Gaming Simulation as Health and Safety Training for Home Health Care Workers

Darragh, Amy; Lavender, Steven A.; Polivka, Barbara; Sommerich, Carolyn M.; Wills, Celia E.; Hittle, Bradley; Chen, Renee; Stredney, Don

doi:10.1016/j.ecns.2016.03.006

Cited by 20 publications

(18 citation statements)

References 18 publications

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“…Of these seventeen studies, six involved qualitative research including semi-structured one-to-one interviews and/or focus groups with home health or community care workers 13,17,19,21,22,30 ; seven were cross-sectional surveys 12,15,16,18,20,25,31 ; two were mixed method studies involving a survey and additional semi-structured interviews with a sample of respondents 22,28 ; one was a case report 14 ; and one was development of a training simulation for workers. 24 Twelve of the studies were from the United States, two from Canada, and one each from Australia, Denmark, and Sweden.…”

Section: Resultsmentioning

confidence: 99%

Home Health and Community Care Workers’ Occupational Exposure to Secondhand Smoke: A Rapid Literature Review

Angus

Semple

2018

Nicotine &Amp; Tobacco Research

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IntroductionAlthough many workers are protected from exposure to secondhand tobacco smoke (SHS), home health and community care workers enter domestic settings where SHS is commonly present. Little is known about the extent of SHS exposure among this occupational group.MethodsA rapid review to examine the literature on home health and community care workers’ exposure to SHS at work and identify research gaps. Systematic searches combining terms for SHS exposure (eg, “tobacco smoke pollution”) with terms for home health and care workers, patients and settings (eg, “home health nursing”) were run in CINAHL and Medline (with no date or language limitations). Web site and backward-forward citation searches identified further papers for narrative review.ResultsTwenty relevant publications covering seventeen studies considered home health or community care workers’ exposure to SHS either solely or as part of an assessment of other workplace hazards. Eight studies provided data on either the proportion of home care workers exposed to SHS or the frequency of exposure to SHS. No studies provided quantification of SHS concentrations experienced by this group of workers.ConclusionsExposure to SHS is likely to be common for workers who enter private homes to provide care. There is a need for research to understand the number of workers exposed to SHS, and the frequency, duration, and intensity of the exposure. Guidance should be developed to balance the rights and responsibilities of those requiring care alongside the need to prevent the harmful effects of SHS to workers providing care in domestic settings.ImplicationsVery little is known about home health and community care workers’ exposure to SHS. There is a need for research to quantify how many workers are exposed, how often and for how long exposure occurs, and the concentrations of SHS experienced. In many countries, home health care workers may be one of the largest working groups that experience exposure to SHS as part of their employment. The public health community needs to engage in a debate about how home health care workers can be best protected from SHS.

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Section: Resultsmentioning

confidence: 99%

Home Health and Community Care Workers’ Occupational Exposure to Secondhand Smoke: A Rapid Literature Review

Angus

Semple

2018

Nicotine &Amp; Tobacco Research

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“…Recent studies suggest that simulation-based training is helpful in the mastery of complex clinical concepts. 1,2 Online simulation training provides advanced education before health technology is implemented. Although medical devices have become more interconnected and complex, the AAMI Foundation suggests that current training is based on past practices and has not evolved.…”

Section: Resultsmentioning

confidence: 99%

“…The study resulted in training related to electrical safety, fire hazards, and environmental hazards such as slips, trips, and falls. 1 A nonexperimental explorative study by Eisert and Geers 18 used self-developed instruments, including scenario description and time log sections. The researchers sought to understand the simulation process by looking at patterns of activity usage and quantifying time commitments related to simulation.…”

Section: Critical Appraisal Of the Evidencementioning

confidence: 99%

“…Recent studies have suggested that simulation-based training is helpful in the mastery of complex clinical concepts. 1,2 In addition, during an AAMI Foundation Industry Council meeting, the experts in attendance agreed that current training is based on past practices and needs to evolve. 3 This lack of effective training is a cause for concern because a clinician's main focus is the patient and learning the many facets of a complex medical device can be overwhelming, if not impossible.…”

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confidence: 99%

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Review : Use of Simulation-Based Training to Aid in Implementing Complex Health Technology

Devers¹

2018

Biomedical Instrumentation & Technology

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Clinicians are adult learners in a complex environment that historically does not invest in training in a way that is conducive to these types of learners. Adult learners are independent, self-directed, and goal oriented. In today's fast-paced clinical setting, a practical need exists for nurses and clinicians to master the technology they use on a daily basis, especially as medical devices have become more interconnected and complex. As hospitals look to embrace new technologies, medical device companies must provide clinical end-user training. This should be a required part of the selection process when considering the purchase of any complex medical technology. However, training busy clinicians in a traditional classroom setting can be difficult and costly. A simple, less expensive solution is online simulation training. This interactive training provides a virtual, "hands-on" end-user experience in advance of implementing new equipment. Online simulation training ensures knowledge retention and comprehension and, most importantly, that the training leads to end-user satisfaction and the ability to confidently operate new equipment. A review of the literature revealed that online simulation, coupled with the use of adult learning principles and experiential learning, may enhance the experience of clinical end users.

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“…There has been exponential increase in the creation and study of virtual simulation platforms across health care disciplines (Cobbett & Snelgrove-Clarke, 2016;Darragh et al, 2016;Foronda, Gattamorta, Snowden, & Bauman, 2014;Lapum et al, 2018;Verkuyl, Atack, Mastrilli, & Romaniuk, 2016). However, the inclusion of debriefing is only noted in a few studies (Foronda et al, 2014;Mathew, Brewer, Crist, & Poedel, 2017).…”

Section: Introductionmentioning

confidence: 99%

Virtual Gaming Simulation: Exploring Self-Debriefing, Virtual Debriefing, and In-person Debriefing

Verkuyl

Lapum

Hughes

et al. 2018

Clinical Simulation in Nursing

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Background: Best practice guidelines exist for debriefing, but only a little is known on how these align with the unique attributes of virtual simulation. This study explores self-debriefing, virtual debriefing, and in-person debriefing methods after a virtual gaming simulation. Methods: A focus-group-study methodology was employed with a convenience sample of 24 nursing students. The study was theoretically informed by the 3D Model of Debriefing. Results: Study results were categorized according to four thematic areas including defusing, discovering, deepening, and environment. Conclusion: This study provides insight into design and implementation of various debriefing formats using the unique features of virtual simulation.

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Gaming Simulation as Health and Safety Training for Home Health Care Workers

Cited by 20 publications

References 18 publications

Home Health and Community Care Workers’ Occupational Exposure to Secondhand Smoke: A Rapid Literature Review

Home Health and Community Care Workers’ Occupational Exposure to Secondhand Smoke: A Rapid Literature Review

Review : Use of Simulation-Based Training to Aid in Implementing Complex Health Technology

Virtual Gaming Simulation: Exploring Self-Debriefing, Virtual Debriefing, and In-person Debriefing

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