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

{"title":"Making Sense of Simulation as a Complex Intervention in Health Care Systems.","authors":"Anders Lund Schram, Andrew Petrosoniak","doi":"10.1097/SIH.0000000000000960","DOIUrl":"10.1097/SIH.0000000000000960","url":null,"abstract":"<p><p>Statement: Simulation is increasingly used not only to train clinicians but also to explore how clinical systems function in practice. As simulation becomes embedded in everyday health care settings, it is shaped by the conditions of clinical work. This raises questions about how simulation should be understood once it becomes part of the systems it is intended to influence. Drawing on concepts from complexity science and implementation research, this article examines simulation as a complex intervention introduced into complex health care systems. Rather than focusing on how simulation is designed or implemented, it offers a conceptual perspective for interpreting how simulation changes after becoming embedded in clinical practice. From this viewpoint, differences in how simulation sessions unfold are not necessarily signs of poor implementation but may instead reveal how simulation interacts with local clinical conditions.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726652","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":"Mental Workload and Handover in Paramedics and Paramedicine Students Following Simulated Emergency Responses: Pilot Study.","authors":"Daniel F Malone, Alexander MacQuarrie, Christopher Irwin, Darren Wishart, Matthew J Stainer","doi":"10.1097/SIH.0000000000000959","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000959","url":null,"abstract":"<p><strong>Introduction: </strong>Clear and accurate handover from paramedics to emergency department staff is crucial to patient outcomes, but mental workload experienced throughout an emergency response may impair paramedics' ability to retain key clinical details for handover. This pilot study used a mixed factorial design to examine whether mental workload experienced throughout a simulated emergency response and clinical experience influences handover performance and physiological responses in paramedics and paramedicine students.</p><p><strong>Methods: </strong>Ten paramedicine students and 6 experienced paramedics completed 2 full-scale simulated cases from dispatch, response drive, patient care, patient transport, and handover, under high and low mental workload conditions. Participants delivered verbal handovers at the conclusion of each case. Heart rate and heart rate variability were recorded across all phases as exploratory measures of physiological arousal. Subjective workload and handover performance were assessed after each scenario.</p><p><strong>Results: </strong>A significant workload by experience interaction was observed for handover performance, although follow-up comparisons were not statistically significant. Descriptively, students recalled fewer case-relevant details at handover after a high-workload case, whereas experienced paramedics appeared unaffected, and a moderate effect size was observed for students. Physiological data indicated greater autonomic arousal during patient care than other phases; however, movement and postural differences across phases may have contributed to this pattern, limiting attribution to the mental workload manipulation.</p><p><strong>Conclusions: </strong>These preliminary findings highlight the need for further research with larger samples and suggest paramedicine training may benefit from supporting students in developing strategies to manage mental workload and retain key information during high-demand emergency responses.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708363","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 Impact of Simulation-Based Spaced Training for Skills Acquisition on Learning and Performance Outcomes Among Healthcare Professionals: A Systematic Review.","authors":"Catherine Patocka, Ingrid Anderson, Erin Brennan, Lauren Lacroix, Anjali Pandya, Heather Ganshorn, Andrew K Hall","doi":"10.1097/SIH.0000000000000898","DOIUrl":"10.1097/SIH.0000000000000898","url":null,"abstract":"<p><p>Spaced learning is increasingly used in simulation-based education, yet its impact on learning, performance, and patient outcomes is unclear. We compared spaced training (several discrete sessions) with massed training (a single session) for skills acquisition in health professionals. We systematically reviewed randomized or prospective comparative studies. Of 4572 citations screened, 15 met inclusion criteria. Studies covered resuscitation and surgical procedures, most with spacing intervals of about 1 week. Despite heterogeneity in study design, participants, and outcomes, spaced training was generally as effective as massed training. Some evidence suggested advantages for spaced training in skill retention, particularly for time to complete procedures. Findings were inconsistent across other outcomes. No studies demonstrated improvements in patient care practices, patient outcomes, or broader educational effects. These results suggest spaced simulation may offer retention benefits for certain skills, but more research is needed to assess its impact on clinical and system-level outcomes.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"241-246"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679220","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 New Remote Digital Training System to Improve Neonatal Resuscitation Continuing Education Program in Low-Resource Countries.","authors":"Rosa T Scaramuzzo, Serena Bardelli, Giulia Nuzzi, Giorgio Sangriso, Agnese Bosio, Armando Cuttano, Massimiliano Ciantelli","doi":"10.1097/SIH.0000000000000911","DOIUrl":"10.1097/SIH.0000000000000911","url":null,"abstract":"<p><strong>Introduction: </strong>A recent retrospective study conducted in Tanzania reported that 87.5% of neonatal deaths occur within the first week of life, highlighting a critical opportunity to reduce mortality through improvements in the quality of care. The aim of this study is to describe a distance learning program supported by a newly developed device specifically designed for telesimulation-based training. This program was created to facilitate continuous professional development for healthcare personnel involved in neonatal care.