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https://www.readbyqxmd.com/read/29678077/use-of-system-dynamics-modeling-in-medical-education-and-research-projects
#1
Jadranka Bozikov, Danko Relic, Gjuro Dezelic
The paper reviews experiences and accomplishments in application of system dynamics modeling in education, training and research projects at the Andrija Stampar School of Public Health, a branch of the Zagreb University School of Medicine, Croatia. A number of simulation models developed over the past 40 years are briefly described with regard to real problems concerned, objectives and modeling methods and techniques used. Many of them have been developed as the individual students' projects as a part of their graduation, MSc or PhD theses and subsequently published in journals or conference proceedings...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677045/anxiety-of-active-and-passive-role-groups-in-clinical-simulation-a-pilot-study
#2
Tedra S Smith, Connie Hogewood, Sherita Etheridge, Sylvia Britt, David E Vance
Clinical simulation within nursing programs is a hallmark teaching strategy. With faculty challenged to design effective simulations for large groups of students, students are often divided into an active or passive role group. This study examined the anxiety levels experienced by students in the two roles. Results indicated that trait anxiety was similar in both groups before and after the simulation; however, there was a significant decrease in state anxiety ratings in the active role group following the simulation...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29677043/the-effects-of-interprofessional-pediatric-end-of-life-simulation-on-communication-and-role-understanding-in-health-professions-students
#3
Jacqueline Stout-Aguilar, Alison Pittman, Regina Bentley, Jerry Livingston, Bree Watzak
The purpose of this study was to analyze the impact of interprofessional pediatric end-of life simulations for health professions students. A quasiexperimental design was used with three TeamSTEPPS® tools. Forty-one students were enrolled (nursing = 20, medicine = 10, pharmacy = 10, public health = 1). TeamSTEPPS 2.0 Teamwork Attitudes Questionnaire and Teamwork Perceptions Questionnaire analysis indicated a significant difference in mean pretest and posttest scores (p = .015 and p = .028, respectively). The Team Performance Observation Tool indicated statistical significance between simulations (p < ...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29670763/evaluation-of-cognitive-load-and-emotional-states-during-multidisciplinary-critical-care-simulation-sessions
#4
Swapnil Pawar, Theresa Jacques, Kush Deshpande, Raju Pusapati, Michael J Meguerdichian
Background: The simulation in critical care setting involves a heterogeneous group of participants with varied background and experience. Measuring the impacts of simulation on emotional state and cognitive load in this setting is not often performed. The feasibility of such measurement in the critical care setting needs further exploration. Methods: Medical and nursing staff with varying levels of experience from a tertiary intensive care unit participated in a standardised clinical simulation scenario...
April 2018: BMJ simulation & technology enhanced learning
https://www.readbyqxmd.com/read/29670762/rolling-refresher-simulation-improves-performance-and-retention-of-paediatric-intensive-care-unit-nurse-code-cart-management
#5
Marcy N Singleton, Kimberly F Allen, Zhongze Li, Kevin McNerney, Urs H Naber, Matthew S Braga
Introduction: Paediatric Intensive Care Unit Nurses (PICU RNs) manage the code cart during paediatric emergencies at the Children's Hospital at Dartmouth-Hitchcock. These are low -frequency, high-stakes events. Methods: An uncontrolled intervention study with 6-month follow-up. A collaboration of physician and nursing experts developed a rolling-refresher training programme consisting of five simulated scenarios, including 22 code cart skills, to establish nursing code cart competency...
April 2018: BMJ simulation & technology enhanced learning
https://www.readbyqxmd.com/read/29667466/evaluation-of-a-modified-16-item-readiness-for-interprofessional-learning-scale-ripls-exploratory-and-confirmatory-factor-analyses
#6
Tzu-Chieh Yu, Tanisha Jowsey, Marcus Henning
The Readiness for Interprofessional Learning Scale (RIPLS) was developed to assess undergraduate readiness for engaging in interprofessional education (IPE). It has become an accepted and commonly used instrument. To determine utility of a modified 16-item RIPLS instrument, exploratory and confirmatory factor analyses were performed. Data used were collected from a pre- and post-intervention study involving 360 New Zealand undergraduate students from one university. Just over half of the participants were enrolled in medicine (51%) while the remainder were in pharmacy (27%) and nursing (22%)...
