Effect of an in-situ simulation workshop on home birth practice in Australia

<p>The Use of in situ Simulation in Healthcare Education: Current Perspectives</p>

“…[24][25][26] One study assessed how the learning outcomes of the healthcare professionals changed their practice through an interview process, while another led a post-simulation focus group. 31,33 Questions regarding comfort level with task, the effect on change in their practice and perception on teamwork were included. Other studies had instructors present during the simulation, some were given specific checklists or validated tools such as the Johns Hopkins disaster tool, in order to evaluate the participants.…”

“…30 More recently, in situ simulation training has been used in a community setting for midwives to prepare for home-birth-related emergencies. 31 The scenarios were developed by the multi-disciplinary team including obstetricians, nurses and midwives. 26 One study assessed the effects of designing a simulation lab in the work space with easy access for staff to use both in designated and free time but was limited by the lack of outcome measures.…”

“…19 Non-anesthetists practiced sedation skills in pediatric emergency settings. 32 A study in a mental health triage ward focused on medically deteriorating patients in a mental health setting, choosing priority training needs for the staff with scenarios such as respiratory distress, diabetic • Paediatric ED 1,12,13,16,22,23,27,28,32 • Adult ED 11,18,24,25,29, • Neonatal resuscitation 39 • Obstetrics and gynaecology 20,21,26,30,31 • Mental health 33 • Neurology 37 • ICU 35 • Anaesthetics 17,32 • Primary care 34 • General 14,36 Aim • Low-fidelity 11,27 • Medium fidelity 13 • High-fidelity 15,33,39 • Multi-centre design 12,22,23,25,34,36,39 Scheduling…”

“…• No evaluation 27,28 • Instructors during simulation watching 11,15,[24][25][26] • video recorded and assessed 16,29,39 • pre-post simulation survey 12,13,18,[21][22][23]30,34,35,37 • interviews or focus groups 31,33 • measured quality improvement 11,33 • assessed technique 17,19,32 • post simulation knowledge or confidence test 21,38 • comparing two methods of simulation…”

“…In most cases, a manikin was used; however, sometimes simulated patient actors were used, these were volunteers, healthcare staff such as midwives or medical students. 24,31,37 Some studies adopted both actors and manikins, for example, simulating the patient child, and an actor representing the parent. 25 One study used virtual reality simulators instead, for participants to be able to practice laparoscopic surgical skills.…”