</p><p><strong>Methods: </strong>After identifying sustainable objectives for improving the quality of neonatal care, a cooperative program was established. This initiative involved medical instrumentation providers and neonatologists to support on-site care and clinical coaching. A telesimulation tool, capable of being managed both locally and remotely, was developed and implemented to enhance accessibility and training sustainability.</p><p><strong>Results: </strong>The analysis conducted using an operational checklist applied to neonatal resuscitation simulations revealed a statistically significant improvement in performance, with an average percentage improvement of 38.78% for technical skills and 71.42% for nontechnical skills.</p><p><strong>Conclusions: </strong>This telesimulation tool demonstrated promising outcomes in reinforcing essential neonatal resuscitation knowledge. The innovative advantage of our simulation system lies in its dual-mode operation, functioning both autonomously on-site and under remote supervision. This capability establishes the foundation for a sustainable and continuous training model.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"257-262"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012970","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":"Promoting Psychological Safety for All Participants During a High-Intensity Interprofessional Simulation Event.","authors":"Elizabeth A Greene, Janice K Williams, Robin M Nicholson, Kimberly D Kumer, Natasha I Best, Nicole Moret, Komkwuan Paruchabutr, David M Benedek","doi":"10.1097/SIH.0000000000000919","DOIUrl":"10.1097/SIH.0000000000000919","url":null,"abstract":"<p><p>Simulation is an excellent educational methodology for healthcare learners to practice skills for medical scenarios that are low in frequency but high in emotional intensity. However, these educational experiences may cause distress to participants. As learners must master these skills to be effective healthcare providers, psychological safety warrants attention. All participants must trust that they are not at risk of being shamed, that they are free to acknowledge distress, and that they will receive needed support to master the exercise. We describe the procedures used by our institution to promote psychological safety during the Assessment and Management of Sexual Assault course to offer a potential model for other institutions to consider when engaging in high-intensity healthcare simulation.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"247-251"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127080","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 Next Conversation.","authors":"Nicole Harder","doi":"10.1097/SIH.0000000000000958","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000958","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":"21 4","pages":"e125-e126"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632391","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":"Bridging the Theory-Practice Gap-Student Perspectives on the Use of Role-play Simulation in a Speech Pathology Theory Course: A Pilot Study.","authors":"Kim Coutts, Nancy Barber","doi":"10.1097/SIH.0000000000000894","DOIUrl":"10.1097/SIH.0000000000000894","url":null,"abstract":"<p><strong>Introduction: </strong>Grounded in Miller's pyramid, simulation seeks to provide a \"shows how\" learning experience, bridging theory to clinical application. This pilot study explores integrating role-play simulation-based learning within a third-year undergraduate speech-language pathology theory course at a South African university to address the theory-practice gap prevalent in traditional curriculum designs.</p><p><strong>Methodology: </strong>This study employed a multimethod approach, primarily using qualitative design and analytic approaches with a purposive sample. It incorporated role-play simulations focused on informal bedside cognitive-communication assessments for traumatic brain injury and motor speech disorders, complemented by an escape room activity simulating real-world case scenarios. Data were collected through pre- and postcourse questionnaires, self-reflections, and reflexive thematic analysis of simulation debriefs.</p><p><strong>Results: </strong>Findings revealed that role-play simulations improved student knowledge, confidence, and integration of theoretical concepts, although some students expressed a need for additional practice and feedback. The structured design, peer and educator feedback during debriefings, and practical application were highlighted as critical factors contributing to learning.</p><p><strong>Conclusion: </strong>These results from this pilot study suggest that role-play simulations can be effectively implemented in theory courses, offering a valuable pedagogical tool to assist in closing the theory-practice gap.