scholarly journals Mobile medical simulation for rural anesthesia providers: A feasibility study

2020 ◽  
Author(s):  
Kalyani Premkumar ◽  
Umaefulam Valerie ◽  
Jennifer O'Brien
Keyword(s):  
Learning Strategies ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Surgical Care ◽  
Rural Hospitals ◽  
Logic Model ◽  
Medical Simulation ◽  
Model Framework ◽  
Clinical Procedures ◽  
Time Required

Introduction: Family practice anesthesia (FPA) providers are family physicians trained to deliver anesthesia care; they often practice in rural hospitals to facilitate surgical care. FPA providers in rural hospitals face challenges including professional isolation and limited opportunities for formal continuing education. To address needs identified by FPA providers, we piloted mobile medical simulation in rural Saskatchewan. Methods: Using a logic model framework, we evaluated feasibility of a one-day interdisciplinary mobile simulation workshop for healthcare providers in a rural Saskatchewan hospital. As part of this mixed methods pilot study, we interviewed stakeholders to explore their perceptions of human and financial resources associated with delivering medical simulations in rural locations. Multiple simulation scenarios were utilized to train participants in clinical and professional skills. Participants completed pre- and post-workshop surveys to evaluate their experience. Results: Financial and human resources included cost of renting, transportation of mannequins, and the time required to create the scenarios. Participants (n = 10) reported improved knowledge and found the experience valuable. The session prompted participants to reflect on their deficiencies in certain clinical procedures/skills and highlight learning strategies to address the gap. Discussion: Mobile medical simulation brought continuing medical education (CME) to health professionals in a rural location, but the program was expensive. Our logic model may inform educators and administrators considering mobile medical simulation for physicians in rural areas when balancing resource allocation and the organization’s commitment to CME for rural physicians.

Simulation capacity building in rural Indian hospitals: a 1-year follow-up qualitative analysis

2020 ◽  
pp. bmjstel-2019-000577
Author(s):  
Veena Sheshadri ◽  
Isaac Wasserman ◽  
Alexander W Peters ◽  
Vatshalan Santhirapala ◽  
Shivani Mitra ◽  
...  
Keyword(s):  
Simulation Training ◽  
Medical Training ◽  
Rural Hospitals ◽  
Medical Simulation ◽  
Staff Members ◽  
Context Sensitive ◽  
Consultant Anaesthetist ◽  
Time Required ◽  
Training Programmes ◽  
Simulator Program

IntroductionThe benefits of simulation-based medical training are well described. The most effective way to plant and scale simulation training in rural locations remains undescribed. We sought to plant simulation training programmes for anaesthesia emergencies in two rural Indian hospitals.MethodsTwo Indian consultant anaesthetists without experience in medical simulation underwent a 3-day course at the Boston Children’s Hospital’s (BCH) Simulator Program. They returned to their institutions and launched simulation programmes with an airway manikin and mock patient monitor. The 1-year experience was evaluated using individual, in-depth interviews of simulation facilitators. Three staff members (responsible for facilitating medical simulations over the prior year) at two rural hospitals in India were interviewed. None attended the BCH training; instead, they received on-the-job training from the BCH-trained, consultant anaesthetist colleagues.ResultsSuccesses included organisational adoption of simulation training with exercises 1 year after the initial BCH-training, increased interdisciplinary teamwork and improved clinical competency in managing emergencies. Barriers to effective, local implementation of simulation programmes fell into three categories: time required to run simulations, fixed and rigid roles, and variable resources. Thematic improvement requests were for standardised resources to help train simulation facilitators and demonstrate to participants a well-run simulation, in addition to context-sensitive scenarios.ConclusionAn in-person training of simulation facilitators to promote medical simulation programmes in rural hospitals produced ongoing simulation programmes 1 year later. In order to make these programmes sustainable, however, increased investment in developing simulation facilitators is required. In particular, simulation facilitators must be prepared to formally train other simulation facilitators, too.

