Studying distributed cognition of simulation-based team training with DiCoT

Rybing, Jonas; Nilsson, Heléne; Jonson, Carl‐Oscar; Bång, Magnus

doi:10.1080/00140139.2015.1074290

Cited by 18 publications

(11 citation statements)

References 38 publications

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“…The results indicate that it is beneficial to apply a structured, pedagogical competencebased design to integrate the development of simulation training tools with workrelated performances. The benefits have been indicated also by other studies (Hämäläinen, Niilo-Rämä, et al, 2018;Rybing et al, 2016). Previous studies on competence-based guidance for simulation training (Brennan et al, 2014;Kopainsky et al, 2015) are consistent with the findings of this study.…”

Section: Conclusion and Implications For Future Researchsupporting

confidence: 92%

Promoting Surgical Residents’ Basic Skills via the Design and Implementation of a Simulation Training Tool

Ruoranen

Antikainen

Mattila

et al. 2019

Simulation & Gaming

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Background. Surgical training in authentic work environments needs guidance practices, including simulation training within a competence-based framework. The use of simulators may actually have negative effects on professional learning if there is a lack of competence-based goals, tools, and guidance, integrated with work practices, and applied by trainers. Intervention. We designed simulation training tools to promote the surgical residents’ abilities to perform competently in basic surgical skills. Our educational and surgical team worked together and (i) specified the goals for the tasks, (ii) specified the skills to be achieved, (iii) and analyzed the learning outcomes. The assumption was that after completing the simulation training, the resident would gain precise basic skills. Methods. Eight (8) licensed doctors, starting their specialization in surgery or gynecology, participated in the study. In accordance with the training design the residents were asked to self-assess their achieved skills by completing questionnaires, before and after the training period. In addition, the skills achieved were assessed individually by the trainer at the end of the training period. All the assessments were carried out on a scale based on OSATS (Objective Structured Assessment of Technical Skills) and modified specifically for this study. Results. The residents and their trainers evaluated the simulation training design as effective, and as beneficial for learning basic surgical skills. However, it proved difficult for the residents to achieve the targets consistently and to assess their own skills. Some fine-tuning is needed to enhance the integration of simulation training tools with practical learning. Discussion. The simulation training appeared to motivate the trainees. Overall, there is a need for discussion on the implications for competence-based theories and simulation practices. Limitations. The small number of participants limited the possibilities for statistical analysis. The analyses and results should be seen as merely indicative. Further studies are needed.

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Section: Conclusion and Implications For Future Researchsupporting

confidence: 92%

Promoting Surgical Residents’ Basic Skills via the Design and Implementation of a Simulation Training Tool

Ruoranen

Antikainen

Mattila

et al. 2019

Simulation & Gaming

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“…To create realistic spatial and temporal feedback to the participants, a computer-based simulation tool (Forsgren et al 2011 ) was used to keep track of all units and resources, such as ambulances, helicopters and the movement of patients. Simulation of the treatment and condition of individual patients was carried out using an evidence-based analogue simulation system (Rybing et al 2016 ). The exercise used an indirect simulation approach for the RMCCT, which meant that they had no direct interaction with either simulation tool.…”

Section: Results: Capability Development Programme and Evaluationmentioning

confidence: 99%

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

et al. 2019

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Resilience has in recent decades been introduced as a term describing a new perspective within the domains of disaster management and safety management. Several theoretical interpretations and definitions of the essence of resilience have been proposed, but less work has described how to operationalise resilience and implement the concept within organisations. This case study describes the implementation of a set of general resilience management guidelines for critical infrastructure within a Swedish Regional Medical Command and Control Team. The case study demonstrates how domain-independent guidelines can be contextualised and introduced at an operational level, through a comprehensive capability development programme. It also demonstrates how a set of conceptual and reflective tools consisting of educational, training and exercise sessions of increasing complexity and realism can be used to move from high-level guidelines to practice. The experience from the case study demonstrates the value of combining (1) developmental learning of practitioners' cognitive skills through resilience-oriented reflection and interaction with dynamic complex open-ended problems; (2) contextualisation of generic guidelines as a basis for operational methodological support in the operational environment; and (3) the use of simulation-based training as part of a capability development programme with increasing complexity and realism across mixed educational, training and exercise sessions. As an actual example of a resilience implementation effort in a disaster medicine management organisation, the study contributes to the body of knowledge regarding how to implement the concept of resilience in operational practice.

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“…The label associated with a score of 5 in TAM is "somewhat useful", and 6 is "quite useful". Most participants in the evaluation perceived the digital system to function as the analogue system and participants were further observed to engage in a similar level of immersion as had been previously observed in ETS (Rybing et al, 2016). Several participants stated that using DIGEMERGO would increase control over several aspects of an exercise.…”

Section: Perceived Usefulnessmentioning

confidence: 62%

“…A DiCoT-analysis is also intended to be useful for (re)design of cognitive artefacts and systems, as it can highlight areas where the design of these could be improved (Furniss & Blandford, 2006). The result of our DiCoT analysis in the previous study (Rybing et al, 2016) was a description of cognitive functions, tasks, artefacts, and work processes of ETS expressed in the vocabulary of distributed cognition. …”

Section: Design Proceduresmentioning

confidence: 99%

“…In a previous study, several benefits of implementing a digital version of ETS were identified using a distributed cognition analysis (Rybing, Nilsson, Jonson, & Bang, 2016). That study also indicated that, although ETS provided flexibility and customizability of scenarios before and during training sessions, the flexibility of the analogue approach made the simulation vulnerable to validity and outcome reliability threats.…”

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confidence: 99%

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Designing a Digital Medical Management Training Simulator Using Distributed Cognition Theory

Rybing

Prytz

Hornwall

et al. 2016

Simulation & Gaming

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1Designing a digital medical management training simulator using distributed cognition theory 2 Structured abstractBackground: Training of medical professionals is important to improve care during masscausality events. Therefore, it is essential to extend knowledge on how to design valid and usable simulation-based training environments.Purpose: This article investigates how distributed cognition and simulation theory concepts can guide design of simulation-based training environments. We present the design and user evaluation of DIGEMERGO, a simulator for training and assessing emergency medicine management.Design approach: A prior Distributed Cognition in Teamwork (DiCoT) analysis of the Emergo Train System (ETS) guided the design process. The design objective of DIGEMERGO was to be useful, usable, retain distributed cognition features of ETS, and strengthen validity and output reliability.Evaluation: Eight expert ETS instructors participated in a formative system evaluation. The Technology Assessment Model (TAM) questionnaire was used to measure usefulness and ease of use. Observations and post-test interviews were conducted to contextualize the measures.Results: The results showed that DIGEMERGO was perceived as somewhat to quite useful and somewhat easy to use. Overall, expert users considered DIGEMERGO promising and successful in retaining core ETS features.Conclusions: The study indicates that a design methodology based on distributed cognition and simulation theory can be successfully combined to guide simulator (re)design and strengthen simulator validity.

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Studying distributed cognition of simulation-based team training with DiCoT

Cited by 18 publications

References 38 publications

Promoting Surgical Residents’ Basic Skills via the Design and Implementation of a Simulation Training Tool

Promoting Surgical Residents’ Basic Skills via the Design and Implementation of a Simulation Training Tool

Operationalising resilience for disaster medicine practitioners: capability development through training, simulation and reflection

Designing a Digital Medical Management Training Simulator Using Distributed Cognition Theory

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