In Situ Simulation

Sharara‐Chami, Rana; Sabouneh, Rami; Zeineddine, Rida; Banat, Rim; Fayad, Joe; Lakissian, Zavi

doi:10.1097/sih.0000000000000504

Cited by 21 publications

(4 citation statements)

References 17 publications

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“…Participants agreed with 8 (7-10) that what they learned during the simulation session changed their clinical practice, including for non-suspect patients. Regarding their stress in relation to the care of patients with COVID-19, the participants moderately agreed that the putting on and removing PPE simulation session reduced their stress with a median of 7 (5)(6)(7)(8)(9). The feeling is similar for the intubation and extubation session with a median of 7 (6)(7)(8)(9).…”

Section: Perception Of the Usefulness Of The Simulation Sessionmentioning

confidence: 96%

“…Participants strongly agree that the simulation had an advantage compared with a written document with a score of 10 (8-10). They also believe that the simulation was more useful than a video with a score of 8 (7)(8)(9)(10).…”

Section: Interest Of the Simulation Tool As Compared With Other Education Toolsmentioning

confidence: 99%

“…For half of the respondents, the number of patients treated was less than five patients. When the first patient was considered, they estimated their level of confidence in the procedures at 7 (6)(7)(8).…”

Section: Training and Patient Carementioning

confidence: 99%

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In situ simulation improves perceived self-efficacy of OR nurses and anaesthesiologists during COVID-19 pandemic

Lois

Hallet

Suarez

et al. 2021

BMJ Simul Technol Enhanc Learn

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IntroductionSelf-efficacy is defined as people’s internal beliefs about their ability to have an impact on events that affect their lives. As part of the COVID-19 pandemic, we carried out in situ simulation for anaesthesiologists and operating room (OR) nurses. Simulation was focused on the recommendations on the use of specific personal protective equipment (PPE) as well as on airway management and intubation. We hypothesised that in situ procedural simulation should increase their perceived self-efficacy.MethodsBetween 16 March and 20 March 2020, 208 healthcare workers took part in in situ procedural simulation. A questionnaire was sent to participants on 21 April 2020. Six self-efficacy items related to PPE and airway manoeuvres were assessed before and after training on a Numeric Rating Scale from 0 to 10.ResultsSixty-seven participants (32%) replied to the questionnaire. The before–after comparison of the six items revealed an increase in perceived self-efficacy for each of them. A before training difference was observed between nurses, board-certified anaesthetists and trainees in anaesthesia in perceived self-efficacy for putting on (6 (3–8) vs 4.5 (2.25–6) vs 2 (0–6), p=0.007) and remove PPE (8 (5–8) vs 4.5 (3.25–6) vs 4 (1–6), p=0.009). No difference in perceived self-efficacy after training was observed between nurses, board-certified anaesthetists and trainees in anaesthesia.ConclusionsIn situ simulation improves the perceived self-efficacy of OR nurses and anaesthesiologists on specific skills related to the care of patients with COVID-19.

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Section: Perception Of the Usefulness Of The Simulation Sessionmentioning

confidence: 96%

Section: Interest Of the Simulation Tool As Compared With Other Education Toolsmentioning

confidence: 99%

See 1 more Smart Citation

In situ simulation improves perceived self-efficacy of OR nurses and anaesthesiologists during COVID-19 pandemic

Lois

Hallet

Suarez

et al. 2021

BMJ Simul Technol Enhanc Learn

View full text Add to dashboard Cite

show abstract

“…As technology and educational methods continue to evolve, clinical simulation is no longer confined to simulation centers [11]; it is being integrated into hospitals and clinics during specific processes and situations, becoming 'in situ' and thus expanding its scope and relevance [12,13]. In the context of sepsis, this approach becomes 2 of 13 even more important as it allows for the identification of problems in the workplace and the implementation of real changes [14][15][16][17]. Clinical simulation is a toolbox that ranges from simple exercises to very complex simulations, creating scenarios that aim to hone not only individual skills, but also communication and teamwork skills, with a common goal centered around preparing healthcare professionals for the real world [18,19].…”