A Logic Model Framework for Planning an International Refugee Health Research, Evaluation, and Ethics Committee

2021 ◽  
pp. 152483992110357
Author(s):  
Colleen Payton ◽  
Gayathri S. Kumar ◽  
Sarah Kimball ◽  
Sarah K. Clarke ◽  
Ibrahim AlMasri ◽  
...  
Keyword(s):  
Health Research ◽  
Research Evaluation ◽  
Healthcare Providers ◽  
Ethics Committee ◽  
Refugee Health ◽  
Logic Model ◽  
Ethical Framework ◽  
Medical Society ◽  
Model Framework ◽  
Social Challenges

Collaborative approaches to supporting the health of refugees and other newcomer populations in their resettlement country are needed to address the complex medical and social challenges they may experience after arrival. Refugee health professionals within the Society of Refugee Healthcare Providers (SRHP)—the largest medical society dedicated to refugee health in North America—have expressed interest in greater research collaborations across SRHP membership and a need for guidance in conducting ethical research on refugee health. This article describes a logic model framework for planning the SRHP Research, Evaluation, and Ethics Committee. A logic model was developed to outline the priorities, inputs, outputs, outcomes, assumptions, external factors, and evaluation plan for the committee. The short-term outcomes include (1) establish professional standards in refugee health research, (2) support evaluation of existing refugee health structures and programs, and (3) establish and disseminate an ethical framework for refugee health research. The SRHP Research, Evaluation, and Ethics Committee found the logic model to be an effective planning tool. The model presented here could support the planning of other research committees aimed at helping to achieve health equity for resettled refugee populations.

Use of Locum Tenens Surgeons to Provide Surgical Care in Small Rural Hospitals

2008 ◽  
Vol 33 (2) ◽  
pp. 228-232 ◽  
Author(s):  
Brit Doty ◽  
Mark Andres ◽  
Randall Zuckerman ◽  
David Borgstrom
Keyword(s):  
Surgical Care ◽  
Rural Hospitals

scholarly journals Assisting Students Learning Experiences Using an Augmented Reality Model Framework

2020 ◽  
pp. 146-151
Author(s):  
Rommel E. Balcita ◽  
◽  
Thelma D. Palaoag
Keyword(s):  
Augmented Reality ◽  
Learning Strategies ◽  
Teaching Strategy ◽  
Learning Experiences ◽  
Ar Model ◽  
Model Framework ◽  
Real Objects ◽  
Frequent Response ◽  
Statistical Mode ◽  
Learning Through Experience

In learning through experience there are so many techniques that can be used in order to learn and master skills. Strategies used for learning may be in the form of presentation, multimedia, simulation or hands-on. Others might prefer combination of strategies both being able to hear and/or see the actual or real object of machines, tools or equipment. There are advanced visual technologies available in the internet to choose from but most are not designed to the learning process in a school. Augmented reality is an emerging advance technology that shows a lot of use and opportunity as a tool for learning and enhancing experience. AR can simulate real objects into models that be used for education. This study aims to experiment on an AR engine created using the AR model framework to enhance the learning experiences of students in the different learning strategies used in this study. The experiment is focused to find the significant differences of not having and having an AR model into the learning/teaching strategy. To analyze the data frequency, statistical mode is used to find the most frequent response to interpret the nominal and ordinal categories of the variables. The results of using the AR model framework significantly improved the learning experiences of the participants.

