Wesley Scott, Paul E Phrampus","doi":"10.1097/SIH.0000000000000835","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000835","url":null,"abstract":"<p><strong>Introduction: </strong>Managing difficult airways and adverse respiratory events is critical for anesthesia providers. Fiber-optic intubation (FOI) is a strategic management approach in difficult airway situations. Clinical exposure to FOI can be limited, posing challenges for skill development. Simulation-based medical education offers a safe alternative for training. This study aims to evaluate the effectiveness of a simulation-based FOI training program for student registered nurse anesthetists (SRNAs) in an educational context.</p><p><strong>Methods: </strong>A repeated measure study was conducted during the Pediatric Anesthesia Simulation for Student Nurse Anesthetists course at the Peter M. Winter Institute for Simulation, Education, and Research. One hundred twenty-three SRNAs participated in the FOI simulation program. For the analysis, students were stratified into 2 groups based on their performance in the summative testing of nasal FOI time. Baseline characteristics and the students' performance during the simulation were analyzed.</p><p><strong>Results: </strong>Among the participants, 58 were categorized as \"above median time\" (AMT) and 65 as \"below median time\" (BMT) for FOI testing. No significant differences were observed in baseline characteristics. The AMT group exhibited longer mean times for summative testing FOI (50 vs. 26 seconds), first FOI attempt (97 vs. 78 seconds), and subsequent sets (third: 374 vs. 325 seconds, fourth: 323 vs. 268 seconds). Both groups showed performance improvement across training sets with reduced variability.</p><p><strong>Conclusions: </strong>The simulation-based FOI training program effectively enhanced SRNA skill, with performance improvement during the training period. This study underscores the importance of simulation in anesthesia education, offering a safe and structured environment for skill development in FOI.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":"20 3","pages":"191-196"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leadership Lingo: Developing a Shared Language of Leadership Behaviors to Enrich Debriefing Conversations.","authors":"Amrita Brara, Chloe Chang, Joanne Kerins, Samantha E Smith, Victoria R Tallentire","doi":"10.1097/SIH.0000000000000832","DOIUrl":"10.1097/SIH.0000000000000832","url":null,"abstract":"<p><strong>Introduction: </strong>Leadership in medical emergencies is variable and frequently suboptimal, contributing to poor patient care and outcomes. Simulation training can improve leadership in both simulated practice and real clinical emergencies. Thoughtful debriefing is essential. However, unclear language around leadership limits facilitators' capacity for transformative reflective discussion.</p><p><strong>Methods: </strong>Internal medicine trainees participated in simulated medical emergency scenarios. Video recordings of consenting participants were analyzed using template analysis. A priori codes from existing literature formed an initial coding template. This was modified with inductive codes from the observed behaviors to develop a taxonomy of leadership behaviors in simulated medical emergencies. The taxonomy was then transformed into an infographic, to be used as a leadership debriefing tool.</p><p><strong>Results: </strong>The taxonomy of leadership behaviors consisted of the following 4 themes: Structuring, Decision making, Supporting, and Communicating . Structuring behaviors shaped the team, ensuring that the right people were in the right place at the right time. Decision-making behaviors steered the team, setting a direction and course of action. Communicating behaviors connected the team, sharing valuable information. Supporting behaviors nurtured the team, guiding team members to perform at their optimum level.</p><p><strong>Conclusions: </strong>Debriefing-as-imagined is not always debriefing-as-done. A shared language of leadership can connect educators and learners, advancing critical debriefing conversations and enabling facilitators to drive meaningful reflective discussion. The use of infographics in simulation offers an opportunity to support educators in facilitating complex debriefing conversations.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"182-190"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics, Impact, and Trends of Healthcare Simulation in Latin America and the Caribbean: A Bibliometric Analysis.","authors":"Victor Velásquez-Rimachi, Miguel Cabanillas-Lazo, Alvaro Prialé-Zevallos, Solange Dubreuil-Wakeham, Daniela Samaniego-Lara, Fernando M Runzer-Colmenares, Percy Mayta-Tristán","doi":"10.1097/SIH.0000000000000827","DOIUrl":"10.1097/SIH.0000000000000827","url":null,"abstract":"<p><strong>Summary statement: </strong>This study highlights the growing significance of healthcare simulation in enhancing the quality and safety of patient care across Latin America and the Caribbean, by analyzing bibliometric trends and the impact of publications on simulation-based clinical training between 2012 and 2022. Leveraging the Scopus database and VOSviewer software for thesaurus interaction analysis, the research identified 610 documents, accumulating 4681 citations, thereby indicating a burgeoning interest in this field with notable publication spikes in 2017 and 2020. Brazil and the United States emerged as leading contributors, with a primary focus on \"simulation training,\" \"clinical competence,\" \"medical education,\" and \"education.