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"High Fidelity Simulation"

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https://www.readbyqxmd.com/read/28322631/priming-patient-safety-through-nursing-handoff-communication
#1
Patricia S Groves, Jacinda L Bunch, Ellen Cram, Amany Farag, Kirstin Manges, Yelena Perkhounkova, Jill Scott-Cawiezell
Understanding how safety culture mechanisms affect nursing safety-oriented behavior and thus patient outcomes is critical to developing hospital safety programs. Safety priming refers to communicating safety values intended to activate patient safety goals. Safety priming through nursing handoff communication was tested as a means by which cultural safety values may affect nursing practice. The mixed-methods pilot study setting was an academic medical center's high-fidelity simulation lab. Twenty nurses were randomized into intervention and control groups...
October 1, 2016: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28314185/nurse-students-learning-acute-care-by-simulation-focus-on-observation-and-debriefing
#2
Anna Abelsson, Birgitta Bisholt
INTRODUCTION: Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings. AIM: To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing. DESIGN: The study was designed as an observational study inspired by an ethnographic approach. METHOD: Data was collected through observations and interviews...
March 9, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28274986/use-of-simulation-training-to-prepare-pharmacy-residents-for-medical-emergencies
#3
Melissa L Thompson Bastin, Aaron M Cook, Alexander H Flannery
PURPOSE: The use of high-fidelity simulation training for preparing pharmacy residents for various high-stress and high-impact medical emergencies and the impact of this training on pharmacy residents' perception of preparedness are described. SUMMARY: During the 2015-16 residency year at the University of Kentucky Medical Center, simulation training, in addition to lecture-based orientation training, was chosen as a method to reinforce skills and knowledge learned throughout the orientation, before residents began working on-call shifts...
March 15, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28272294/use-of-high-fidelity-simulation-to-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
#4
April A Bursiek, Matthew R Hopkins, Daniel M Breitkopf, Pamela L Grubbs, Mary Ellen Joswiak, Janee M Klipfel, Kristine M Johnson
OBJECTIVES: This pilot study aimed to determine the effect of nurse/physician interdisciplinary team training on patient falls. Specifically, we evaluated team training in a simulation center as a method for targeting and minimizing breakdowns in perceptions of respect, collaboration, communication, and role misunderstanding behaviors between care disciplines. METHODS: Registered nurses (RNs) were randomly assigned to participate. Residents were divided into groups and assigned based on their availability and clinical responsibility...
March 7, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28263351/effects-of-simulation-on-nursing-student-stress-an-integrative-review
#5
Melody L Cantrell, Susan L Meyer, Victoria Mosack
BACKGROUND: The effects of stress on nursing students' health and learning is important to educators. The purpose of this review was to critically integrate the literature related to the stress that nursing students experience regarding high-fidelity simulation (HFS). METHOD: Literature from multiple search engines and databases was systematically searched. Keywords and Boolean combinations included nursing students, simulation, stress, anxiety, and self-efficacy...
March 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28255557/effects-of-gait-self-efficacy-and-lower-extremity-physical-function-on-dual-task-performance-in-older-adults
#6
RANDOMIZED CONTROLLED TRIAL
Diane K Ehlers, Sarah E Banducci, Ana M Daugherty, Jason Fanning, Elizabeth A Awick, Gwenndolyn C Porter, Agnieszka Burzynska, Sa Shen, Arthur F Kramer, Edward McAuley
Objectives. Despite evidence of self-efficacy and physical function's influences on functional limitations in older adults, few studies have examined relationships in the context of complex, real-world tasks. The present study tested the roles of self-efficacy and physical function in predicting older adults' street-crossing performance in single- and dual-task simulations. Methods. Lower-extremity physical function, gait self-efficacy, and street-crossing success ratio were assessed in 195 older adults (60-79 years old) at baseline of a randomized exercise trial...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28255138/towards-developing-high-fidelity-simulated-learning-environment-training-modules-in-audiology
#7
A A Dzulkarnain, S Rahmat, N A F Mohd Puzi, M Badzis
INTRODUCTION: This discussion paper reviews and synthesises the literature on simulated learning environment (SLE) from allied health sciences, medical and nursing in general and audiology specifically. The focus of the paper is on discussing the use of high-fidelity (HF) SLE and describing the challenges for developing a HF SLE for clinical audiology training. METHODS: Through the review of the literature, this paper discusses seven questions, (i) What is SLE? (ii) What are the types of SLEs? (iii) How is SLE classified? (iv) What is HF SLE? (v) What types of SLEs are available in audiology and their level of fidelity? (vi) What are the components needed for developing HF SLE? (vii) What are the possible types of HF SLEs that are suitable for audiology training? Publications were identified by structured searches from three major databases PubMed, Web of Knowledge and PsychInfo and from the reference lists of relevant articles...