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"223-230"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450250","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":"Sim2Lead: A New Era in Leadership Training for Healthcare Professionals.","authors":"Erin Carn-Bennett, Khang Hee Gan","doi":"10.1097/SIH.0000000000000903","DOIUrl":"10.1097/SIH.0000000000000903","url":null,"abstract":"<p><p>Statement: Sim2Lead: A New Era in Leadership Training for Healthcare Professionals is a descriptive program report supplemented by early qualitative impressions. It describes a conundrum faced by the international healthcare professional community on how to train leadership, co-leadership, and teamwork skills to clinical healthcare teams to manage a high-stake critical medical event such as a complex resuscitation. The background of the creation of the Sim2Lead program at Starship Child Health and the foundations of the program content are described in the article. This novel combination of high-fidelity side-by-side coaching during simulated scenarios and a new simulation debriefing framework with a specific focus on leadership skills are described alongside mindfulness and predictable strategic tools. This article presents qualitative data findings from postcourse surveys with thematic coding. The future intentions of the Sim2Lead program to train a high standard of leadership and co-leadership skills for critical event management through simulation are also described. Sim2Lead combines simulation methods to train the next generation of critical event leaders. This early descriptive program report is limited by its qualitative impressions rather than this being an outcomes study. This limitation is likely to be addressed through future studies investigating performance-based data or follow-up to assess transfer of practice of Sim2Lead participants.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"263-271"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821957","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":"Future of Biometric Technology in Healthcare Simulation.","authors":"Ashley E Franklin, S Barry Issenberg, Beth A Rogers, Teresa Gore, Jared Kutzin","doi":"10.1097/SIH.0000000000000875","DOIUrl":"10.1097/SIH.0000000000000875","url":null,"abstract":"<p><p>Biometric technology shows substantial promise to enhance patient safety and transform provider training. In patient care, biometric technology enables outpatient providers to optimize chronic disease by alerting providers to changes in patient conditions with real-time data. In provider training, biometric technology can inform training environments and curriculum. Certainly, there are hurdles to technology implementation including hardware fragility, cost, and software integration. Despite challenges, biometric technology has been effectively implemented in simulations and real patient settings. Looking forward, future developments focused on data security and privacy, standardizing data collection, and improving system compatibility will facilitate the wider adoption of biometric technology and improve health care quality, especially in resource-limited settings. Collaborative efforts among informatics experts, patient safety advocates, and health care providers are essential to overcome challenges and fully leverage biometric technology's potential in enhancing patient outcomes. The purpose of this commentary is to review current applications, identify key challenges, and offer recommendations to the simulation community for testing biometric technology, use in training programs, and facilitating systems integration to improve outcomes.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"252-256"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755003","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 Mixed-Methods Study to Identify the Barriers and Enablers to Psychological Safety of Individuals in Interprofessional Team Simulation Exercises in India.","authors":"Gunaseelan Rajendran, Sasikumar Mahalingam, Anitha Ramkumar, Rajkumar Elanjeran, Soumendra Sahoo, Tatiyana Mandal, Lulu Sherif Mahmood","doi":"10.1097/SIH.0000000000000892","DOIUrl":"10.1097/SIH.0000000000000892","url":null,"abstract":"<p><strong>Introduction: </strong>Healthcare professionals often hesitate to participate in team-based simulation activities because of perceived psychological risk, which can undermine learning, collaboration, and innovation. Psychological safety-defined as a shared belief that the team is safe for interpersonal risk-taking-is critical in healthcare simulation but remains understudied in the Indian context. This study aims to assess baseline perceptions of psychological safety and explore barriers and enablers within interprofessional simulation teams in South India.</p><p><strong>Methodology: </strong>We employed an explanatory sequential mixed-methods design. In the quantitative phase, 127 healthcare professionals (doctors, nurses, and paramedics) participated in an online survey using Edmondson's Psychological Safety Questionnaire. We analyzed psychological safety scores in relation to team familiarity, profession, and seniority. In the qualitative phase, we purposively sampled participants with high and low psychological safety scores for focus group discussions. Thematic analysis was conducted to identify key barriers and enablers.</p><p><strong>Results: </strong>Psychological safety scores were higher among teams with familiar members, nurses, and junior team members. Conversely, lower scores were reported among paramedics, unfamiliar teams, and both senior and junior-most members. Team familiarity showed a significant positive association with psychological safety. Thematic analysis revealed 6 main themes with various subthemes for barriers: Internalized Hierarchy, Fear of Judgment, Knowledge Deficits, Facilitator Behavior, Silencing Mechanisms, Role Confusion. Two main themes with various subthemes for enablers included Facilitation that Builds Trust and Structure and Clarity. Unique local barriers included debriefing in English (a non-native language), physician-only facilitators, and challenges experienced by introverted participants.</p><p><strong>Conclusion: </strong>Team familiarity and facilitator skill sets are vital to promoting psychological safety in interprofessional simulation. To address contextual barriers in resource-limited and hierarchical settings, interventions should include inclusive faculty development, diverse facilitation teams, tailored debriefing based on personality traits, and use of the local language during debriefing. These findings contribute to the broader global understanding of psychological safety by offering insights from a previously underrepresented setting.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"211-222"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330798","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}