Advances in simulation (London, England)最新文献

{"title":"Rapid-cycle deliberate practice versus after-event debriefing clinical simulation in cardiopulmonary resuscitation: a cluster randomized trial.","authors":"Leandro Teixeira de Castro,&nbsp;Andreia Melo Coriolano,&nbsp;Karina Burckart,&nbsp;Mislane Bezerra Soares,&nbsp;Tarso Augusto Duenhas Accorsi,&nbsp;Vitor Emer Egypto Rosa,&nbsp;Antônio Sérgio de Santis Andrade Lopes,&nbsp;Thomaz Bittencourt Couto","doi":"10.1186/s41077-022-00239-8","DOIUrl":"https://doi.org/10.1186/s41077-022-00239-8","url":null,"abstract":"<p><strong>Introduction: </strong>Rapid-cycle deliberate practice (RCDP) is a simulation-based educational strategy that consists of repeating a simulation scenario a number of times to acquire a planned competency. When the objective of a cycle is achieved, a new cycle initiates with increased skill complexity. There have been no previous randomized studies comparing after-event debriefing clinical manikin-based simulation to RCDP in adult cardiopulmonary resuscitation (CPR).</p><p><strong>Methods: </strong>We invited physicians from the post-graduate program on Emergency Medicine of the Hospital Israelita Albert Einstein. Groups were randomized 1:1 to RCDP or after-event debriefing simulation prior to the first station of CPR training. During the first 5 min of the pre-intervention scenario, both groups participated in a simulated case of an out-of-hospital cardiac arrest without facilitator interference; after the first 5 min, each scenario was then facilitated according to group allocation (RCDP or after-event debriefing). In a second scenario of CPR later in the day with the same participants, there was no facilitator intervention, and the planned outcomes were evaluated. The primary outcome was the chest compression fraction during CPR in the post-intervention scenario. Secondary outcomes comprised time for recognition of the cardiac arrest, time for first verbalization of the cardiac arrest initial rhythm, time for first defibrillation, and mean pre-defibrillation pause.</p><p><strong>Results: </strong>We analyzed data of three courses conducted between June 2018 and July 2019, with 76 participants divided into 9 teams. Each team had a median of 8 participants. In the post-intervention scenario, the RCDP teams had a significantly higher chest compression fraction than the after-event debriefing group (80.0% vs 63.6%; p = 0.036). The RCDP group also demonstrated a significantly lower time between recognition of the rhythm and defibrillation (6 vs 25 s; p value = 0.036).</p><p><strong>Conclusion: </strong>RCDP simulation strategy is associated with significantly higher manikin chest compression fraction during CPR when compared to an after-event debriefing simulation.</p>","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":"7 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2022-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9798613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10455169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using simulation-based training during hospital relocation: a controlled intervention study.","authors":"Anders Lund Schram,&nbsp;Morten Søndergaard Lindhard,&nbsp;Magnus Bie,&nbsp;Maria Louise Gamborg,&nbsp;Neel Toxvig,&nbsp;Gitte Skov,&nbsp;Rune Dall Jensen","doi":"10.1186/s41077-022-00237-w","DOIUrl":"https://doi.org/10.1186/s41077-022-00237-w","url":null,"abstract":"<p><strong>Background: </strong>During hospital relocations, it is important to support healthcare professionals becoming familiar with new settings. Simulation-based training seems promising and in situ simulation has been suggested as a beneficial educational tool to prepare healthcare professionals for relocation. This study aimed to investigate the impact of a simulation-based training intervention on health professionals´ readiness to work in their new environment, as well as investigate sick leave before and after relocation.</p><p><strong>Methods: </strong>The study was a controlled intervention study implemented at a university hospital in Denmark. Simulation was used to prepare employees for workflows prior to relocation. Before relocation, 1199 healthcare professionals participated in the in situ simulation-based training program. Questionnaires on readiness to perform were distributed to participants at pre-, post-, and follow-up (6 months) measurement. In addition, data on participants' sick leave was gathered from a business intelligence portal. To compare dependent and independent groups, paired and unpaired t tests were performed on mean score of readiness to perform and sick leave.</p><p><strong>Results: </strong>Compared to the control group, healthcare professionals participating in the intervention felt significantly more ready to work in a new hospital environment. As a measure of psychological wellbeing, register data indicated no difference in sick leave, when comparing intervention and control groups before and after participating in the in situ simulation-based training program.</p><p><strong>Conclusions: </strong>Healthcare professionals felt significantly more ready to work in a new environment, after participating in the in situ simulation-based training program, indicating that the intervention supported healthcare professionals during relocations. This may mitigate feelings of uncertainty; however, further research is needed to explore such effects.</p><p><strong>Trial registration: </strong>The study was approved by The Regional Ethics Committee (no. 1-16-02-222-22).</p>","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":"7 1","pages":"41"},"PeriodicalIF":0.0,"publicationDate":"2022-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9758894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10403876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the PEARLS Healthcare Debriefing cognitive aid on facilitator cognitive load, workload, and debriefing quality: a pilot study.","authors":"Michael Meguerdichian,&nbsp;Komal Bajaj,&nbsp;Rachel Ivanhoe,&nbsp;Yiqun Lin,&nbsp;Audrey Sloma,&nbsp;Ariel de Roche,&nbsp;Brian Altonen,&nbsp;Suzanne Bentley,&nbsp;Adam Cheng,&nbsp;Katie Walker","doi":"10.1186/s41077-022-00236-x","DOIUrl":"https://doi.org/10.1186/s41077-022-00236-x","url":null,"abstract":"<p><strong>Background: </strong>The Promoting Excellence and Reflective Learning in Simulation (PEARLS) Healthcare Debriefing Tool is a cognitive aid designed to deploy debriefing in a structured way. The tool has the potential to increase the facilitator's ability to acquire debriefing skills, by breaking down the complexity of debriefing and thereby improving the quality of a novice facilitator's debrief. In this pilot study, we aimed to evaluate the impact of the tool on facilitators' cognitive load, workload, and debriefing quality.