1
|
Effectiveness of Simulation-Based Empathy Enhancement Program for Caregivers (SEE-C) Evaluated by Older Adults Receiving Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18157802. [PMID: 34360095 PMCID: PMC8345653 DOI: 10.3390/ijerph18157802] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 07/18/2021] [Accepted: 07/20/2021] [Indexed: 01/10/2023]
Abstract
The aim of this study was to examine whether a Simulation-based Empathy Enhancement program for Caregivers of the Elderly (SEE-C) was effective in increasing program satisfaction and positive emotional changes of older adults. A total of 100 older adults living alone were randomly assigned to experimental and control groups. The experimental group was interviewed by caregivers who experienced SEE-C while the control group was interviewed by caregivers who did not experience SEE-C. In both elderly groups, post session satisfaction and affective state were assessed using a Session Evaluation Questionnaire (SEQ). Chi-square test and Mann-Whitney U test were conducted. The experimental group (n = 49) reported significantly higher scores than the control group (n = 51) for all three categories of SEQ: session-depth (Mann-Whitney U = 1651.5, p = 0.005), session-smoothness (Mann-Whitney U = 1803.0, p = 0.000), and emotion-positivity (Mann-Whitney U = 1783.0, p = 0.000). However, the experimental group had significantly lower scores for the arousal category of SEQ (Mann-Whitney U = 873.5, p = 0.009). SEE-C could have a positive impact on interviews for elderly care in terms of raising the satisfaction of the interviewee.
Collapse
|
2
|
Treatment Appropriateness: Is Manual Ventilation With Current Modalities Appropriate? Crit Care Med 2021; 48:1395-1397. [PMID: 32826495 DOI: 10.1097/ccm.0000000000004478] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
3
|
Edward KL, Walpole L, Lambert G, Phillips S, Gow J, Morrow J, Huynh M, Hiller J. The influence of hospital location and 'level of care' on continuing professional development. Nurse Educ Pract 2019; 41:102634. [PMID: 31739239 DOI: 10.1016/j.nepr.2019.102634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 09/18/2019] [Accepted: 10/04/2019] [Indexed: 10/25/2022]
Abstract
Healthcare workers core skills are reinforced and knowledge of latest developments ensured by undertaking systematic continuing professional development. The current study explored the impact of health facility location and level of care provided on the continuing professional development offered to maternity services healthcare workers in Victoria, Australia. An online survey of middle to senior management staff of 71 public and private health services as well as 7 professional bodies was conducted, yielding 114 participants. Analysis was by location (metropolitan or regional/rural) and level of care provided. The findings revealed Australian Health Practitioner Regulation Agency registration is the predominant requirement to provide continuing professional development to staff. Dedicated education departments or educators are significantly underrepresented in Level 1&2 facilities, while Level 5&6 facilities are more likely to provide breastfeeding continuing professional development. Metropolitan locations provided more wide-ranging programmes compared with rural/regional locations. Key enablers are the capacity to share resources, have access to external courses and simulation equipment/centres, and the provision of relevant and timely continuing professional development programmes, indicating that 'Educational hubs' with credentialed staff working from better resourced regional facilities could deliver a complete array of CPD programmes to lower level facilities.
Collapse
Affiliation(s)
- Karen-Leigh Edward
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia; University of Huddersfield Queengate, UK.
| | - Lyn Walpole
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
| | - Gavin Lambert
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
| | - Sarah Phillips
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
| | - Jeffrey Gow
- School of Commerce, University of Southern Queensland, Toowoomba, Australia; School of Accounting, Economics and Finance, University of KwaZulu-Natal, Durban, South Africa.
| | - Jane Morrow
- Australian Catholic University, Locked Bag 4115, Fitzroy MDC Fitzroy, 3065, Australia.
| | - Minh Huynh
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
| | - Janet Hiller
- Swinburne University of Technology, PO Box 218, Hawthorn, 3122, Australia.
| |
Collapse
|
4
|
Halls A, Kanagasundaram M, Lau-Walker M, Diack H, Bettles S. 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. BMJ Open 2019; 9:e028572. [PMID: 31340967 PMCID: PMC6661592 DOI: 10.1136/bmjopen-2018-028572] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 06/15/2019] [Accepted: 06/28/2019] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Acutely 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. SETTING Three research-active General Practices in south east England. Nine staff members per practice consented to participate, representing clinical and non-clinical professions. METHODS The 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. RESULTS The 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. CONCLUSIONS This 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.
