scholarly journals Can a Simulation-based Sedation Training Course Improve the Safety of Sedation in Various Areas?

2014 ◽  
Vol 34 (2) ◽  
pp. 281-285
Author(s):  
Nobuyasu KOMASAWA ◽  
Shunsuke FUJIWARA ◽  
Ryusuke UEKI ◽  
Hironobu UESHIMA ◽  
Kazuaki ATAGI ◽  
...  
Keyword(s):  
Training Course ◽  
Simulation Based

Educational impact of a pilot paediatric simulation-based training course in Botswana

2019 ◽  
Vol 6 (5) ◽  
pp. 279-283
Author(s):  
Nicolaus W Glomb ◽  
Manish I Shah ◽  
Adeola A Kosoko ◽  
Cara B Doughty ◽  
Cafen Galapi ◽  
...  
Keyword(s):  
Test Scores ◽  
Self Efficacy ◽  
Limited Resource ◽  
Knowledge And Skills ◽  
Training Course ◽  
Resource Setting ◽  
Simulation Based ◽  
And Performance ◽  
Training Programmes ◽  
The Impact

BackgroundAs emergency medical services (EMS) systems develop globally in resource-limited settings, equipping providers with paediatric training is essential. Low-fidelity simulation-based training is an effective modality for training healthcare workers, though limited data exist on the impact of such training programmes. The objective of this study was to evaluate the paediatric portion of a simulation-based curriculum for prehospital providers in Botswana.MethodsThis was a prospective cohort study of EMS providers from more populated regions of Botswana, who attended a 2-day training that included didactic lectures, hands-on skills stations and low-fidelity simulation training. We collected data on participant self-efficacy with paediatric knowledge and skills and performance on both written and simulation-based tests. Self-efficacy and test data were analysed, and qualitative course feedback was summarised.ResultsThirty-one EMS providers participated in the training. Median self-efficacy levels increased for 13/15 (87%) variables queried. The most notable improvements were observed in airway management, newborn resuscitation and weight estimation. Mean written test scores increased by 10.6%, while mean simulation test scores increased by 21.5% (p<0.0001). One hundred per cent of the participants rated the course as extremely useful or very useful.Discussion/ConclusionWe have demonstrated that a low-fidelity simulation-based training course based on a rigorous needs assessment may enhance short-term paediatric knowledge and skills for providers in a developing EMS system in a limited-resource setting. Future studies should focus on studying larger groups of learners in similar settings, especially with respect to the impact of educational programmes like these on real-world patient outcomes.

scholarly journals The EACTS simulation-based training course for endoscopic mitral valve repair: an air-pilot training concept in action

2020 ◽  
Vol 30 (5) ◽  
pp. 691-698 ◽  
Author(s):  
Peyman Sardari Nia ◽  
Samuel Heuts ◽  
Jean H T Daemen ◽  
Jules R Olsthoorn ◽  
W Randolph Chitwood ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Course Evaluation ◽  
Pilot Training ◽  
Valve Repair ◽  
Training Course ◽  
Simulation Based ◽  
Training Concept ◽  
Post Assessment

