scholarly journals Is High Fidelity Simulation the Most Effective Method for the Development of Non-Technical Skills in Nursing? A Review of the Current Evidence

2012 ◽  
Vol 6 ◽  
pp. 82-89 ◽  
Author(s):  
Robin Lewis ◽  
Alasdair Strachan ◽  
Michelle McKenzie Smith
Keyword(s):  
Technical Skills ◽  
Current Evidence ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals 9 Low fidelity simulation in a high fidelity world

2019 ◽  
Vol 95 (1130) ◽  
pp. 687.2-688
Author(s):  
A Scott ◽  
A Gartner
Keyword(s):  
Medical Education ◽  
Patient Safety ◽  
Medical Training ◽  
Clinical Skills ◽  
Technical Skills ◽  
Current Evidence ◽  
High Fidelity ◽  
List Type ◽  
High Fidelity Simulation ◽  
Training Tool

IntroductionAll aspects of medical training have experienced an exponential acceleration in the application of technology for learning needs.1 Research promotes the use of high fidelity models and ever more complex training methods with organisations keen to adopt and implement new technology. Models are utilised to minimise potential risks to patients through bedside learning and refine established technique.2 Simulation practice can also be used to develop non-technical skills pertinent to safe clinical practice.2–4 Simulation training can be employed from early stages of undergraduate education through to use in professional postgraduate exams giving a large scope of use in a multiplicity of environments.1 4 5MethodsForty Foundation Year 1 Doctors were taught clinical skills utilising Low fidelity part task training models. Four clinical skills were selected from pre-determined postgraduate curricula. Self assessment pre and post procedure were recorded with qualitative feedback sought as a secondary measure.ResultsGlobal increases are seen across 4 sampled clinical skills. Participants self-reported increased confidence and competence. A high value was placed upon trainees perceived value in training.ConclusionFidelity has been shown to play an integral role in simulation.4 The authors conclude that simple part task trainers, low fidelity models, still have a valuable part to play in medical education. They remain cost effective, adaptable and accessible training tools in the era of increasing complexity.1 5 Simulation provides a safe space to develop both technical and non-technical aspects.3 4 Low fidelity simulation can be used to underpin the learning objectives of trainees through effective feedback in real time, access to repetitive practice and remain a feasible training tool for trainers and trainees alike.2 4 High fidelity simulation should not be excluded completely however appears to be best suited to defined roles in more complex moulage.1 4Take home messageTechnology has the ability to improve and evolve medical education. With the potential for increased feedback, self and peer assessment along with pragmatic assessment, simulation has firmly entrenched itself in medical education. Care should be taken however not to disregard lower fidelity models as they still provide proven effective learning, enable the teaching of non-technical skills and facilitate knowledge delivery.ReferencesSarmah P, et al. Low vs. high fidelity: the importance of ‘realism’ in the simulation of a stone treatment procedure. Curr Opin Urol 2017;27(4):316–322.Naik VN, Brein SE. Review article: simulation: a means to address and improve patient safety. Can J Anaesth 2013;60(2):192–200.Aebersold M. The history of simulation and its impact on the future. AACN Adv Crit Care 2016;27(1):56–61.Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. Open Nurs J 2012;6:82–89.Aggarwal R, et al. Training and simulation for patient safety. Qual Saf Health Care 2010;19(Suppl 2):i34–i43.

Self vs expert assessment of technical and non-technical skills in high fidelity simulation

2011 ◽  
Vol 202 (4) ◽  
pp. 500-506 ◽  
Author(s):  
Sonal Arora ◽  
Danilo Miskovic ◽  
Louise Hull ◽  
Krishna Moorthy ◽  
Rajesh Aggarwal ◽  
...  
Keyword(s):  
Technical Skills ◽  
Expert Assessment ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals Training with High Fidelity Simulation in the Care of Patients with Coronavirus—A Learning Experience in Native Health Care Multi-Professional Teams

Healthcare ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1260
Author(s):  
Andrés Rojo-Rojo ◽  
Maria Belén Soto-Castellón ◽  
Juan Antonio García-Méndez ◽  
César Leal-Costa ◽  
Maria Gracia Adánez-Martínez ◽  
...  
Keyword(s):  
Intensive Care ◽  
Learning Experience ◽  
Phase 1 ◽  
Training Session ◽  
Technical Skills ◽  
Training Needs ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Before And After ◽  
Simulation And Evaluation

