1
|
Khoshnoodifar M, Tabatabaeichehr M. E-learning for basic burns management: A potential instructional instrument. Burns 2023; 49:2018-2019. [PMID: 37852867 DOI: 10.1016/j.burns.2023.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 04/15/2023] [Indexed: 10/20/2023]
Affiliation(s)
- Mehrnoosh Khoshnoodifar
- Department of E-Learning, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahbubeh Tabatabaeichehr
- Department of E-Learning, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Student Research Committee, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| |
Collapse
|
2
|
Sarmasoglu Kilikcier S, Celik N, Elcin M, Keskin G, Senel E. Impact of interprofessional in situ simulations on acute pediatric burn management: Combining technical and non-technical burn team skills. Burns 2021; 48:1653-1661. [PMID: 34955296 DOI: 10.1016/j.burns.2021.11.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 10/22/2021] [Accepted: 11/11/2021] [Indexed: 11/02/2022]
Abstract
OBJECTIVE This study aimed to evaluate the impact of interprofessional in situ simulations on the technical and non-technical skills of pediatric burn teams in acute burn management. METHODS This quasi-experimental study consisted of a one-group pre- and post-test design conducted in a pediatric burn center in Turkey. The sample consisted of nine interprofessional burn team members. Data collection tools consisted of the following: descriptive data form, burn technical skills checklists, simulation evaluation form, and Anesthesiologists' non-technical skills in Denmark rating form. RESULTS We found no statistically significant difference between the pre- and post-test scores for technical (p = 0.285) and non-technical skill (p = 0.180) scores. Burn team members evaluated the highest score in almost all criteria for in situ simulations. CONCLUSION The interprofessional in situ simulations did not improve the burn teams' acute burn management; however, according to a self-report, burn team members were satisfied with the interprofessional in situ simulation experiences and achieved their own gains.
Collapse
Affiliation(s)
- Senay Sarmasoglu Kilikcier
- Hacettepe University, Faculty of Nursing, Department of Fundamentals of Nursing/Graduate School of Health Sciences, Department of Simulation in Healthcare, 06100 Ankara, Turkey.
| | - Nazmiye Celik
- University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Pediatric Burn Center, 06110 Ankara, Turkey.
| | - Melih Elcin
- Hacettepe University, Faculty of Medicine, Department of Medical Education and Informatics/Graduate School of Health Sciences, Department of Simulation in Healthcare 06100 Ankara, Turkey.
| | - Gulsen Keskin
- University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Anesthesia, 06110 Ankara, Turkey.
| | - Emrah Senel
- Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Pediatric Surgery,06110 Ankara, Turkey.
| |
Collapse
|
3
|
E Moura FS, Amin K, Ekwobi C. Artificial intelligence in the management and treatment of burns: a systematic review. BURNS & TRAUMA 2021; 9:tkab022. [PMID: 34423054 PMCID: PMC8375569 DOI: 10.1093/burnst/tkab022] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Revised: 03/08/2021] [Accepted: 04/30/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Artificial intelligence (AI) is an innovative field with potential for improving burn care. This article provides an updated review on machine learning in burn care and discusses future challenges and the role of healthcare professionals in the successful implementation of AI technologies. METHODS A systematic search was carried out on MEDLINE, Embase and PubMed databases for English-language articles studying machine learning in burns. Articles were reviewed quantitatively and qualitatively for clinical applications, key features, algorithms, outcomes and validation methods. RESULTS A total of 46 observational studies were included for review. Assessment of burn depth (n = 26), support vector machines (n = 19) and 10-fold cross-validation (n = 11) were the most common application, algorithm and validation tool used, respectively. CONCLUSION AI should be incorporated into clinical practice as an adjunct to the experienced burns provider once direct comparative analysis to current gold standards outlining its benefits and risks have been studied. Future considerations must include the development of a burn-specific common framework. Authors should use common validation tools to allow for effective comparisons. Level I/II evidence is required to produce robust proof about clinical and economic impacts.