February 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28254248/the-effectiveness-of-and-satisfaction-with-high-fidelity-simulation-to-teach-cardiac-surgical-resuscitation-skills-to-nurses
#8
Marion E McRae, Alice Chan, Renee Hulett, Ai Jin Lee, Bernice Coleman
BACKGROUND: There are few reports of the effectiveness or satisfaction with simulation to learn cardiac surgical resuscitation skills. OBJECTIVES: To test the effect of simulation on the self-confidence of nurses to perform cardiac surgical resuscitation simulation and nurses' satisfaction with the simulation experience. METHODS: A convenience sample of sixty nurses rated their self-confidence to perform cardiac surgical resuscitation skills before and after two simulations...
February 18, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28244140/student-peer-teaching-in-paediatric-simulation-training-is-a-feasible-low-cost-alternative-for-education
#9
Michael Wagner, Lukas P Mileder, Katharina Goeral, Katrin Klebermass-Schrehof, Francesco S Cardona, Angelika Berger, Georg M Schmölzer, Monika Olischar
AIM: The World Health Organization recommends regular simulation training to prevent adverse healthcare events. We used specially trained medical students to provide paediatric simulation training to their peers and assessed feasibility, cost and confidence of students who attended the courses. METHODS: Students at the Medical University of Vienna, Austria were eligible to participate. Students attended two high-fidelity simulation training sessions, delivered by peers, which were video recorded for evaluation...
February 28, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28236930/an-intensive-vascular-surgical-skills-and-simulation-course-for-vascular-trainees-improves-procedural-knowledge-and-self-rated-procedural-competence
#10
William P Robinson, Danielle R Doucet, Jessica P Simons, Allison Wyman, Francesco A Aiello, Elias Arous, Andres Schanzer, Louis M Messina
BACKGROUND: Surgical skills and simulation courses are emerging to meet the demand for vascular simulation training for vascular surgical skills, but their educational effect has not yet been described. We sought to determine the effect of an intensive vascular surgical skills and simulation course on the procedural knowledge and self-rated procedural competence of vascular trainees and to assess participant feedback regarding the course. METHODS: Participants underwent a 1...
March 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28215244/driving-home-from-the-night-shift-a-bright-light-intervention-study
#11
Denise M Weisgerber, Maria Nikol, Ralph E Mistlberger
Sleep deprivation (SD) impairs vigilance and increases the risk of driving accidents during the commute home after night work. Bright light (BL) can enhance alertness and cognitive performance. We examined the effects of BL (5600 lux) versus dim light (DL, 35 lux) at the end of a night awake on driving performance. METHODS: Subjects (N = 19, 22.8 ± 4 ya) completed three conditions, counterbalanced for order at >1 week intervals. The two overnight SD conditions began in the lab at usual bedtime...
February 2017: Sleep Medicine
https://www.readbyqxmd.com/read/28196566/using-high-fidelity-simulation-scenarios-in-the-classroom-to-engage-learners
#12
Stephanie Turner, Leslie G Cole
It is well known that active teaching strategies improve student learning outcomes. By using simulation scenarios as a tool to teach systematic decision making in the classroom, faculty allow a large group of students to develop abstract thinking and gain experience in a setting that has traditionally delivered information in a linear format. This article will describe the process of using a high-fidelity simulation scenario as an unfolding case study to teach students how to manage and care for a patient.
February 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28195967/procedural-learning-perspectives-of-pulmonary-fellows-and-practitioners
#13
Hans J Lee, Briana Coleman, Andrew D Lerner, David Feller-Kopman, Roy Semaan, Bernice Frimpong, Lonny Yarmus
BACKGROUND: Procedural learning requires both didactic knowledge and motor skills. Optimal teaching styles and techniques remain to be defined for pulmonary procedural learning. We investigated the preferences of learners at 2 different points in a pulmonary career; as pulmonary fellows and as clinical practitioners. METHODS: A perception survey was conducted among pulmonary fellows and practitioners from multiple institutions throughout the United States. Fellows and practitioners were immediately surveyed on procedural learning factors after completing a procedural learning course using low/high-fidelity and/or cadaver simulators...
February 10, 2017: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/28178963/immersive-high-fidelity-simulation-of-critically-ill-patients-to-study-cognitive-errors-a-pilot-study
#14
Shivesh Prakash, Shailesh Bihari, Penelope Need, Cyle Sprick, Lambert Schuwirth
BACKGROUND: The majority of human errors in healthcare originate from cognitive errors or biases. There is dearth of evidence around relative prevalence and significance of various cognitive errors amongst doctors in their first post-graduate year. This study was conducted with the objective of using high fidelity clinical simulation as a tool to study the relative occurrence of selected cognitive errors amongst doctors in their first post-graduate year. METHODS: Intern simulation sessions on acute clinical problems, conducted in year 2014, were reviewed by two independent assessors with expertise in critical care...