Section: Introductionmentioning

confidence: 99%

Sepsis and Clinical Simulation: What Is New? (and Old)

Cuesta-Montero,

Navarro-Martínez,

Yedro

et al. 2023

JPM

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Background: Sepsis is a critical and potentially fatal condition affecting millions worldwide, necessitating early intervention for improved patient outcomes. In recent years, clinical simulation has emerged as a valuable tool for healthcare professionals to learn sepsis management skills and enhance them. Methods: This review aims to explore the use of clinical simulation in sepsis education and training, as well as its impact on how healthcare professionals acquire knowledge and skills. We conducted a thorough literature review to identify relevant studies, analyzing them to assess the effectiveness of simulation-based training, types of simulation methods employed, and their influence on patient outcomes. Results: Simulation-based training has proven effective in enhancing sepsis knowledge, skills, and confidence. Simulation modalities vary from low-fidelity exercises to high-fidelity patient simulations, conducted in diverse settings, including simulation centers, hospitals, and field environments. Importantly, simulation-based training has shown to improve patient outcomes, reducing mortality rates and hospital stays. Conclusion: In summary, clinical simulation is a powerful tool used for improving sepsis education and training, significantly impacting patient outcomes. This article emphasizes the importance of ongoing research in this field to further enhance patient care. The shift toward simulation-based training in healthcare provides a safe, controlled environment for professionals to acquire critical skills, fostering confidence and proficiency when caring for real sepsis patients.

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A prospective observational study comparing outcomes before and after the introduction of an intubation protocol during the COVID-19 pandemic

et al. 2022

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Objective Orotracheal intubation is a life-saving procedure commonly performed in the Intensive Care unit and Emergency Department as a part of emergency airway management. Prior to the COVID-19 pandemic, our center undertook a prospective observational study to characterize emergency intubation performed in the emergency department and critical care settings at Manitoba’s largest tertiary hospital. During this study, a natural experiment emerged when a standardized “COVID-Protected Rapid Sequence Intubation Protocol” was implemented in response to the pandemic. The resultant study aimed to answer the question; in adult ED patients undergoing emergent intubation by EM and CCM teams, does the use of a “COVID-Protected Rapid Sequence Intubation Protocol” impact first-pass success or other intubation-related outcomes? Methods A single-center prospective quasi-experimental before and after study was conducted. Data were prospectively collected on consecutive emergent intubations. The primary outcome was the difference in first-pass success rates. Secondary outcomes included best Modified Cormack–Lehane view, hypoxemia, hypotension, esophageal intubation, cannot intubate cannot oxygenate scenarios, CPR post intubation, vasopressors required post intubation, Intensive Care Unit (ICU) mortality, ICU length of stay (LOS), and mechanical ventilation days. Results Data were collected on 630 patients, 416 in the pre-protocol period and 214 in the post-protocol period. First-pass success rates in the pre-protocol period were found to be 73.1% ( n = 304). Following the introduction of the protocol, first-pass success rates increased to 82.2% ( n = 176, p = 0.0105). There was a statistically significant difference in Modified Cormack–Lehane view favoring the protocol ( p = 0.0191). Esophageal intubation rates were found to be 5.1% pre-protocol introduction versus 0.5% following the introduction of the protocol ( p = 0.0172). Conclusion A “COVID-Protected Protocol” implemented by Emergency Medicine and Critical Care teams in response to the COVID-19 pandemic was associated with increased first-pass success rates and decreases in adverse events. Supplementary Information The online version contains supplementary material available at 10.1007/s43678-022-00422-w.

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In Situ Simulation

Cited by 21 publications

References 17 publications

In situ simulation improves perceived self-efficacy of OR nurses and anaesthesiologists during COVID-19 pandemic

In situ simulation improves perceived self-efficacy of OR nurses and anaesthesiologists during COVID-19 pandemic

Sepsis and Clinical Simulation: What Is New? (and Old)

A prospective observational study comparing outcomes before and after the introduction of an intubation protocol during the COVID-19 pandemic

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