Abstract OBJECTIVES We have developed a high-fidelity minimally invasive mitral valve surgery (MIMVS) simulator that provides a platform to train skills in an objective and reproducible manner, which has been incorporated in the European Association for Cardiothoracic Surgery (EACTS) endoscopic mitral valve repair course. The aim of the study is to provide data on the application of simulation-based training in MIMVS using an air-pilot training concept. METHODS The 2-day EACTS endoscopic mitral training course design was based on backwards chaining, pre- and post-assessment, performance feedback, hands-on training on MIMVS, theoretical content and follow-up. One hundred two participants who completed the full programme throughout 2016–2018 in the EACTS endoscopic mitral training courses were enrolled in the current study. RESULTS Of the 102 participants, 83 (83.3%) participants were staff/attending surgeons, 12 (11.8%) participants had finished residency and 5 (4.9%) participants were residents. Theoretical pre- and post-assessment showed that participants scored significantly higher on post-assessment (median score 58% vs 67%, P &lt; 0.001). Pre- and post-assessment of skills on MIMVS showed that participants could work with long-shafted instruments more accurately (suture accuracy 43% vs 99%, P &lt; 0.001) and faster (87 vs 42 s, P &lt; 0.001). Follow-up, based on course evaluation and a survey, had a response rate of 55% (57 participants). Of all surveyed participants, 33.3% (n = 19) had started an endoscopic mitral programme successfully, while 66.7% (n = 38) did not yet start. CONCLUSIONS The MIMVS is a valuable tool for the development and assessment of endoscopic mitral repair skills. This EACTS course provides surgeons with theoretical knowledge and necessary skills to start an endoscopic mitral valve programme successfully.

scholarly journals Impact of multi-professional simulation-based training on perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 patients in Pakistan

2020 ◽  
Vol 17 ◽  
pp. 19
Author(s):  
Jamal Azfar Khan ◽  
Muhammad Rizwan Bashir Kiani
Keyword(s):  
Health Workers ◽  
Military Hospital ◽  
Training Course ◽  
Perceptions Of Risk ◽  
Simulation Based ◽  
Before And After ◽  
Perceptions Of Safety ◽  
Medical Health

This study aimed to evaluate perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers’ perceptions of preparedness, safety, and their willingness to care for COVID-19 patients were measured before and after they attended a simulation-based training course to prepare them to care for COVID-19 patients at Combined Military Hospital Landi Kotal Cantt, from March 1 to April 30, 2020. The participants’ perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low, but increased after completing it (P<0.05). They felt confident and were significantly more willing to care for patients with COVID-19 or other infections requiring strict isolation. Simulation-based training is an effective tool to improve perceptions of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.

Multidisciplinary, simulation-based training to improve review of seclusion

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mike Akroyd ◽  
Janet Allison ◽  
Sarah Booth ◽  
Carole Gilligan ◽  
David Harrison ◽  
...  
Keyword(s):  
Blended Learning ◽  
Lived Experience ◽  
Psychiatric Inpatient ◽  
Postgraduate Education ◽  
Multidisciplinary Teams ◽  
Learning Approach ◽  
Content Type ◽  
Training Course ◽  
Inpatient Ward ◽  
Simulation Based

Purpose Seclusion is the supervised containment of a patient, away from others, when immediately necessary to manage safety on a psychiatric inpatient ward. When seclusion is necessary, it should be used for the shortest time possible, with a regular multidisciplinary review of the patient’s mental and physical health, medication and risk guiding decisions around continuation or ending of this restrictive measure. However, many medical and nursing staff can be anxious about taking part in such reviews. Simulation has been used in many areas of medicine to help people to develop competence and confidence, in a safe setting where their own needs can be paramount. This paper aims to describe the use of a blended learning approach, including simulation, to build confidence and competence amongst healthcare professionals in the safe review of seclusion. Design/methodology/approach A multidisciplinary group, including input from individuals with lived experience of use of seclusion, put together a one-day training course, which included group debate exploring the relationship between seclusion and the Human Rights Act, guided discussion of videos exploring some aspects of practice and a half-day of simulation where multidisciplinary teams could act as the team reviewing a patient who had been secluded. Findings This paper found that the course’s blended learning approach helped participants to feel more confident in their understanding of several aspects of seclusion, including what their team discussions should include before and after seeing a patient and in knowing when to end a period of seclusion. Originality/value While simulation is slowly becoming a more familiar component of the undergraduate and postgraduate education offer in psychiatry, the authors are unaware of any evaluation of a dedicated simulation-based training course around reviews of seclusion.