scholarly journals 15th Bethune Round Table Conference on International SurgeryCaustic soda for the manufacture of a local variety of soap — the cause of untold suffering in the lives of children in a developing countryBarriers to care and patterns of congenital malformations in Eastern Democratic Republic of CongoAnesthesia capacity in rural hospitals in Enugu, NigeriaPostcrash management of road traffic injury victims in TanzaniaA framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countriesMaternal near miss and mortality in a tertiary care hospital in RwandaThe socioeconomic impact of lower extremity fractures in Uganda: 1-year results of a prospective case seriesPost–cesarean section pain control at Mbarara Regional Referral Hospital: a comparison of intrathecal morphine and transversus abdominis plane blockPediatric plastic surgery in global health: a scoping reviewUsing local theatre to reduce the surgical burden of childhood burns in East AfricaMeeting local needs in neonatal anesthesia to improve outcome in surgeryContext-specific challenges faced by Rwandan surgeons: development of an evidence-based resident curriculum in nontechnical skills to overcome resource variabilityUsing data to drive prehospital quality improvement in trauma: a mixed-methods analysis of the Rwandan experienceSurgical follow-up rates at HEAL Africa Hospital in Eastern Democratic Republic of CongoProof of concept methodology: feasibility of postoperative follow-up using cellular phones at HEAL Africa Hospital in the Eastern Democratic Republic of CongoDeveloping a critical care (CC) curriculum fit for purpose for the College of Surgeons of East, Central and Southern Africa (COSECSA)WHO Surgical Safety Checklist to reduce cost in a rural communityFacilitation of surgical skills acquisition by interns through simulation at UITH, NigeriaInnovations in minimally invasive surgeries for rural areasThe low-cost topical vacuum therapy unit: salvaging diabetic footEngaging communities in influencing quality of health care servicesSafety and efficacy of oral ketamine for premedication in children undergoing day surgerySurgical device innovation for low-resource settings: an alternative for bone drillingDeveloping an effective surgical skills simulation program for surgical residents in a resource-constrained settingBridging the communication gap between communities and health facilities using modern accessible technology with information power for improved care of vulnerable mothers and newborns: a case of 4 rural hospitals in UgandaFrom community laywomen to breast health workers: a successful training model for implementing a clinical breast exam screening program in MalawiImproving intra- and interhospital communication using caller user groups (CUG) for health service providers for material newborn healthAssessing access to surgical care in Nepal via a countrywide surveyManagement of bladder exstrophy using the mainz II procedure in a resource-limited setting: a multisite studyAddressing the value equation in global surgery: Connecticut’s experience with surgical care in low- and middle-income countriesInguinal hernia repair in Rwanda: a survey of the surgical residentsCompleteness and utility of surgical data capture at a rural Ugandan regional referral hospital: a foundation for quality improvement initiativesBuilding perioperative nursing capacity in Ethiopia through educationDevelopment of a combined surgery/oncology breast clinic in RwandaSurgical education partnerships: a socially responsible approach to augment surgical capacityCommunity needs assessment for prehospital trauma care in Northwestern CambodiaShumba Medical Society: practising pro-African medicine

2015 ◽  
Vol 58 (4 Suppl 1) ◽  
pp. S157-S168
Author(s):  
Mohammed Bukari ◽  
Luc Kalisya Malemo ◽  
Obinna Ajuzieogu ◽  
Respicious Boniface ◽  
George Ibrahim ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Democratic Republic ◽  
Surgical Care ◽  
Rural Hospitals ◽  
Surgical Skills ◽  
Referral Hospital ◽  
Middle Income ◽  
Regional Referral Hospital ◽  
Low And Middle Income

Exploring the experience and challenges of maternity waiting homes in Jimma, southwest Ethiopia

2021 ◽  
pp. 1-11
Author(s):  
Woubishet Girma ◽  
Dessalegn Tamiru ◽  
Mirkuzie Woldie ◽  
Ayantu Kebede ◽  
Zewdie Birhanu ◽  
...  
Keyword(s):  
Focus Group ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Computer Software ◽  
Obstetric Care ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Transportation Services ◽  
Care Access ◽  
Maternity Waiting Homes

Background Establishing maternity waiting homes is a key strategy to address the geographic barrier to obstetric care access among women living in rural areas. In Ethiopia, maternity waiting homes have been in use for several years, with a sharp increase in the number of such facilities recently. However, there is little empirical evidence detailing the experiences and challenges faced by women during the implementation of this initiative in Ethiopia. Methods This study used a multiple case study design with qualitative data collection methods, and was conducted from October to November 2016. Data were collected using focus group discussions, in-depth interviews and direct observation of each maternity waiting home. All interviews and focus group discussions were recorded using a digital voice recorder. Data were transcribed and translated into English. The coding process and formation of thematic structure was assisted by Atlas ti7.5 computer software. Results The participants reported that they were satisfied and comfortable with the services at the maternity waiting homes, as were their husbands and community leaders. Facility, social and environmental challenges were identified as common barriers to the utilisation of maternity waiting homes by stakeholders at different levels. Healthcare providers reported common challenges at maternity waiting homes include a lack of basic utilities (water and electric supply), and overcrowding because of a shortage of space and lack of medical supplies. Some women reported that poor transportation services and the distance to facilities hindered the utilisation of maternity waiting homes. Conclusions There are social and facility challenges related to the use of maternity waiting homes in Ethiopia. Policymakers and health managers should work with relevant sectors to mitigate the effect of facility, social and environmental barriers and maximise the use of maternity waiting homes.

