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

{"title":"Combining Systems Thinking and Emotional Intelligence to Navigate Complexity in Simulation Debriefing.","authors":"Heather Epp, Bobbie Ann Adair White, Suzan Kardong-Edgren, Roger A Edwards","doi":"10.1097/SIH.0000000000000936","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000936","url":null,"abstract":"<p><p>Simulation debriefing requires navigating dynamic interpersonal interactions, shifting roles, and emotionally charged learning environments. This paper frames debriefing as a complex adaptive system and examines how facilitators can apply emotional intelligence competencies to respond adaptively to uncertainty, competing agendas, and emergent challenges. By integrating systems thinking with the 4 domains of emotional intelligence, the paper offers applied strategies to support facilitator responsiveness, relational sensitivity, and adaptive learning during debriefing. This integrated perspective extends existing debriefing approaches by emphasizing real-time emotionally intelligent and relational decision-making as central to simulation-based education.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786884","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":"Walking in Their Shoes: Virtual Reality and Video Empathy Training for New Hire Nurses and Patient Care Assistants.","authors":"Julie A Poore, Chassity L Mays, Karen L Schroedle, Andrea M Draine, Tim N Grino, Alexander M Robinson, Dylan D Cooper","doi":"10.1097/SIH.0000000000000925","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000925","url":null,"abstract":"<p><strong>Introduction: </strong>Empathy can enhance patient satisfaction, improve clinical outcomes, and cultivate strong team collaboration. Despite its recognized importance, empathy can often be lacking in stressful, fast-paced health care environments, particularly among coworkers. The objective of this project was to study the impact of virtual reality (VR) and screen-based simulation training on health care participant empathy.</p><p><strong>Methods: </strong>New hire registered nurses (RNs) and patient care assistants on orientation completed The Jefferson Scale of Empathy-Health Professionals Version before and after empathy training sessions. Using a quasi-experimental design, participants were randomized by month to VR or video groups, with an opportunity to opt out of the VR experience. Immediately following the video, both groups received a debriefing led by 1 of 2 nurse educators with a focus on increasing empathy for others to enhance collaborative relationships with colleagues, patients, and family members.</p><p><strong>Results: </strong>A total of 249 participants completed the training, 119 in the video group and 130 in the VR group. Demographics were similar between groups, with a larger percentage of RNs in the video group (59% RNs) as compared with the VR group. Both the VR and video groups demonstrated statistically significant improvement on the Jefferson Scale of Empathy.</p><p><strong>Conclusions: </strong>Health care workers in this study demonstrated improvement in empathy scores after participating in simulation training with immersive 360-degree videos from the patient, family, and co-worker perspectives.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678070","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":"One Does Not Simply Walk Into Artificial Intelligence: A Distributed Leadership Framework for Healthcare Simulation.","authors":"Federico Lorenzo Barra, Laleh Jalilian, Alessandro Costa, Laura Leuci, Giovanna Rodella, Luca Carenzo","doi":"10.1097/SIH.0000000000000933","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000933","url":null,"abstract":"<p><p>Artificial intelligence is entering healthcare simulation, yet implementation remains fragmented and lacking coordinated governance. This article argues that sustainable AI integration requires moving beyond tool-centric experimentation toward an ecosystem-level approach connecting governance, infrastructure, pedagogy, and evaluation. We propose a Fellowship model, drawing on Tolkien's literary framework to illustrate how distributed leadership can align strategic, clinical, technical, operational, and learner perspectives. The Fellowship metaphor captures how trust must be built across historically separate groups, how leadership emerges situationally rather than hierarchically, and how those closest to the work prove essential to success. Simulation centers, with their controlled environments and established debriefing cultures, offer natural testbeds for AI implementation. We translate these principles into practical recommendations: anchoring decisions to educational problems, embedding psychological safety in planning, conducting multidimensional evaluation, and establishing continuous governance while ensuring ethical imperatives remain foundational rather than retrofitted. This framework offers guidance relevant to educators seeking pedagogical alignment, administrators developing governance structures, clinicians ensuring clinical authenticity, operations staff validating workflow integration, and learners advocating for meaningful participation in AI implementations.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678147","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":"Building De-escalation Communication Skills With Surgical Residents Utilizing Simulated Patient Methodology.","authors":"Lauren Weaver, Eugene Floersch, Anne Woll, Mojca Remskar, Melissa Brunsvold, Lou Clark","doi":"10.1097/SIH.0000000000000934","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000934","url":null,"abstract":"<p><strong>Background: </strong>Surgery residents encounter patients in high-stress environments where emotions can quickly escalate to aggression or violence. Ongoing exposure can negatively impact a resident's well-being and patient care. De-escalation communication training cultivates patient conflict management skills, but this is not routinely provided to surgery residents.</p><p><strong>Objective: </strong>To assess the efficacy of a simulation-based de-escalation communication training for surgical residents.</p><p><strong>Methods: </strong>At a large academic program, 16 Post-Graduate Year-1 and Post-Graduate Year-2 general surgery residents underwent a simulation-based de-escalation communication training in Fall 2024, composed of simulated patient cases interspersed with debriefs. The Essential Elements of Communication-Global Rating Scale and English-modified De-escalating Aggressive Behavior Scale assessed de-escalation skill building.</p><p><strong>Results: </strong>Of 21 residents, 16 (76%) participated, in which 55% were females, 56% white, and 44% had prior de-escalation training. Residents reported an increase in the mean number of de-escalation techniques attempted in each encounter from 3.3 ± 1.4 techniques in case 1.1 to 4.6 ± 1.3 techniques in case 2.2 (P = 0.02), but a facilitator did not observe a significant difference (P = 0.11). Mean Essential Elements of Communication-Global Rating Scale scores increased within the first (3.4 vs 3.9; P < 0.01) and second case (3.5 vs 3.9; P < 0.01) but not between the cases. De-escalating communication skills significantly increased throughout the simulation, with mean English-modified De-escalating Aggressive Behavior Scale scores increasing from 23.1 ± 2.6 in case 1.1 to 27.8 ± 2.7 in case 2.2 (P = 0.003).