Prevention of Surgical Skill Decay

Perez, Ray S.; Skinner, Anna; Weyhrauch, Peter; Niehaus, James; Lathan, Corinna; Schwaitzberg, Steven D.; Cao, Caroline G. L.

doi:10.7205/milmed-d-13-00216

Cited by 55 publications

(31 citation statements)

References 24 publications

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“…While the maintenance of competency is associated with the frequency of skills use [29] overlearning of the skill can assist with retention. [30] Loss of critical skills and knowledge is of great concern, and is problematic in situations in which student nurses are receiving the initial training but may not have an opportunity to use these skills or knowledge for extended periods of time. The development of the OSCE assessment and the subsequent dissemination of this work to our local hospitals have resulted in changes in practice with hospital managers purchasing more aneroid sphygmomanometers and introducing update training for their own registered nurses.…”

Section: Discussionmentioning

confidence: 99%

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

Unsworth

Tucker

Hindmarsh

2015

JHA

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Background: The manual recording of blood pressure is widely accepted to be more accurate than the recording of blood pressure using an automated device. Despite this many western healthcare systems have moved almost entirely to the automated recording of this important vital sign using oscillometric devices. Such devices may either fail to record the patient's blood pressure in persistent hypotension or may give inaccurate readings in people with arteriosclerotic or atherosclerotic changes. This paper explores the importance of manual blood pressure recording, the availability of aneroid sphygmomanometers in UK hospitals and the maintenance of the skills of the workforce following initial nurse education. Methods: Using a survey of nursing students to explore what opportunities they have to practice manual blood pressures in the clinical setting, the paper explores the maintenance of skills following initial nurse education. The paper also describes the results of data collection, using unobtrusive methods, regarding the availability of aneroid sphygmomanometers in general and specialist hospital facilities in Northern England (UK). Data using both methods were collected in the spring of 2014. Results: The results suggest that despite most hospitals having some aneriod sphygmomanometers available (mean was 1 device for every 6 beds in acute, 1 device for every 3 beds in specialist hospitals and 1 device for every 12 beds in mental health) they were rarely used in clinical practice with only 35% of students reporting that they had undertaken a manual blood pressure in a clinical setting during the first year of their course. In addition, some hospitals had no aneroid devices and several others had no central record of location and regular calibration of such devices. Conclusions: The suggested infrequent use of aneroid devices raises a concern that nurses skills in manual blood pressure recording may be subject to decay over time. Given the importance of these skills in patient safety and, in ensuring accurate and effective care, failure to ensure adequate equipment and opportunities for skill maintenance could result in practitioners and hospitals being open to negligence claims

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Section: Discussionmentioning

confidence: 99%

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

Unsworth

Tucker

Hindmarsh

2015

JHA

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“…To identify applied criteria for evaluating computational models of the spacing effect, we surveyed papers concerned with applying computational cognitive models to education (Anderson, ), fatigue monitoring (Gunzelmann, Veksler, Walsh, & Gluck, ), and system design (Gray, ). Furthermore, we identified considerations raised in literature from medical (Perez et al., ; Stefanidis, Korndorffer, Markley, Sierra, & Scott, ) and military training (Jastrzembski, Portrey, Schreiber, & Gluck, ; Wisher, Sabol, & Ellis, ). From these sources, a set of five considerations consistently emerged (Table ).…”

Section: Model Evaluation Criteriamentioning

confidence: 99%

Evaluating the Theoretic Adequacy and Applied Potential of Computational Models of the Spacing Effect

et al. 2018

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The spacing effect is among the most widely replicated empirical phenomena in the learning sciences, and its relevance to education and training is readily apparent. Yet successful applications of spacing effect research to education and training is rare. Computational modeling can provide the crucial link between a century of accumulated experimental data on the spacing effect and the emerging interest in using that research to enable adaptive instruction. In this paper, we review relevant literature and identify 10 criteria for rigorously evaluating computational models of the spacing effect. Five relate to evaluating the theoretic adequacy of a model, and five relate to evaluating its application potential. We use these criteria to evaluate a novel computational model of the spacing effect called the Predictive Performance Equation (PPE). Predictive Performance Equation combines elements of earlier models of learning and memory including the General Performance Equation, Adaptive Control of Thought-Rational, and the New Theory of Disuse, giving rise to a novel computational account of the spacing effect that performs favorably across the complete sets of theoretic and applied criteria. We implemented two other previously published computational models of the spacing effect and compare them to PPE using the theoretic and applied criteria as guides.

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“…2,3 A useful application for studying learning is laparoscopic surgery, because training is necessary for medical students starting laparoscopic surgery 4 ; it would be useful to know the best training schedule for them and whether different types of surgical skills interact with training schedules. 5,6 There can be several kinds of training schedules. Two types of training have typically been examined.…”

Section: Introductionmentioning

confidence: 99%

Effects of Varied Surgical Simulation Training Schedules on Motor-Skill Acquisition

Ritter

Yeh

et al. 2019

Surg Innov

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There have been many studies to evaluate the effect of training schedules on retention; however, these usually compare only 2 drastically different schedules, massed and distributed, and they have tended to look at declarative knowledge tasks. This study examined learning on a laparoscopic surgery simulator using a set of procedural or perceptual-motor tasks with some declarative elements. The study used distributed, massed, and 2 hybrid-training schedules that are neither distributed nor massed. To evaluate the training schedules, 23 participants with no previous laparoscopic experience were recruited and randomly assigned to 1 of the 4 training schedules. They performed 3 laparoscopic training tasks in eight 30-minute learning sessions. We compared how task time decreased with each schedule in a between-participants design. We found participants in all groups demonstrated a decrease in task completion time as the number of training sessions increased; however, there were no statistically significant differences in participants’ improvement on task completion time between the 4 different training schedule groups, which suggested that time on task is more important for learning these tasks than the training schedule.

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Prevention of Surgical Skill Decay

Cited by 55 publications

References 24 publications

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

Man versus Machine: the importance of manual blood pressure measurement skills amongst registered nurses

Evaluating the Theoretic Adequacy and Applied Potential of Computational Models of the Spacing Effect

Effects of Varied Surgical Simulation Training Schedules on Motor-Skill Acquisition

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