Collapse
Affiliation(s)
- Amy Halls
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | | | | | - Hilary Diack
- Health Education England Kent, Surrey and Sussex, Crawley, UK
| | - Simon Bettles
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| |
Collapse
|
5
|
Ceccaldi PF, Pirtea P, Lemarteleur V, Poulain M, Ziegler DD, Ayoubi JM. Simulation and professional development: added value of 3D modelization in reproductive endocrinology and infertility and assisted reproductive technologies teamwork. Gynecol Endocrinol 2019; 35:559-563. [PMID: 30935263 DOI: 10.1080/09513590.2019.1588874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
As in other specialties of medicine, there is more to clinical performance in reproductive endocrinology, infertility, and assisted reproductive technologies (REI-ART) than simply the individual knowledge and technical skills. Simulation is commonly used during fellowship training in REI-ART, aiming to produce a virtual cycle of professional development in order to improve patient outcome. With scientific certification and the joint development of evaluation tools, the contribution of digitalization, such as 3 D printing and digital simulators, will facilitate teamwork in REI-ART and enable a better transmission of knowledge in the specialty.
Collapse
Affiliation(s)
- Pierre-François Ceccaldi
- a Simulation Department of Paris Diderot University , ILumens Paris Diderot, Paris , France
- b Obstetrics and Gynecology Department , Beaujon Teaching Hospital, Assistance Publique Hôpitaux de Paris , Paris , France
| | - Paul Pirtea
- c Department of Obstetrics, Gynecology, and Reproductive Medicine , Hôpital Foch, Faculté de Médecine Paris Ouest, (UVSQ) , Suresnes , France
| | - Vincent Lemarteleur
- a Simulation Department of Paris Diderot University , ILumens Paris Diderot, Paris , France
| | - Marine Poulain
- c Department of Obstetrics, Gynecology, and Reproductive Medicine , Hôpital Foch, Faculté de Médecine Paris Ouest, (UVSQ) , Suresnes , France
| | - Dominique De Ziegler
- c Department of Obstetrics, Gynecology, and Reproductive Medicine , Hôpital Foch, Faculté de Médecine Paris Ouest, (UVSQ) , Suresnes , France
| | - Jean-Marc Ayoubi
- c Department of Obstetrics, Gynecology, and Reproductive Medicine , Hôpital Foch, Faculté de Médecine Paris Ouest, (UVSQ) , Suresnes , France
| |
Collapse
|
6
|
Association Between Labor and Delivery Unit Census and Delays in Patient Management. Obstet Gynecol 2018; 131:545-552. [DOI: 10.1097/aog.0000000000002482] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
7
|
Communication and Empathy in the Patient-Centered Care Model—Why Simulation-Based Training Is Not Optional. Clin Simul Nurs 2016. [DOI: 10.1016/j.ecns.2016.04.003] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
8
|
Moran NF, Naidoo M, Moodley J. Reducing maternal mortality on a countrywide scale: The role of emergency obstetric training. Best Pract Res Clin Obstet Gynaecol 2015; 29:1102-18. [DOI: 10.1016/j.bpobgyn.2015.08.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Accepted: 08/04/2015] [Indexed: 10/23/2022]
|
9
|
The Effect of Multiprofessional Simulation-Based Obstetric Team Training on Patient-Reported Quality of Care. Simul Healthc 2015. [DOI: 10.1097/sih.0000000000000099] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
|
10
|
Effectiveness of using high-fidelity simulation to teach the management of general anesthesia for Cesarean delivery. Can J Anaesth 2014; 61:922-34. [DOI: 10.1007/s12630-014-0209-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Accepted: 07/08/2014] [Indexed: 10/25/2022] Open
|
11
|
El Tantawi MM, Abdelaziz H, AbdelRaheem AS, Mahrous AA. Using Peer-Assisted Learning and Role-Playing to Teach Generic Skills to Dental Students: The Health Care Simulation Model. J Dent Educ 2014. [DOI: 10.1002/j.0022-0337.2014.78.1.tb05660.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Maha M.A. El Tantawi
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry; Alexandria University; Alexandria Egypt
| | - Hytham Abdelaziz
- Department of Conservative Dentistry, Faculty of Dentistry; Alexandria University; Alexandria Egypt
| | - Amira S. AbdelRaheem
- Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry; Alexandria University; Alexandria Egypt
| | - Ahmed A. Mahrous
- Prosthodontics Department; College of Dentistry, University of Iowa; United States
| |
Collapse
|
12
|
Papadopoulos L, Pentzou AE, Louloudiadis K, Tsiatsos TK. Design and evaluation of a simulation for pediatric dentistry in virtual worlds. J Med Internet Res 2013; 15:e240. [PMID: 24168820 PMCID: PMC3841347 DOI: 10.2196/jmir.2651] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Revised: 07/12/2013] [Accepted: 08/13/2013] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Three-dimensional virtual worlds are becoming very popular among educators in the medical field. Virtual clinics and patients are already used for case study and role play in both undergraduate and continuing education levels. Dental education can also take advantage of the virtual world's pedagogical features in order to give students the opportunity to interact with virtual patients (VPs) and practice in treatment planning. OBJECTIVE The objective of this study was