</p><p><strong>Methods: </strong>Fourteen fellows from the New York City Health + Hospitals Simulation Fellowship, novice to the PEARLS Healthcare Debriefing Tool, were randomized to two groups of 7. The intervention group was equipped with the cognitive aid while the control group did not use the tool. Both groups had undergone an 8-h debriefing course. The two groups performed debriefings of 3 videoed simulated events and rated the cognitive load and workload of their experience using the Paas-Merriënboer scale and the raw National Aeronautics and Space Administration task load index (NASA-TLX), respectively. The debriefing performances were then rated using the Debriefing Assessment for Simulation in Healthcare (DASH) for debriefing quality. Measures of cognitive load were measured as Paas-Merriënboer scale and compared using Wilcoxon rank-sum tests. Measures of workload and debriefing quality were analyzed using mixed-effect linear regression models.</p><p><strong>Results: </strong>Those who used the tool had significantly lower median scores in cognitive load in 2 out of the 3 debriefings (median score with tool vs no tool: scenario A 6 vs 6, p=0.1331; scenario B: 5 vs 6, p=0.043; and scenario C: 5 vs 7, p=0.031). No difference was detected in the tool effectiveness in decreasing composite score of workload demands (mean difference in average NASA-TLX -4.5, 95%CI -16.5 to 7.0, p=0.456) or improving composite scores of debriefing qualities (mean difference in DASH 2.4, 95%CI -3.4 to 8.1, p=0.436).</p><p><strong>Conclusions: </strong>The PEARLS Healthcare Debriefing Tool may serve as an educational adjunct for debriefing skill acquisition. The use of a debriefing cognitive aid may decrease the cognitive load of debriefing but did not suggest an impact on the workload or quality of debriefing in novice debriefers. Further research is recommended to study the efficacy of the cognitive aid beyond this pilot; however, the design of this research may serve as a model for future exploration of the quality of debriefing.</p>","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":"7 1","pages":"40"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9743573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10704900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selected Abstracts from the 27th Annual Meeting of the Society in Europe for Simulation Applied to Medicine : SESAM Virtual Annual Meeting 2022. Seville, Spain, 15-17 June 2022.","authors":"","doi":"10.1186/s41077-022-00211-6","DOIUrl":"https://doi.org/10.1186/s41077-022-00211-6","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":"7 Suppl 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9377659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40631063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting medical student engagement through co-development and peer-assisted learning: a new patient safety course as a case study","authors":"Jesper Dybdal Kayser, Anne Mielke-Christensen, D. Østergaard, P. Dieckmann","doi":"10.1186/s41077-022-00212-5","DOIUrl":"https://doi.org/10.1186/s41077-022-00212-5","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47263079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revised paper ASIM-D-21-00055R1: “Consulting properly rather than acting”: advocating for real patient involvement in summative OSCEs","authors":"Grainne P. Kearney, J. Johnston, N. Hart, K. Cullen, G. Gormley","doi":"10.1186/s41077-022-00213-4","DOIUrl":"https://doi.org/10.1186/s41077-022-00213-4","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats","authors":"S. Bentley, A. Meshel, L. Boehm, B. Dilos, M. McIndoe, R. Carroll-Bennett, A. Astua, Lillian Wong, Colleen M Smith, L. Iavicoli, J. LaMonica, T. Lopez, Jose D. Quitain, Guirlene Dube, A. Manini, J. Halbach, M. Meguerdichian, K. Bajaj","doi":"10.1186/s41077-022-00209-0","DOIUrl":"https://doi.org/10.1186/s41077-022-00209-0","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45581211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A practical guide for translating in-person simulation curriculum to telesimulation.","authors":"Ilian Cruz-Panesso, Roger Perron, Valérie Chabot, Frédérique Gauthier, Marie-Michèle Demers, Roxane Trottier, Francis Soulières, Laetitia Juste, Shiva Gharavi, Nathalie MacDonald, Amélie Richard, Audrey Boivin, Benoit Deligne, Karine Bouillon, Pierre Drolet","doi":"10.1186/s41077-022-00210-7","DOIUrl":"10.1186/s41077-022-00210-7","url":null,"abstract":"<p><p>This article provides a road map, along with recommendations, for the adoption and implementation of telesimulation at a large scale. We provide tools for translating an in-presence simulation curriculum into a telesimulation curriculum using a combination off-the-shelf telecommunication platform. We also describe the roles and tasks that emerged within the simulation team when planning and delivering a telesimulation curriculum.</p>","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":"7 1","pages":"14"},"PeriodicalIF":2.8,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9096760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10250250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review","authors":"Lotte Abildgren, Malte Lebahn-Hadidi, C. Mogensen, P. Toft, A. B. Nielsen, T. Frandsen, S. Steffensen, L. Hounsgaard","doi":"10.1186/s41077-022-00207-2","DOIUrl":"https://doi.org/10.1186/s41077-022-00207-2","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42884493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From ‘spectating’ to ‘spect-acting’: medical students’ lived experiences of online Forum Theatre training in consulting with domestic abuse victims","authors":"Daire McGrath, G. Gormley, Helen Reid, P. Murphy","doi":"10.1186/s41077-022-00208-1","DOIUrl":"https://doi.org/10.1186/s41077-022-00208-1","url":null,"abstract":"","PeriodicalId":72108,"journal":{"name":"Advances in simulation (London, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41993586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}