Impact of education and training course for ECMO patients based on high-fidelity simulation: a pilot study dedicated to ICU nurses

Perfusion ◽  
2018 ◽  
Vol 34 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Virginie Fouilloux ◽  
Célia Gran ◽  
Christophe Guervilly ◽  
Jean Breaud ◽  
Fedoua El Louali ◽  
...  
Keyword(s):  
Education And Training ◽  
Strategy Training ◽  
Basic Knowledge ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Training Course ◽  
Simulation Based ◽  
Post Test ◽  
Group 2 ◽  
And Training

Introduction: Medical and para-medical education is one of the key points of healthcare strategy. Training and education based on high-fidelity simulation is one of the gold standards in modern healthcare institutions. We describe a model of training dedicated to ICU nurses in charge of patients with ECMO. The aim of our educational tool was to teach ICU nurses ECMO basic knowledge and skills. Methods: An ECMO Specialist Course Committee implemented the training programme. It was on two consecutive days and consisted of theoretical, practical and high-fidelity, simulation-based teaching. A content expert implemented each scenario and learning objectives were defined. Participants were assessed pre- and post-test (Group 1 and Group 2). Results: In two years, seven sessions took place and 40 volunteers were enrolled. High-fidelity, simulation-based teaching consisted of seven scenarios. There was a significant improvement in mean score between pre- and post-test. Moreover, we noticed that the basic level (pre-test) of participants was improving over the time. The mean pre-test scores of Group 2 were significantly higher than Group1. Conclusion: The implementation of education and training course for ICU nurses in charge of patients on ECMO is feasible and reliable. It improves nurse personal levels, but also shares in improving the global level of the team to which they belong.

scholarly journals Simulation-based training in critical resuscitation procedures improves residents' competence

CJEM ◽  
2009 ◽  
Vol 11 (06) ◽  
pp. 535-539 ◽  
Author(s):  
Trevor S. Langhan ◽  
Ian J. Rigby ◽  
Ian W. Walker ◽  
Daniel Howes ◽  
Tyrone Donnon ◽  
...  
Keyword(s):  
Skill Acquisition ◽  
Clinical Skills ◽  
Skills Training ◽  
The Self ◽  
Self Assessment ◽  
Procedural Skills ◽  
Training Course ◽  
Simulation Based ◽  
The Impact

ABSTRACT Objective: Residents must become proficient in a variety of procedures. The practice of learning procedural skills on patients has come under ethical scrutiny, giving rise to the concept of simulation-based medical education. Resident training in a simulated environment allows skill acquisition without compromising patient safety. We assessed the impact of a simulation-based procedural skills training course on residents' competence in the performance of critical resuscitation procedures. Methods: We solicited self-assessments of the knowledge and clinical skills required to perform resuscitation procedures from a cross-sectional multidisciplinary sample of 28 resident study participants. Participants were then exposed to an intensive 8-hour simulation-based training program, and asked to repeat the self-assessment questionnaires on completion of the course, and again 3 months later. We assessed the validity of the self-assessment questionnaire by evaluating participants' skills acquisition through an Objective Structured Clinical Examination station. Results: We found statistically significant improvements in participants' ratings of both knowledge and clinical skills during the 3 self-assessment periods (p &lt; 0.001). The participants' year of postgraduate training influenced their self-assessment of knowledge (F 2,25 = 4.91, p &lt; 0.01) and clinical skills (F 2,25 = 10.89, p &lt; 0.001). At the 3-month follow-up, junior-level residents showed consistent improvement from their baseline scores, but had regressed from their posttraining measures. Senior-level residents continued to show further increases in their assessments of both clinical skills and knowledge beyond the simulation-based training course. Conclusion: Significant improvement in self-assessed theoretical knowledge and procedural skill competence for residents can be achieved through participation in a simulation-based resuscitation course. Gains in perceived competence appear to be stable over time, with senior learners gaining further confidence at the 3-month follow-up. Our findings support the benefits of simulation-based training for residents.

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