to design and evaluate a virtual patient as a supplemental teaching tool for pediatric dentistry. METHODS A child VP, called Erietta, was created by utilizing the programming and building tools that online virtual worlds offer. The case is about an eight-year old girl visiting the dentist with her mother for the first time. Communication techniques such as Tell-Show-Do and parents' interference management were the basic elements of the educational scenario on which the VP was based. An evaluation of the simulation was made by 103 dental students in their fourth year of study. Two groups were formed: an experimental group which was exposed to the simulation (n=52) and a control group which did not receive the simulation (n=51). At the end, both groups were asked to complete a knowledge questionnaire and the results were compared. RESULTS A statistically significant difference between the two groups was found by applying a t test for independent samples (P<.001), showing a positive learning effect from the VP. The majority of the participants evaluated the aspects of the simulation very positively while 69% (36/52) of the simulation group expressed their preference for using this module as an additional teaching tool. CONCLUSIONS This study demonstrated that a pediatric dentistry VP built in a virtual world offers significant learning potential when used as a supplement to the traditional teaching techniques.
Collapse
Affiliation(s)
- Lazaros Papadopoulos
- Laboratory of Medical Informatics, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.
| | | | | | | |
Collapse
|
13
|
Calvert KL, McGurgan PM, Debenham EM, Gratwick FJ, Maouris P. Emergency obstetric simulation training: how do we know where we are going, if we don't know where we have been? Aust N Z J Obstet Gynaecol 2013; 53:509-16. [PMID: 24033002 DOI: 10.1111/ajo.12120] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Accepted: 06/23/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Obstetric emergencies contribute significantly to maternal morbidity and mortality. Current training in the management of obstetric emergencies in Australia and internationally focusses on utilising a multidisciplinary simulation-based model. Arguments for and against this type of training exist, using both economic and clinical reasoning. AIMS To identify the evidence base for the clinical impact of simulation training in obstetric emergencies and to address some of the concerns regarding appropriate delivery of obstetric emergency training in the Australian setting. METHODS A literature search was performed to identify research undertaken in the area of obstetric emergency training. The initial literature search using broad search terms identified 887 articles which were then reviewed and considered for inclusion if they provided original research with a specific emphasis on the impact of training on clinical outcomes. RESULTS Ninety-two articles were identified, comprising evidence in the following clinical situations: eclampsia, shoulder dystocia, postpartum haemorrhage, maternal collapse, cord prolapse and teamwork training. Evidence exists for a benefit in knowledge or skills gained from simulation training and for the benefit of training in small units without access to high-fidelity equipment or facilities. CONCLUSIONS Evidence exists for a positive impact of training in obstetric emergencies, although the majority of the available evidence applies to evaluation at the level of participants' confidence, knowledge or skills rather than at the level of impact on clinical outcomes. The model of simulation-based training is an appropriate one for the Australian setting and should be further utilised in rural and remote settings.
Collapse
Affiliation(s)
- Katrina L Calvert
- Department of Postgraduate Medical Education, King Edward Memorial Hospital, Perth, Western Australia, Australia
| | | | | | | | | |
Collapse
|
14
|
Deering S, Auguste T, Lockrow E. Obstetric simulation for medical student, resident, and fellow education. Semin Perinatol 2013; 37:143-5. [PMID: 23721768 DOI: 10.1053/j.semperi.2013.02.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Simulation for training new providers is no longer the wave of the future, but the reality of the present. It provides significant activation and allows for both the integration of concepts with actual application and the ability to practice a wide range of procedural skills at an earlier stage of training than would otherwise be possible. It is also an optimal method to sharpen teamwork and communication skills that are critical to patient safety. These concepts are especially relevant in the field of obstetrics, where even routine deliveries may become life-threatening emergencies and the health of the mother and child are dependent on correct and timely interventions and teamwork. Almost all of the skills needed, even for advanced invasive procedures, in obstetrics can be taught with currently available simulators. In this report we will discuss the use of medical simulation for training obstetric providers from medical school through subspecialty level training.
Collapse
Affiliation(s)
- Shad Deering
- Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
| | | | | |
Collapse
|