Anaesthesia and Intensive Care Residents’ Perception of Simulation Training in Four Romanian Centres (original) (raw)
Related papers
Teaching and Learning in Medicine, 2022
Phenomenon: The urgency of having fair and trustworthy competency-based assessment in medical training is growing. Simulation is increasingly recognized as a potent method for building and assessing applied competencies. The growing use of simulation and its application in summative assessment calls for comprehensive and rigorously designed programs. Defining the current baseline of what is available and feasible is a crucial first step. This paper uses anesthesia and intensive care (AIC) in France as a case study in how to document this baseline. Approach: An IRB-approved, online anonymous closed survey was submitted to AIC residency program directors and AIC simulation program directors in France from January to February 2021. The researcher-developed survey consisted of 65 questions across five sections: centers' characteristics, curricular characteristics, courses' characteristics, instructors' characteristics, and simulation perceptions and perspectives. Findings: The participation rate was 31/31 (100%) with 29 centers affiliated with a university hospital. All centers had AIC simulation activities. Resident training was structured in 94% of centers. Simulation uses were training (100%), research and development (61%), procedural or organizational testing (42%), and summative assessment (13%). Interprofessional full-scale simulation training existed in 90% of centers. Procedural training on simulators prior to clinical patients' care was performed "always" in 16%, "most often" in 45%, "sometimes" in 29% and "rarely" or "not" in 10% of centers. Simulated patients were used in 61% of centers. Main themes were identified for procedural skills, full-scale and simulated patient simulation training. Simulation activity was perceived as increasing in 68% of centers. Centers expressed a desire to participate in developing and using a national common AIC simulation program. Insights: Based on our findings in AIC, we demonstrated a baseline description of nationwide simulation activities. We now have a clearer perspective on a decentralized approach in which individual institutions or regional consortia conduct simulation for a discipline in a relatively homogeneous way, suggesting the feasibility for national guidelines. This approach provides useful clues for AIC and other disciplines to develop a comprehensive and meaningful program matching existing expectations and closing the identified gaps.
Effectiveness of the Use of Simulation Training in Healthcare Education
2013
The focus of the research programme within this thesis is an investigation of scenario-based simulation training in undergraduate healthcare education. The aim of the main study was to determine the effectiveness of high-fidelity simulation training with adult branch nursing students. Their acquisition of knowledge and skills was tested using a 15-station Objective Structured Clinical Examination (OSCE) pre- and post- the simulation intervention with randomised control and experimental groups of volunteer students. The results show that simulation training is an effective learning method as students from the experimental group, who were given the opportunity to observe and take part in high-fidelity simulation training followed by debriefing, made significantly higher improvements between their two OSCE performances than students from the control group. The second study focused on interprofessional learning with a randomised control group investigation of the students ’ knowledge of...
The role of simulation in medical training and assessment
2009
An overview of the current use of simulation in medical training and assessment, reflecting on its advantages and disadvantages, as well as speculating on its future. Content Organization An overview to medical simulation has been provided. In the context of procedural interventional radiology training, we start with the definition and history of simulation, address its increasing importance in medicine reflect on its theoretical basis and current evidence and finally review its advantages/ limitations and prospects for the future.
Intensive Care Medicine (ICU) may be a complex, costly, mistake inclined, restorative claim to fame and remains the central point of major advancement endeavors in healthcare conveyance. Different modeling and simulation strategies offer one of a kind openings to superior get it the intelligent between clinical physiology and care health. The novel bits of knowledge picked up from the frameworks viewpoint can at that point be utilized to create and test unused treatment methodologies and make ICU more productive and compelling. Be that as it may, modeling and simulation applications in ICU stay underutilized. There are major computer-based learning methods that connected to critical care medicine. Usually there are three examples of different simulation techniques, including : a. pathophysiological model of acute lung injury b. process modeling of critical care delivery c. a model for the study of interaction between pathophysiology and health care delivery. Customarily, reenactment simulation has happened in particular centers, which offer an assortment of courses pointed at health care experts. These courses are ordinarily costly and ordinarily don't give group simulation: specialists and general all personnel of ICU tend to be prepared independently and professionals frequently conclusion up the simulation with unknown persons. Which lowers the importance of the team. After all, we do not work the same with everyone. It would be important to do simulation exercises with the members we work with every day so that the working group as a whole can be strengthened. Long time now, reenactment simulation has been brought into the working environment. In 2005, Weinstock et al portrayed how they took simulation training into different parts of their clinic employing a portable cart. Since at that point, this sort of simulation, known differently as 'point-of-care', 'in-situ', or 'mobile' simulation, has picked up force. I. The Benefits In-situ simulation happens within the typical working environment, utilizing ordinary working environment gear. Healthcare experts act on their typical parts, in 'intact teams', amid ordinary working hours. These components are thought to upgrade authenticity and legitimacy, progress working connections, and diminish the uneasiness that a few professionals relate to conventional simulation simulation. In expansion, scenarios can be custom-made to reflect nearby case-mix and basic episodes, and site-specific framework mistakes may be identified.