\" The study observed an uptick in international collaboration, mirroring the increase in document count and citations. This bibliometric review underscores the emphasis on evaluating technical skills and clinical practices as prevailing areas of interest, highlighting Brazil's significant academic contributions, and suggesting a promising future for the implementation of clinical simulation in the region. The study advocates for continued scholarly output to align with global advancements in medical simulation, aiming to optimize patient outcomes.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"205-210"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardized Patient Education Focused on Equity Deserving Groups: Ten Tips for Educators and Programs-A Qualitative Study.","authors":"Urmi T Sheth, Nicole A Last, Amy C Keuhl, Arden R K Azim, Ruth P Chen, Jasdeep Dhir, Patricia R Farrugia, Aaron G Geekie-Sousa, Jeffrey M McCarthy, X Catherine Tong, Sandra D Monteiro, Matthew G Sibbald","doi":"10.1097/SIH.0000000000000836","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000836","url":null,"abstract":"<p><strong>Introduction: </strong>Health professions training programs must train future healthcare providers to meet the needs of equity-deserving patient populations. Standardized patient (SP) programs are one mechanism by which this training can occur. Our aim was to develop a set of recommendations for SP programs and educators around planning, organizing, and delivering SP-based education involving equity-deserving groups.</p><p><strong>Methods: </strong>We undertook a qualitative analysis of interview transcripts of SPs, educators, and trainers involved in SP work with equity-deserving groups. Subsequently, we conducted a three-stage modified Delphi process to generate recommendations.</p><p><strong>Results: </strong>We derived 10 tips to help stakeholders improve SP-based education involving equity-deserving groups. The underlying themes included collaborative involvement, including co-creation and co-delivery of content with members of equity-deserving groups, as well as consistent prioritization of the needs of SPs throughout the process.</p><p><strong>Conclusions: </strong>Our findings suggest ways in which SP programs and educators can better train future healthcare providers to meet the needs of equity-deserving patient populations.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":"20 3","pages":"144-149"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Editor-in Chief is Gone: Long Live the Editor-in-Chief.","authors":"Mark W Scerbo","doi":"10.1097/SIH.0000000000000862","DOIUrl":"10.1097/SIH.0000000000000862","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"141-143"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial on Teaching the Safe Handling of Firearms Using a Simulation-Based Assessment.","authors":"Jake Hoyne, Jennifer Yee, Charles Lei, Anne V Grossestreuer, Simiao Li-Sauerwine, William Burns, Nate Olson, Matthew Pirotte, Nicole Dubosh, Andrew R Ketterer","doi":"10.1097/SIH.0000000000000829","DOIUrl":"10.1097/SIH.0000000000000829","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency providers risk encountering firearms in the emergency department, but a minority report familiarity with handling firearms. It may be unsafe if unfamiliar, untrained providers attempt to remove a firearm from the clinical care space. This study assessed the efficacy of an educational intervention training resident physicians in this task.</p><p><strong>Methods: </strong>Five emergency medicine residency programs conducted a prospective, single-blinded randomized controlled trial assessing performance of safely removing a firearm from the clinical care space during a simulated patient encounter. The primary outcome was completion of critical actions previously assessed in a pilot study. Residents viewed a 5-minute educational video developed for this study detailing the principles of safely removing a firearm from the clinical care space. The training video was emailed to prospective participants in the intervention group ahead of the simulation session. Afterward, a debriefing session was held with all participants to review the safe handling of firearms.</p><p><strong>Results: </strong>Sixty-six of 170 prospective participants (38.8%) consented to participate. There were no significant differences in gender, clinical training level, environment of upbringing, confidence in handling firearms, firearm usage frequency, or prior firearm training. Twenty-nine participants handled the firearm during simulation. The intervention group performed significantly better than the control group, completing a median of 7 critical actions (interquartile range, 7-8) versus 6 critical actions (interquartile range, 5-7), P = 0.035. This effect held among participants who handle firearms outside of work and/or have prior firearms training.</p><p><strong>Conclusions: </strong>This study demonstrates how a brief educational intervention was associated with improvement in participants' ability to safely remove a firearm from a simulated clinical care space. This approach can be integrated into existing curricula, and its success suggests broad applicability.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"176-181"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}