The training of emergency and intensive care teams in technical and non-technical skills is fundamental. The general aim of this study was to evaluate the training of various professional teams with simulations based on the care of COVID-19 patients using Zone 3 simulations (native emergency medical services and intensive care units-ICU teams) in the Region of Murcia (Spain). A mixed pilot study was designed (qualitative/quantitative) comprised of three phases: Phase 1: detection of needs (focus groups), Phase 2: design of simulation scenarios, and Phase 3: training with high-fidelity simulation and evaluation of competences. The results were used to determine the real training needs of these health professionals, which were used to design four simulation scenarios in line with these needs. The team competences were evaluated before and after the training session, with increases observed after the training sessions, especially in non-technical skills such as communication. Training with zone 3 simulation, with multi-professional native emergency and intensive care teams who provided care to patients with coronavirus was shown to be an effective method, especially for training in non-technical skills. We should consider the training needs of the professionals before the start of any training program to stay one-step ahead of crisis situations.

scholarly journals Simulation as a Training Method for Electricity Workers’ Safety

2021 ◽  
Vol 18 (4) ◽  
pp. 1591
Author(s):  
Fabrizio Bracco ◽  
Michele Masini ◽  
Donald Glowinski ◽  
Tommaso Piccinno ◽  
Simon Schaerlaeken
Keyword(s):  
Technical Skills ◽  
Training Model ◽  
Future Research ◽  
Head Orientation ◽  
High Fidelity ◽  
Electricity Distribution ◽  
High Fidelity Simulation ◽  
Training Method ◽  
Self Reflection ◽  
Depth Analysis

Background: Simulation is a useful method to improve learning and increase the safety of work operations, both for technical and non-technical skills. However, the observation, assessment, and feedback about these skills is particularly complex, because the process needs expert observers, and the feedback could be judgmental and ineffective. Therefore, a structured process to develop effective simulation scenarios and tools for the observation and feedback about performance is crucial. To this aim, in the present research, we developed a training model for electricity distribution workers, based on high fidelity simulation. Methods: We designed simulation scenarios based on real cases, developed, and tested a set of observation and rating forms for the non-technical skills behavioral markers, and we tracked behaviors based on non-verbal cues (physiological and head orientation parameters). Results: The training methodology proved to be highly appreciated by the participants and effective in fostering reflexivity. An in-depth analysis of physiological indexes and behaviors compliant to safety procedures revealed that breath rate and heart rate patterns commonly related with mindful and relaxed states were correlated with compliant behaviors, and patterns typical of stress and anxiety were correlated with non-compliant behaviors. Conclusions: a new training method based on high fidelity simulation, addressing both technical and non-technical skills is now available for fostering self-reflection and safety for electricity distribution workers. Future research should assess the long-term effectiveness of high-fidelity simulation for electricity workers, and should investigate non-invasive and real-time methods for tracking physiological parameters.

scholarly journals Using High-Fidelity Simulation to Teach Ethics Related Non-Technical Skills: Description of an Innovative Model

2020 ◽  
Vol Volume 11 ◽  
pp. 247-251
Author(s):  
Issam Tanoubi ◽  
L Mihai Georgescu ◽  
Arnaud Robitaille ◽  
Pierre Drolet ◽  
Roger Perron
Keyword(s):  
Technical Skills ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Innovative Model

scholarly journals ABCDE: Directing Student Observation During High-Fidelity Simulation

2020 ◽  
Vol 30 (4) ◽  
pp. 1347-1349
Author(s):  
Josephine Seale ◽  
Abubakar Khan ◽  
Barnaby Hirons ◽  
Colin Butchers
Keyword(s):  
Medical Student ◽  
Active Learning ◽  
Learning Environment ◽  
Technical Skills ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Educational Benefits ◽  
Future Work ◽  
Student Observation

AbstractTo encourage an active learning environment during the observation stage of high-fidelity simulation, an observation tool was created to help students recognise and record the technical and non-technical skills identified whilst watching their peers. Future work will involve quantifying any educational benefits of the tool across the medical student cohort.

Simulation training in laser safety education: the use of technical and non-technical skills simulation in a comprehensive laser safety course

2019 ◽  
Vol 133 (8) ◽  
pp. 700-703
Author(s):  
C Hall ◽  
S Okhovat ◽  
T D Milner ◽  
J Montgomery ◽  
A Hitchings ◽  
...  
Keyword(s):  
Simulation Training ◽  
Technical Skills ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Safety Education ◽  
The West ◽  
Laser Safety ◽  
Laser Simulation ◽  
The Uk

AbstractObjectiveThe completion of a laser safety course remains a core surgical curriculum requirement for otolaryngologists training in the UK. This project aimed to develop a comprehensive laser safety course utilising both technical and non-technical skills simulation.MethodsOtolaryngology trainees and consultants from the West of Scotland Deanery attended a 1-day course comprising lectures, two high-fidelity simulation scenarios and a technical simulation of safe laser use in practice.ResultsThe course, and in particular the use of simulation training, received excellent feedback from otolaryngology trainees and consultants who participated. Both simulation scenarios were validated for future use in laser simulation.ConclusionThe course has been recognised as a laser safety course sufficient for the otolaryngology Certificate of Completion of Training. To the authors’ knowledge, this article represents the first description of using in situ non-technical skills simulation training for teaching laser use in otolaryngology.

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