</p><p><strong>Conclusions: </strong>A simulation-based de-escalation training with iterative debriefs and feedback helped surgical residents build these communication skills. This curriculum offers a foundation for integrating de-escalation training into surgical residency programs to enhance patient care and safety.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617011","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":"AI for Simulation Operations: A Framework for Administrative and Logistical Excellence.","authors":"Alaina Herrington, Tonya Rutherford-Hemming","doi":"10.1097/SIH.0000000000000932","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000932","url":null,"abstract":"<p><p>Healthcare simulation centers collect extensive operational, educational, and experiential data, yet much of this information is often underutilized beyond accreditation reporting. The authors introduce the CORE Analytics Framework-Compliance, Operations, Results, and Experience-as a structured approach to transform routine simulation data into actionable operational intelligence. Rather than focusing on learner-facing pedagogical applications of artificial intelligence (AI), this framework targets administrative and logistical functions that influence educational quality and sustainability. By integrating correlation analysis, predictive analytics, and AI-assisted data synthesis, the CORE framework helps simulation leaders identify inefficiencies, anticipate resource needs, and support continuous improvement. A case example illustrates how scalable implementation can improve outcomes and optimize resource utilization, positioning operational intelligence as foundational to educational excellence in healthcare simulation.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617021","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":"\"SP\" (aka Standardized/Simulated Patient/Participant/Person).","authors":"Deepak Pradhan, Joanne Agnant, Donna Phillips, Sondra Zabar","doi":"10.1097/SIH.0000000000000929","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000929","url":null,"abstract":"<p><p>The acronym \"SP\" is widely used in simulation-based education, yet its meaning varies across contexts, referring at different times to standardized patient, simulated patient, simulated participant, or simulated person. This commentary traces the historical evolution of SP terminology from Barrows and Abrahamson's \"programmed patient\" through contemporary usage reflected in the Healthcare Simulation Dictionary. Using literary and philosophical touchstones, we examine what is meant by standardized, simulated, participant, and person, and why these distinctions matter for fairness, assessment, psychological safety, and educational intent. The commentary highlights tensions between reproducibility and personhood, clarifies appropriate terminology for formative versus summative simulation contexts, and briefly considers questions posed by the emergence of AI-generated simulated participants. Greater intentionality and consistency in SP terminology across curricula, scholarship, and professional guidance may strengthen shared understanding and trust within the simulation community.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617055","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":"Getting Into Role and Staying There: Reflections on Voicing the Manikin.","authors":"Adam F Roche","doi":"10.1097/SIH.0000000000000927","DOIUrl":"https://doi.org/10.1097/SIH.0000000000000927","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617064","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":"Does Extended Reality Simulation Improve Surgical/Procedural Learning and Patient Outcomes When Compared With Standard Training Methods?: A Systematic Review: Erratum.","authors":"","doi":"10.1097/SIH.0000000000000794","DOIUrl":"10.1097/SIH.0000000000000794","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"e3"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102705","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 Effectiveness of Telesimulation Versus In-Person Training for Teaching Tourniquet Application for Life-Threatening Hemorrhage: A Prospective Randomized Controlled Study.","authors":"Christopher E McCoy, Gilbert Nalula, Edmund Hsu, Bharath Chakravarthy, Mark I Langdorf, Robert Katzer, Soheil Saadat, Shahram Lotfipour","doi":"10.1097/SIH.0000000000000880","DOIUrl":"10.1097/SIH.0000000000000880","url":null,"abstract":"<p><strong>Introduction: </strong>Hemorrhage continues to be the leading cause of preventable death in trauma, and tourniquet application has been associated with survival. The purpose of our study was to evaluate the efficacy of telesimulation (TeleSIM) versus in-person training (SIM) for teaching tourniquet application for life-threatening hemorrhage control.</p><p><strong>Methods: </strong>We performed a prospective randomized study of participants enrolled in a Stop The Bleed course at a university medical school. The TeleSIM group completed the course with an instructor streaming live from an off-site location. The SIM group completed the course in the standard fashion with a live instructor present. The primary endpoint was the successful application of a combat application tourniquet to a bleeding extremity in a simulation scenario. We also evaluated the time for successful tourniquet application according to training modality. Participants' thoughts, feelings, and attitudes pertaining to their experience in the course were obtained via a postcourse survey.</p><p><strong>Results: </strong>Ninety-four of 97 (96.9%) eligible subjects participated in the study. There was no difference in the proportion of participants in each group who successfully applied a combat application tourniquet during their simulation scenario: TeleSIM group, 100% (95% CI, 92.5-100.0); SIM group, 100% (95% CI, 92.7-100.0). We also observed no significant difference in the mean time it took the participants to apply a tourniquet regardless of their training modality. Both groups reported their learning modality as an effective way to learn hemorrhage control.</p><p><strong>Conclusion: </strong>A telesimulation-based instructional delivery design is an effective way to teach tourniquet application for hemorrhage control.</p>","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"116-123"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187398","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":"Older Taiwanese Volunteers as Standardized Patients: Service Motivation, Identity Formation, and Internal Transformation: Erratum.","authors":"","doi":"10.1097/SIH.0000000000000818","DOIUrl":"10.1097/SIH.0000000000000818","url":null,"abstract":"","PeriodicalId":49517,"journal":{"name":"Simulation in Healthcare-Journal of the Society for Simulation in Healthcare","volume":" ","pages":"e5"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005652","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}