February 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28176890/contextualizing-the-relevance-of-basic-sciences-small-group-simulation-with-debrief-for-first-and-second-year-medical-students-in-an-integrated-curriculum
#15
Samara B Ginzburg, Judith Brenner, Michael Cassara, Thomas Kwiatkowski, Joanne M Willey
AIM: There has been a call for increased integration of basic and clinical sciences during preclinical years of undergraduate medical education. Despite the recognition that clinical simulation is an effective pedagogical tool, little has been reported on its use to demonstrate the relevance of basic science principles to the practice of clinical medicine. We hypothesized that simulation with an integrated science and clinical debrief used with early learners would illustrate the importance of basic science principles in clinical diagnosis and management of patients...
2017: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/28146449/a-taxonomy-of-delivery-and-documentation-deviations-during-delivery-of-high-fidelity-simulations
#16
William R McIvor, Arna Banerjee, John R Boulet, Tanja Bekhuis, Eugene Tseytlin, Laurence Torsher, Samuel DeMaria, John P Rask, Matthew S Shotwell, Amanda Burden, Jeffrey B Cooper, David M Gaba, Adam Levine, Christine Park, Elizabeth Sinz, Randolph H Steadman, Matthew B Weinger
INTRODUCTION: We developed a taxonomy of simulation delivery and documentation deviations noted during a multicenter, high-fidelity simulation trial that was conducted to assess practicing physicians' performance. Eight simulation centers sought to implement standardized scenarios over 2 years. Rules, guidelines, and detailed scenario scripts were established to facilitate reproducible scenario delivery; however, pilot trials revealed deviations from those rubrics. A taxonomy with hierarchically arranged terms that define a lack of standardization of simulation scenario delivery was then created to aid educators and researchers in assessing and describing their ability to reproducibly conduct simulations...
February 2017: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/28144746/a-multispecialty-evaluation-of-thiel-cadavers-for-surgical-training
#17
Marina Yiasemidou, David Roberts, Daniel Glassman, James Tomlinson, Shekhar Biyani, Danilo Miskovic
BACKGROUND: Changes in UK legislation allow for surgical procedures to be performed on cadavers. The aim of this study was to assess Thiel cadavers as high-fidelity simulators and to examine their suitability for surgical training. METHODS: Surgeons from various specialties were invited to attend a 1 day dissection workshop using Thiel cadavers. The surgeons completed a baseline questionnaire on cadaveric simulation. At the end of the workshop, they completed a similar questionnaire based on their experience with Thiel cadavers...
January 31, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28137782/diagnostic-accuracy-of-gps-when-using-an-early-intervention-decision-support-system-a-high-fidelity-simulation
#18
Olga Kostopoulou, Talya Porat, Derek Corrigan, Samhar Mahmoud, Brendan C Delaney
BACKGROUND: Observational and experimental studies of the diagnostic task have demonstrated the importance of the first hypotheses that come to mind for accurate diagnosis. A prototype decision support system (DSS) designed to support GPs' first impressions has been integrated with a commercial electronic health record (EHR) system. AIM: To evaluate the prototype DSS in a high-fidelity simulation. DESIGN AND SETTING: Within-participant design: 34 GPs consulted with six standardised patients (actors) using their usual EHR...
March 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28118477/embedding-microethical-dilemmas-in-high-fidelity-simulation-scenarios-preparing-nursing-students-for-ethical-practice
#19
Lorretta C Krautscheid
BACKGROUND: Despite the inclusion of ethics education in the formal curriculum, students felt ill-prepared to manage ethical issues and protect patients' health and well-being. Nursing students reported knowing what should be done to promote optimal patient care; however, they also reported an inability to act on their convictions due to fear of reprisal, powerlessness, and low confidence. METHOD: Bloom's Taxonomy guided the development and implementation of experiential-applied ethics education via microethical dilemmas embedded in existing high-fidelity simulation (HFS) scenarios...
January 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28116006/development-of-an-assessment-for-entrustable-professional-activity-epa-10-emergent-patient-management
#20
Laura R Thompson, Cynthia G Leung, Brad Green, Jonathan Lipps, Troy Schaffernocker, Cynthia Ledford, John Davis, David P Way, Nicholas E Kman
INTRODUCTION: Medical schools in the United States are encouraged to prepare and certify the entrustment of medical students to perform 13 core entrustable professional activities (EPAs) prior to graduation. Entrustment is defined as the informed belief that the learner is qualified to autonomously perform specific patient-care activities. Core EPA-10 is the entrustment of a graduate to care for the emergent patient. The purpose of this project was to design a realistic performance assessment method for evaluating fourth-year medical students on EPA-10...
January 2017: Western Journal of Emergency Medicine
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