April 18, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29661267/comparison-of-electronic-versus-manual-mass-casualty-incident-triage
#7
Claudie Bolduc, Nisreen Maghraby, Patrick Fok, The Minh Luong, Valerie Homier
IntroductionMass-casualty incidents (MCIs) easily overwhelm a health care facility's human and material resources through the extraordinary influx of casualties. Efficient and accurate triage of incoming casualties is a critical step in the hospital disaster response.Hypothesis/ProblemTraditionally, triage during MCIs has been manually performed using paper cards. This study investigated the use of electronic Simple Triage and Rapid Treatment (START) triage as compared to the manual method. METHODS: This observational, crossover study was performed during a live MCI simulation at an urban, Canadian, Level 1 trauma center on May 26, 2016...
April 17, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29661039/high-fidelity-simulation-of-pediatric-emergency-care-an-eye-opening-experience-for-baccalaureate-nursing-students
#8
Sandra P Small, Peggy A Colbourne, Cynthia L Murray
Background Little attention has been given to in-depth examination of what high-fidelity simulation is like for nursing students within the context of a pediatric emergency, such as a cardiopulmonary arrest. It is possible that such high-fidelity simulation could provoke in nursing students intense psychological reactions. Purpose The purpose of this study was to learn about baccalaureate nursing students' lived experience of high-fidelity simulation of pediatric cardiopulmonary arrest. Method Phenomenological methods were used...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29656720/the-risk-of-cross-infection-in-the-emergency-department-a-simulation-study
#9
Vicki Stover Hertzberg, Yuke A Wang, Lisa K Elon, Douglas W Lowery-North
OBJECTIVESThe risk of cross infection in a busy emergency department (ED) is a serious public health concern, especially in times of pandemic threats. We simulated cross infections due to respiratory diseases spread by large droplets using empirical data on contacts (ie, close-proximity interactions of ≤1m) in an ED to quantify risks due to contact and to examine factors with differential risks associated with them.DESIGNProspective study.PARTICIPANTSHealth workers (HCWs) and patients.SETTINGA busy ED.METHODSData on contacts between participants were collected over 6 months by observing two 12-hour shifts per week using a radiofrequency identification proximity detection system...
April 16, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29650862/-caregivers-working-in-a-nursing-home-facility-utilizing-a-simulation-program-as-an-effective-preventative-measure-for-pressure-ulcers
#10
Chie Furukawa
The purpose of this study was to clarify if a simulation program utilized by caregivers working in a nursing home is an effective preventative measure for pressure ulcers. The study sample consists of 35caregivers working in a nursing home in Osaka, Japan. The results show that knowledge and practice of preventive measures were significantly higher after using the simulation program for preventive care of pressure ulcers. Nurses and care workers need to cooperate with each other to improve quality of care.
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#11
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29621278/heart-rate-variability-can-clarify-students-level-of-stress-during-nursing-simulation
#12
Natsuki Nakayama, Naoko Arakawa, Harumi Ejiri, Reiko Matsuda, Tsuneko Makino
Simulation is regarded as an effective educational method for the delivery of clinical scenarios. However, exposure to unfamiliar environments during simulation can cause excessive stress among students, possibly leading to unnatural speech/behavior and poor skill learning (Yerkes-Dodson's law). Thus, assessing students' stress in a simulation can provide educators with a better understanding of their mental state. This study sought to clarify stress changes throughout the progression of the simulation by measuring heart rate variability and students' subjective reactions in 74 nursing students...
