Mobile emergency simulation training for rural health providers

Martin, Douglas K.; Bekiaris, Brent; Hansen, Gregory

doi:10.22605/rrh4057

Cited by 16 publications

(33 citation statements)

References 20 publications

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“…However, this faces many issues, for example the working hour restrictions, limited personnel and considerable costs [29]. HFORS is particularly costly and can be restricted to bigger centres with better resources [30,31]. To combat this, innovations such as the FIDS "igloo" and a mobile education unit (MEU) have been created to transport simulation to new or more rural places [30] and standardise teaching using the same mobile setting.…”

Section: Logisticsmentioning

confidence: 99%

“…HFORS is particularly costly and can be restricted to bigger centres with better resources [30,31]. To combat this, innovations such as the FIDS "igloo" and a mobile education unit (MEU) have been created to transport simulation to new or more rural places [30] and standardise teaching using the same mobile setting. The 'igloo' has been shown to have face, content and construct validity and is recommended for NTS training.…”

Section: Logisticsmentioning

confidence: 99%

“…The 'igloo' has been shown to have face, content and construct validity and is recommended for NTS training. The MEU was also well received by clinicians [5,10,13,30]. It is also disputed whether higher fidelity, costly models result in greatly improved learning outcomes: one study shows no significant difference between the groups who trained with a low fidelity model (costing €14) compared to a high-fidelity model (costing €2600) [25,32].…”

Section: Logisticsmentioning

confidence: 99%

“…All training methods could benefit from using real urological case discussions (e.g. previous difficult cases from experience) to explore the decision processes and learn from mistakes and successes [20,30]. Complex unexpected patient death scenarios have been successfully tested in high-fidelity simulation, and case studies have been employed in other studies such as the S-TEAMS course [20,26].…”

Section: Further Considerationsmentioning

confidence: 99%

“…A final consideration is whether debriefing should be just for the individual or within their team. In a study by Martin et al [30], half of each group were active participants in a case while the other half observed, and both participants and observers were invited to take part in the debriefing sessions. Participants found this to be a safe and positive educational experience [30].…”

Section: Debriefing Styles and Techniquesmentioning

confidence: 99%

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Non-technical skills: a review of training and evaluation in urology

et al. 2019

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Purpose With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A growing number of training courses are emerging and some NTS curricula have also been created. Many different training methods are described in the literature but there is still uncertainty with regards to their optimum combination within a curriculum. Methods A literature review of the electronic database Medline was performed. All articles published before December 2018 were screened by abstract and included if deemed relevant by the author. The included articles' reference lists were also screened for further relevant studies. Results Simulation training is accepted as the most effective way to train NTS. Within simulation training, it is shown that the 'igloo' full immersion/distributed simulation environment is appropriate for teaching NTS in urological scenarios where a designated operating room or space is not available. The use of multiple settings, for example wards and clinics as well as the operating room, is advantageous, as is training in an interprofessional team. Classroom teaching also plays a role in NTS training as an adjunct to simulation, with evidence that it improves some parameters of NTS. All levels, including qualified surgeons, benefit from NTS training; however, adaptation to both trainee level and specialty is important. Although less time consuming, training juniors and seniors together mainly benefits juniors, and training NTS at the same time as technical skills detracts from the quality of teaching. Debriefing is an important part of training and should be well structured; there are many debriefing models in existence, allowing for choice of method based on examiner preference and participant demographic. Furthermore, examiners should be well briefed in their task and trained in NTS assessment. Conclusion To move forward, studies should combine tried and tested learning techniques into a curriculum covering all training levels, which should then be validated and followed up long term to ensure a positive impact on patient safety.

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Section: Logisticsmentioning

confidence: 99%

Section: Logisticsmentioning

confidence: 99%

Section: Logisticsmentioning

confidence: 99%

Section: Further Considerationsmentioning

confidence: 99%

Section: Debriefing Styles and Techniquesmentioning

confidence: 99%

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Non-technical skills: a review of training and evaluation in urology

et al. 2019

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Non-technical skills for urological surgeons (NoTSUS): development and evaluation of curriculum and assessment scale

et al. 2020

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Objective In the last decade non-technical skills (NTS) have emerged as a vital area for improvement within surgery. This study aims to develop and evaluate a Non-technical Skills for Urological Surgeons (NoTSUS) training curriculum and assessment scale. Methods This international, longitudinal and observational study began with a 3-round Delphi methodology to refine curriculum contents and rating scale. Sessions with up to four participants were delivered where each candidate undertook an independent scenario within the validated full immersion simulation environment. Candidates were assessed using both the NoTSS (Non-technical Skills for Surgeons) and NoTSUS rating scales by NTS-trained and non-trained experts. A posttraining evaluation survey was distributed. Results 62 participants comprising trainees (n = 43) and specialists (n = 19) undertook the NoTSUS course. The NoTSS and NoTSUS scales correlated well, with a mean difference of 3.3 in the overall total (p = 0.10, r = 0.53). However, there was significant differences in scores between the NoTSS-trained and non-trained raters (n = 28, p = 0.03). A one-way ANOVA test revealed significant improvement throughout the four simulation scenarios in each session (p = 0.02). The NoTSUS curriculum received positive feedback from participants and demonstrated educational value and acceptability. Conclusions The NoTSUS curriculum has demonstrated high educational value for NTS training aimed at urologists, with marked improvement throughout sessions. Correlation of NoTSUS and NoTSS scales proves its suitability for evaluating NTS in future training. Demonstration of inter-rater reliability indicates that the scale is reliable for use in assessment by expert faculty members. Furthermore, qualitative feedback from participants suggests gain of transferrable skills over the course.

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Use of Virtually Facilitated Simulation to Improve COVID-19 Preparedness in Rural and Remote Canada

Reece

Johnson

Simard

et al. 2021

Clinical Simulation in Nursing

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Mobile emergency simulation training for rural health providers

Cited by 16 publications

References 20 publications

Non-technical skills: a review of training and evaluation in urology

Non-technical skills: a review of training and evaluation in urology

Non-technical skills for urological surgeons (NoTSUS): development and evaluation of curriculum and assessment scale

Use of Virtually Facilitated Simulation to Improve COVID-19 Preparedness in Rural and Remote Canada

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