Kangaroo mother care: Understanding community low birth weight baby care perceptions and practices for designing appropriate community based KMC implementation package: a formative research. (Preprint)

2021 ◽  
Author(s):  
Shabina Ariff ◽  
Ikram Maznani ◽  
Maria Bhura ◽  
Zahid Memon ◽  
Tayyaba Arshad ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Rural Areas ◽  
Healthcare Providers ◽  
Newborn Care ◽  
Formative Research ◽  
Kangaroo Mother Care ◽  
Community Members ◽  
Hospital Administrators ◽  
Skin Contact

BACKGROUND Low birth weight (LBW) is a common outcome of preterm birth and increases the risk of an infant’s morbidity and mortality. About 20 million infants are born with low birth weight globally. Since a significant number of births in Pakistan take place at home, it is important to focus on the use of Kangaroo Mother Care (KMC) (skin-to-skin contact) in communities to prevent neonatal mortality and morbidity. OBJECTIVE We conducted a formative research in order to understand the context of communities and facilities with regards to neonatal care and KMC practice, inform the design and delivery of culturally appropriate platforms to introduce KMC in communities, and develop effective recruitment and retention strategies of KMC, in rural areas of district Dadu, in the Sindh province. METHODS We conducted focus group discussions, in-depth interviews and key informant interviews with families of LBW babies, community members, healthcare providers and hospital administrators to identify barriers, enablers and a knowledge base for KMC interventions. RESULTS Newborn care practices in communities were subpar. Although KMC practices are not commonly practiced in communities and facilities and the method is unknown to many, family members were willing to provide KMC to LBW babies to improve their health outcomes. Community members, hospital administrators and healthcare providers widely accepted the practice for neonatal health and found it feasible and convenient. CONCLUSIONS The KMC as a method of treating low birth weight babies is widely accepted in the community. This formative research provided strategically effective ways for developing effective implementation strategies by identifying common community practices for LBW babies, and barriers and enablers to KMC practice.

Predicting Diabetes amongst Native American Elders

2011 ◽  
Vol 3 (4) ◽  
pp. 27-43
Author(s):  
S. Upadhyaya ◽  
K. Farahmand ◽  
T. Baker-Demaray
Keyword(s):  
Native American ◽  
Native Americans ◽  
Rural Areas ◽  
Operating Characteristic ◽  
Healthcare Professionals ◽  
Characteristic Curve ◽  
Healthcare Providers ◽  
Prevention Strategies ◽  
Community Members ◽  
Policy Makers

One in three Americans will be diabetic by 2050, and the rate of diabetes is disproportionately high among Native Americans, especially among Native elders age 55 and older. Early identification and prevention strategies have been regarded as the cornerstone of preventative medicine. The objective of the authors’ research was to identify factors related to diabetes and their interactions specifically among Native elders and develop a simple prediction model which can be used by healthcare professionals while interacting with Native elders in remote or rural areas. Data from a survey of 18,078 Native American elders was used in their study. After eliminating outliers using Pearson’s residuals and Cook’s distance, the area under the receiver operating characteristic curve was 0.7812 for men and 0.7230 for women. The results from the authors’ analysis provide additional perspective on how diabetes affects Native elders thus helping healthcare providers and policy makers when dealing with these community members.

Using the Logic Model Framework to Standardize Quality and Rigor in the DNP Project

2018 ◽  
Vol 44 (4) ◽  
pp. 183-186 ◽  
Author(s):  
Grace H. Sun ◽  
Barbara Cherry
Keyword(s):  
Logic Model ◽  
Model Framework
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