Emergency Management of Anaphylaxis: A High Fidelity Interprofessional Simulation Scenario to Foster Teamwork Among Senior Nursing, Medicine, and Pharmacy Undergraduate Students

Previous studies have evaluated the effectiveness of high fidelity patient simulators (HFPS) on nursing training. However, a gap exists on the effects of role assignment in multiple-student simulation scenarios. This study explored the effects of role assignment on self-efficacy development in baccalaureate-level nursing students. Using a researcher-developed tool, based upon a previously developed and utilized tool to fit the simulation scenario, the effects of role assignment were determined. Role assignment was found to have a significant effect on self-efficacy development. Furthermore, roles that require the participant to be more involved with the simulation scenario yielded more confident scores than roles that did not require the participant to be as involved. With this study, future multi-student simulation scenarios can be adjusted knowing the impact different roles can have on self-efficacy development.

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Seeking reality through the unreal: Interviewing high-fidelity human patient simulation in undergraduate nursing education

Explorations in Media Ecology ◽

10.1386/eme_00049_1 ◽

2020 ◽

Vol 19 (3) ◽

pp. 319-335

Author(s):

Gillian Lemermeyer

Keyword(s):

Nursing Education ◽

Patient Simulation ◽

Student Nurses ◽

Research Literature ◽

High Fidelity ◽

Human Patient Simulation ◽

Human Patient ◽

Undergraduate Nursing ◽

The People ◽

Simulation Scenario

This article examines the use of high-fidelity mannequins in simulation scenarios as used in nursing undergraduate education. Notwithstanding a lack of robust support in the research literature regarding outcomes, these mannequins have been broadly taken up by educators. Employing a form of posthuman inquiry, I explore how the use of high-fidelity mannequins may affect the student nurses’ relation with real living bodies, and therefore the people they eventually look after. Ways to mitigate the potential side-effects of the medium are offered, including a reframing of the simulation scenario.

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Repetitive simulation is an effective instructional design within a pediatric resident simulation curriculum

BMJ Simulation and Technology Enhanced Learning ◽

10.1136/bmjstel-2017-000282 ◽

2018 ◽

Vol 4 (4) ◽

pp. 179-183

Author(s):

Selin Tuysuzoglu Sagalowsky ◽

Kimball A Prentiss ◽

Robert J Vinci

Keyword(s):

Instructional Design ◽

Intraclass Correlation ◽

High Fidelity ◽

High Fidelity Simulation ◽

Pediatric Resident ◽

Short Term ◽

Simulation Scenario ◽

And Performance ◽

The Impact

IntroductionRepetitive paediatric simulation (scenario-debrief-scenario; RPS) is an instructional design that allows immediate application of learner-directed feedback, in contrast to standard simulation (scenario-debrief; STN). Our aim was to examine the impact of RPS embedded within a paediatric resident simulation curriculum, comparing it to STN.MethodsIn this prospective educational cohort study, paediatric residents were enrolled in STN (n=18) or RPS (n=15) groups from August 2012 through June 2013. Each group performed an initial high-fidelity simulation and another after 1–2 weeks. Attitudes, confidence and knowledge were assessed using anonymous surveys with each scenario and at 4–6 months. Skills were assessed in real time with a modified Tool for Resuscitation Assessment Using Computerised Simulation (TRACS). Two blinded reviewers assessed a subset of videotaped scenarios for TRACS inter-rater reliability.ResultsBoth STN and RPS designs were rated highly. The curriculum led to significant short-term and long-term improvements in confidence, knowledge and performance, with no significant differences between groups. All final respondents reported that they would prefer RPS to STN (n=6 STN, 4 RPS). TRACS intraclass correlation was 0.87 among all reviewers.ConclusionsPaediatric residents reported preference for RPS over STN, with comparable impacts on confidence, knowledge and performance. The modified TRACS was a reliable tool to assess individual resident performance. Further research is needed to determine whether RPS is a more effective instructional design for teaching resuscitation skills to paediatric residents.

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New Nursing Graduates' Self-Efficacy Ratings and Urinary Catheterization Skills in a High-Fidelity Simulation Scenario

Clinical Simulation in Nursing ◽

10.1016/j.ecns.2016.12.006 ◽

2017 ◽

Vol 13 (2) ◽

pp. 71-77 ◽

Cited By ~ 7

Author(s):

Melanie Cason ◽

Teresa Atz ◽

Linda F. Horton

Keyword(s):

Self Efficacy ◽

Urinary Catheterization ◽

High Fidelity ◽

Nursing Graduates ◽

High Fidelity Simulation ◽

Simulation Scenario

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GIS applications in emergency management: Infusing geographic literacy in the classroom

Journal of Emergency Management ◽

10.5055/jem.2019.0404 ◽

2019 ◽

Vol 17 (2) ◽

pp. 119 ◽

Cited By ~ 1

Author(s):

Laura Siebeneck, PhD ◽

Ronald L. Schumann III, PhD ◽

Britt-Janet Kuenanz, PhD Student

Keyword(s):

Best Practices ◽

Emergency Management ◽

Undergraduate Students ◽

Geospatial Technologies ◽

Skill Sets ◽

Classroom Activities ◽

Gis Applications ◽

Emergency Managers ◽

Hands On ◽

Geographic Literacy

Objective: The purpose of this article is to promote growth and recognition of geographic literacy among students, faculty, and emergency management practitioners through presentation of an array of possibilities that will further best practices in emergency management higher education.Design: Guided by previous research examining the development of geographic literacy in undergraduate students, this article provides examples of traditional and newer technologies in geographic information systems (GIS) and geospatial analysis that can be incorporated into the classroom to enhance the knowledge and skill sets of future emergency managers.Setting: The setting for this article includes colleges and universities offering emergency management degree programs.Results: The information resulting from a review of the literature provides a description of traditional and newer technologies used to address spatial issues in the management of hazards and disasters as well as practical suggestions for incorporating these technologies into classroom activities.Conclusions: Geographic literacy is an essential competency for the next generation of emergency managers and as such, classroom activities should provide students hands-on experience working with GIS and other geospatial technologies.

