Managing emergencies in primary care: does real-world simulation-based training have any lasting impact?

Forde, Emer; Bromilow, J.; Jackson, Susie; Wedderburn, Clare

doi:10.1136/bmjstel-2017-000246

Cited by 4 publications

(11 citation statements)

References 4 publications

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“…Previous research with healthcare assistants showed participants felt simulation-based training had reinforced their clinical knowledge and ability as well as adding to it 21. Increased confidence following in situ training has been shown to remain at an 8-week follow-up22 thus indicating this type of training has lasting benefits towards managing the acutely ill patient.…”

Section: Discussionmentioning

confidence: 97%

Using in situ simulation to improve care of the acutely ill patient by enhancing interprofessional working: a qualitative proof of concept study in primary care in England

et al. 2019

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ObjectiveAcutely unwell patients in the primary care setting are uncommon, but their successful management requires involvement from staff (clinical and non-clinical) working as a cohesive team. Despite the advantages of interprofessional education being well documented, there is little research evidence of this within primary care. Enhancing interprofessional working could ultimately improve care of the acutely ill patient. This proof of concept study aimed to develop an in situ simulation of a medical emergency to use within primary care, and assess its acceptability and utility through participants’ reported experiences.SettingThree research-active General Practices in south east England. Nine staff members per practice consented to participate, representing clinical and non-clinical professions.MethodsThe intervention of an in situ simulation scenario of a cardiac arrest was developed by the research team. For the evaluation, staff participated in individual qualitative semistructured interviews following the in situ simulation: these focused on their experiences of participating, with particular attention on interdisciplinary training and potential future developments of the in situ simulation.ResultsThe in situ simulation was appropriate for use within the participating General Practices. Qualitative thematic analysis of the interviews identified four themes: (1) apprehension and (un)willing participation, (2) reflection on the simulation design, (3) experiences of the scenario and (4) training.ConclusionsThis study suggests in situ simulation can be an acceptable approach for interdisciplinary team training within primary care, being well-received by practices and staff. This contributes to a fuller understanding of how in situ simulation can benefit both workforce and patients. Future research is needed to further refine the in situ simulation training session.

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Section: Discussionmentioning

confidence: 97%

Using in situ simulation to improve care of the acutely ill patient by enhancing interprofessional working: a qualitative proof of concept study in primary care in England

et al. 2019

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“…Five of the studies mainly used surveys to record a combination of selfreported confidence using a Likert scale and collected qualitative information using free-text questions. 3,4,6,12,25 One study was a qualitative study that used semi-structured interviews and thematic data analysis. 26 Two studies incorporated independent assessments of performance during emergency simulations.…”

Section: Includedmentioning

confidence: 99%

“…All studies demonstrated a positive effect on self-perceived confidence, competence and preparedness for the management of emergency cases in medical staff. 3,4,6,7,12,[25][26][27] GPs' confidence in managing time-critical emergencies were often initially low, and significantly improved immediately after attending 'real-world', simulation-based training. 14 These changes were applicable to all medical staff including nonclinical staff.…”

Section: Includedmentioning

confidence: 99%

“…2 Although emergencies occur relatively infrequently in primary care, 3 general practitioners (GPs) have a responsibility to provide prompt and effective care when attending to life-threatening emergencies in their surgeries. 4 The primary care provider plays an important role in the paediatric 5 and adult emergency care services; however, due to the relative infrequency of emergencies in primary care, it can be quite daunting for those involved when emergencies occur. 3 Primary care providers, particularly those who have worked outside of a hospital setting for a prolonged period, may feel ill-prepared to manage emergently ill patients.…”

Section: Introductionmentioning

confidence: 99%

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Impact of emergency simulation training in primary care: a rapid review

Gauznabi

2024

J Prim Health Care

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Introduction. Primary care is increasingly exposed to acutely unwell patients and there is an increasing responsibility of primary care physicians to be well-equipped to manage medical emergencies. One means of training primary care staff is through simulation training; however, emergency simulation training in primary care is not well established. Aim. The objective of this study was to conduct a rapid literature review of studies looking at the use and impacts of emergency care simulation training in primary care. Methods. A systematic literature search with pre-defined key terms was carried out in November 2023 using the databases of PubMed, ERIC, EmBase and PsychInfo. Studies between 2013 and 2023 that met the inclusion criteria were reviewed. Only journal articles in English with full texts that were available were reviewed. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, data extraction was systematically structured, and studies were appraised systematically. Results. Of 523 initial studies found from the literature review, eight studies met the eligibility criteria. Seven of the eight studies evaluated the efficacy of simulation training for primary care providers; these were prospective cohort studies. One of the eight studies was a proof-ofconcept study. One study specifically compared high-fidelity to low-fidelity simulations. No previous literature reviews on the use of emergency simulations in primary care were found in this literature search. All studies were consistent in terms of the significant benefits emergency care simulation has for primary care staff in improving confidence, clinical practice and emergency management systems. These changes applied to both clinical and non-clinical staff. There were specific benefits from in-clinic simulation. Discussion. This review emphasises the significant benefits of emergency simulation training in primary care. There should be greater consideration of specifically incorporating such educational tools in primary care specialties such as general practice, rural general practice and urgent care.

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“…These are relatively uncommon and previous research has shown this is an area where some doctors lack confidence and competence. [2][3][4] In the current National Health Service crisis, with stretched resources, it is particularly important that GPs are equipped to manage time critical emergencies, because GP surgeries are deemed a place of safety and 999 ambulances can be redirected to other emergencies, thereby delaying transfer to secondary care for patients in GP settings.…”

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confidence: 99%

Virtual training in the practical management of emergencies in primary care: making a virtue out of necessity

Forde

Butcher

Fraser

et al. 2021

BMJ Simul Technol Enhanc Learn

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Managing emergencies in primary care: does real-world simulation-based training have any lasting impact?

Cited by 4 publications

References 4 publications

Using in situ simulation to improve care of the acutely ill patient by enhancing interprofessional working: a qualitative proof of concept study in primary care in England

Using in situ simulation to improve care of the acutely ill patient by enhancing interprofessional working: a qualitative proof of concept study in primary care in England

Impact of emergency simulation training in primary care: a rapid review

Virtual training in the practical management of emergencies in primary care: making a virtue out of necessity

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