Nursing and medical staff’s experiences of simulation education
Clinical Nursing Studies
Objective: The purpose of the research was to describe nursing and medical staff’s knowledge of simulated learning and their experiences of the usefulness of simulation education in one hospital district in Finland. The research aimed at producing user-oriented knowledge to be used in the development of multiprofessional simulation pedagogical continuing education. The study is part of a larger research project, whose purpose is to build up a multiprofessional simulated learning environment for a network of partners. They involve a university of applied sciences, a vocational education center, a health technology development center and a hospital district.Methods: Data were collected using aWeb-based survey tool between December 1, 2016 and January 13, 2017. The questionnaire contained both quantitative (n = 24) and qualitative (n = 3) items. This article deals with quantitative data only. Data was analyzed using SPSS Statistics for Windows 23. The response rate was 28% (n = 125).Re...
Simulation and Its Role in Training
Clinics in Colon and Rectal Surgery, 2013
Despite its short history, surgical simulation has been successfully introduced into surgical residency programs in an effort to augment training. A wide range of simulator types and levels of complexity have proven an effective teaching method for surgical trainees. They have been used for training in areas such as general surgery, urology, gynecology, and ophthalmology among others. Coincident with the introduction of simulators is the need for objective evaluation of skills learned on them, which has led to the development and validation of multiple evaluation tools. This article evaluates the drivers for simulation, types of simulators, training, and evaluation of them especially as it pertains to laparoscopic colorectal surgery.
Simulation as a learning tool in health care education
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 2006
In an interprofessional CRM-training participants being asked to answer a questionnaire to attitudes due to nontechnical skills (NTS) and general requirements to a helpful simulation at the beginning of the training. NTS, elements of the training (lectures, scenarios, debriefing, self learning and discussion during breaks) and learning objectives were evaluated in a second questionnaire at the end of training. The statements were compared between beginning and end of training. General characteristics of the participants: 71 participants answered the questionnaires; 7 physicians, 62 nurses; additional 5 participants were excluded from analysis due to missing values. Ranking of Participans brought teaching elements of the training in the following descending order, from most helpful to less helpful for their learning progress: simulated scenarios, debriefing, discussion during breaks, presentation, self-study. STATISTICS: Wilcoxon matched pairs and Mann-Withney-U between gender. RESULTS: 47 female, 24 male;mean age (1th:3 rd quartile) 35y (30y:38.25y); professional experience 13y (9y:19.5y) Participants evaluated the impact of a simulation training to daily practice significantly stronger at the end of the training (pϽ0.001) compared to the beginning. As relevant for medical crisis, in a ranking just communication revealed significant priority at the end of training (pϽ0.01). On a seven point likert-like scale 87.5% of the participants agreed with the statement "The impact of communication on the management of medical crisis has changed by the training". Significant differences between gender were detected in the rating of NTS. SUMMARY: In accordance to the defined learning objectives a group of physicians and nurses trained by simulation changed attitudes to non technical skills.
Simulation Training: A Multidisciplinary Approach
Advances in Neonatal Care, 2011
Emergency situations arise in health care every day. High-risk environments such as Neonatal Intensive Care Units and labor and delivery units are more susceptible to such emergencies. Occasionally, newborns require assistance with their breathing in the delivery room, while others demand intensive resuscitation including intubation and chest compressions. Delivering resuscitative efforts can be difficult when the team trains in separate venues. This article will discuss the importance of multidisciplinary high-fidelity simulation training as an effective tool in the development and maintenance of resuscitation expertise across disciplines, the history of simulation, simulation legislation, and the evidence behind simulation and explore the art and utilization of medical simulation in a multidisciplinary setting.