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The evolution of response and management training at the FEMA Center for Domestic Preparedness

Journal of Emergency Management ◽

10.5055/jem.2019.0397 ◽

2019 ◽

Vol 17 (1) ◽

pp. 53

Author(s):

Amanda Stewart, MS ◽

Roy Marlow, MA ◽

Denis Campeau, MS ◽

Tony Russell, MA, MBA ◽

Jeffrey Ryan, PhD

Keyword(s):

Emergency Management ◽

Training Program ◽

Management Training ◽

Federal Emergency Management Agency ◽

High Fidelity ◽

Short History ◽

Hands On ◽

Near Future ◽

Training Opportunities ◽

Training Provider

The Federal Emergency Management Agency (FEMA) Center for Domestic Preparedness (CDP) was established in 1998 and is now 20 years old. In its short history, the CDP has significantly evolved the relevance and responsiveness of its courses and its capability to provide high-fidelity, hands-on training, and exercises to meet the demanding needs of today’s responders. This article discusses the basis of need for a competent, responder training program; the genesis of the CDP as a no-cost provider of responder training for state, local, tribal, and territorial responders; describes the current training opportunities available to responders; previews emerging training opportunities that are under development or envisioned in the very near future; and provides insight to the future progression of the CDP as it continues to expand and evolve its role as FEMA’s premiere, responder focused, hands-on training provider.

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Cognitive Load and Stress Assessment of Medical High-Fidelity Simulations for Emergency Management

Advances in Simulation and Digital Human Modeling - Advances in Intelligent Systems and Computing ◽

10.1007/978-3-030-51064-0_44 ◽

2020 ◽

pp. 343-350

Author(s):

Agnese Brunzini ◽

Alessandra Papetti ◽

Luca Formenti ◽

Aurora Luciani ◽

Daniele Messi ◽

...

Keyword(s):

Cognitive Load ◽

Emergency Management ◽

High Fidelity ◽

Stress Assessment ◽

High Fidelity Simulations

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Board 408 - Research Abstract Exploring Interprofessional Education Through a High-Fidelity Human Patient Simulation Scenario

Simulation in Healthcare The Journal of the Society for Simulation in Healthcare ◽

10.1097/01.sih.0000441660.30763.c5 ◽

2013 ◽

Vol 8 (6) ◽

pp. 584

Author(s):

Kelly Rossler

Keyword(s):

Interprofessional Education ◽

Research Abstract ◽

Patient Simulation ◽

High Fidelity ◽

Human Patient Simulation ◽

Human Patient ◽

Simulation Scenario

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Comparing the Visual Perception According to the Performance Using the Eye-Tracking Technology in High-Fidelity Simulation Settings

Behavioral Sciences ◽

10.3390/bs11030031 ◽

2021 ◽

Vol 11 (3) ◽

pp. 31

Author(s):

Issam Tanoubi ◽

Mathieu Tourangeau ◽

Komi Sodoké ◽

Roger Perron ◽

Pierre Drolet ◽

...

Keyword(s):

Visual Perception ◽

Eye Tracking ◽

Clinical Performance ◽

Vital Signs ◽

High Fidelity ◽

High Fidelity Simulation ◽

Convenience Sample ◽

Total View ◽

Simulation Scenario ◽

Tracking Technology

Introduction: We used eye-tracking technology to explore the visual perception of clinicians during a high-fidelity simulation scenario. We hypothesized that physicians who were able to successfully manage a critical situation would have a different visual focus compared to those who failed. Methods: A convenience sample of 18 first-year emergency medicine residents were enrolled voluntarily to participate in a high-fidelity scenario involving a patient in shock with a 3rd degree atrioventricular block. Their performance was rated as pass or fail and depended on the proper use of the pacing unit. Participants were wearing pre-calibrated eye-tracking glasses throughout the 9-min scenario and infrared (IR) markers installed in the simulator were used to define various Areas of Interest (AOI). Total View Duration (TVD) and Time to First Fixation (TFF) by the participants were recorded for each AOI and the results were used to produce heat maps. Results: Twelve residents succeeded while six failed the scenario. The TVD for the AOI containing the pacing unit was significantly shorter (median [quartile]) for those who succeeded compared to the ones who failed (42 [31–52] sec vs. 70 [61–90] sec, p = 0.0097). The TFF for the AOI containing the ECG and vital signs monitor was also shorter for the participants who succeeded than for those who failed (22 [6–28] sec vs. 30 [27–77] sec, p = 0.0182). Discussion: There seemed to be a connection between the gaze pattern of residents in a high-fidelity bradycardia simulation and their performance. The participants who succeeded looked at the monitor earlier (diagnosis). They also spent less time fixating the pacing unit, using it promptly to address the bradycardia. This study suggests that eye-tracking technology could be used to explore how visual perception, a key information-gathering element, is tied to decision-making and clinical performance.

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