2018: PloS One
https://www.readbyqxmd.com/read/29620704/learners-perceptions-during-simulation-based-training-an-interview-study-comparing-remote-versus-locally-facilitated-simulation-based-training
#13
Margrethe Duch Christensen, Doris Oestergaard, Peter Dieckmann, Leonie Watterson
INTRODUCTION: Remotely facilitated simulation-based training (RF-SBT) is less positively appraised than face-to-face, locally facilitated simulation-based training (LF-SBT), despite being considered as an acceptable alternative. This study compared the perceptions of learners after RF-SBT and LF-SBT to explain differences between the two and identify relevant theories that would guide future practice. METHODS: Telephone interviews were conducted with 21 newly graduated doctors and nurses who completed a standardized simulation course delivered in both RF-SBT and LF-SBT formats...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29614197/standardized-patient-simulation-to-facilitate-learning-in-evidence-based-oncology-symptom-management
#14
Jennifer Gunberg Ross, Sherry A Burrell
BACKGROUND: New graduate nurses lack the specialty knowledge and skills necessary to provide effective symptom management to oncology patients. The purpose of this article is to describe the development of a simulation-based learning experience using standardized patients to enhance undergraduate nursing students' ability to apply evidence-based principles learned in the classroom to oncology symptom management practice. METHOD: Faculty developed two standardized patient simulations for a 7-week senior seminar in evidence-based oncology symptom management...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29614196/integrating-video-simulation-scenarios-into-online-nursing-instruction
#15
Mary Jo Stanley, Jennifer Serratos, Wendy Matthew, Dinorah Fernandez, Michelle Dang
BACKGROUND: As nursing programs continue to expand online, innovative pedagogies that support online teaching and learning practices grounded in theoretical constructs are needed. METHOD: Video simulation scenarios and VoiceThread technology were used to create a model of online instruction that promotes active student participation and aligns with course objectives and content. Kolb's experiential learning theory serves as the framework for this project. RESULTS: The integration of multimedia in the course gave students a collaborative experience where they can apply their knowledge to the simulation scenarios...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29614193/stepping-into-their-shoes-the-ostomy-experience
#16
Donna G Hood, Tara L Haskins, Sherrie C Roberson
BACKGROUND: Empathetic patient care and reflective practice are linked to improved patient outcomes. Nurse educators play a key role in facilitating the development of empathy in nursing students. Research reveals an interest in reflective learning using a variety of approaches. METHOD: Taking cues from the previous literature, "The Ostomy Experience" was developed, implemented, and evaluated qualitatively. The Ostomy Experience included paired learning, simulated ostomy stories, skills application in a laboratory setting, personal experience of an ostomate appliance, and structured reflective journaling throughout the process...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29613919/addressing-dual-patient-and-staff-safety-through-a-team-based-standardized-patient-simulation-for-agitation-management-in-the-emergency-department
#17
Ambrose H Wong, Marc A Auerbach, Halley Ruppel, Lauren J Crispino, Alana Rosenberg, Joanne D Iennaco, Federico E Vaca
INTRODUCTION: Emergency departments (EDs) have seen harm rise for both patients and health workers from an increasing rate of agitation events. Team effectiveness during care of this population is particularly challenging because fear of physical harm leads to competing interests. Simulation is frequently employed to improve teamwork in medical resuscitations but has not yet been reported to address team-based behavioral emergency care. As part of a larger investigation of agitated patient care, we designed this secondary study to examine the impact of an interprofessional standardized patient simulation for ED agitation management...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29607336/the-effect-of-cardiac-arrhythmias-simulation-software-on-the-nurses-learning-and-professional-development
#18
Leila Bazrafkan, Mehdi Hemmati
Introduction: One of the important tasks of nurses in intensive care unit is interpretation of ECG. The use of training simulator is a new paradigm in the age of computers. This study was performed to evaluate the impact of cardiac arrhythmias simulator software on nurses' learning in the subspecialty Vali-Asr Hospital in 2016. Methods: This study was conducted by quasi-experimental randomized Salomon four group design with the participation of 120 nurses in subspecialty Vali-Asr Hospital in Tehran, Iran in 2016 that were selected purposefully and allocated in 4 groups...
April 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29606672/critical-care-performance-in-a-simulated-military-aircraft-cabin-environment
#19
Margaret M McNeill
BACKGROUND: Critical Care Air Transport Teams care for 5% to 10% of injured patients who are transported on military aircraft to definitive treatment facilities. Little is known about how the aeromedical evacuation environment affects care. OBJECTIVES: To determine the effects of 2 stressors of flight, altitude-induced hypoxia and aircraft noise, and to examine the contributions of fatigue and clinical experience on cognitive and physiological performance of the Critical Care Air Transport Team...
April 2018: Critical Care Nurse
https://www.readbyqxmd.com/read/29604606/exploring-student-nurses-attitudes-towards-those-who-are-obese-and-whether-these-attitudes-change-following-a-simulated-activity
#20
Janet Hunter, Karen Rawlings-Anderson, Tracy Lindsay, Tracey Bowden, Leanne M Aitken
BACKGROUND: As the prevalence of obesity increases worldwide the field of bariatric medicine has emerged, focussing on the causes, prevention and treatment of obesity. People who are obese regularly face bias from healthcare professionals, which can negativity impact on care delivery and patient outcomes. The introduction of bariatric empathy suits into simulated practice may enable student nurses to appreciate the needs of, and influence their attitudes towards, obese people. OBJECTIVES: The aim of this study was to explore student nurses' attitudes towards those who are obese and whether these attitudes change following a simulated activity...
June 2018: Nurse Education Today
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