Collapse
Affiliation(s)
| | - Kavit Amin
- Department of Plastic Surgery, Manchester University NHS Foundation Trust, UK
- Department of Plastic Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| | - Chidi Ekwobi
- Department of Plastic Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Preston, UK
| |
Collapse
|
4
|
Demir S, Oztorun CI, Erturk A, Guney D, Ertoy A, Doruk H, Tanriverdi F, Azili MN, Senel E. Approaches of Emergency Department Physicians to Pediatric Burns: A Survey Assessment. J Burn Care Res 2021; 43:115-120. [PMID: 34132812 DOI: 10.1093/jbcr/irab087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Burned children generally arrive at emergency departments before referring to specialized burn centers. Their initial treatments are performed by non-burn doctors who work in emergency departments. The aim of this study was to evaluate emergency department doctors' knowledge regarding the initial interventions and transfer of pediatric burn patients. There were 196 participants who completed the survey: 59 were emergency medicine specialists, 46 were general practitioners, and 91 were emergency medicine residents. Sixty-five stated that they always calculate the burn surface areas, and 144 stated that the Parkland formula should be used to calculate the fluid requirements for the first 24 hours. Of all participants, only 21 marked the correct choice as the Lund-Browder scheme to calculate the total burned surface area in children. Only 52 participants marked the correct choice as the Lactated Ringer's of the fluid given in the first 24 hours. Only 108 correctly recognized inhalation injury. To the question "What is the first intervention that doctors should do at the emergency room to burned children?," 127 participants stated correctly as the assessment of airway maintenance. Among the participants, 124 stated that they use lidocaine pomades when covering burned children's wounds. Incorrect interventions with burned children increase morbidity and mortality. This survey shows that non-burn doctors working in emergency departments have insufficient knowledge about pediatric burns and require further training. Therefore, they should be trained continuously and regularly on the approach to both adult and childhood burns.
Collapse
Affiliation(s)
- Sabri Demir
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Bilkent City Hospital, Children Hospital, Department of Pediatric Surgery, Turkey
| | - Can Ihsan Oztorun
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Yildirim Beyazit University, Medical Faculty, Department of Pediatric Surgery, Turkey
| | - Ahmet Erturk
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Bilkent City Hospital, Children Hospital, Department of Pediatric Surgery, Turkey
| | - Dogus Guney
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Yildirim Beyazit University, Medical Faculty, Department of Pediatric Surgery, Turkey
| | - Ayse Ertoy
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Bilkent City Hospital, Children Hospital, Department of Pediatric Surgery, Turkey
| | - Hayal Doruk
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Bilkent City Hospital, Children Hospital, Department of Pediatric Surgery, Turkey
| | - Fatih Tanriverdi
- Ankara Yildirim Beyazit University, Medical Faculty, Department of Emergency Medicine, Turkey
| | - Mujdem Nur Azili
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Yildirim Beyazit University, Medical Faculty, Department of Pediatric Surgery, Turkey
| | - Emrah Senel
- Ankara Bilkent City Hospital, Children Hospital, Pediatric Burn Centre, Turkey.,Ankara Yildirim Beyazit University, Medical Faculty, Department of Pediatric Surgery, Turkey
| |
Collapse
|
5
|
Bielsa VF. Virtual reality simulation in plastic surgery training. Literature review. J Plast Reconstr Aesthet Surg 2021; 74:2372-2378. [PMID: 33972199 DOI: 10.1016/j.bjps.2021.03.066] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Revised: 11/07/2020] [Accepted: 03/13/2021] [Indexed: 11/19/2022]
Abstract
Major changes have occurred in the medical environment leading to an evolution from the traditional residency programmes to competency-based ones. Virtual reality (VR) represents a promising simulation resource for surgical training. Several types of VR simulators can be considered, depending on the level of immersion they offer. The goal of the article is to review the progress of VR simulation in plastic surgery (PS) training. A systematic search of the literature was performed on PUBMED/MEDLINE with the following key words: (Simulation OR Virtual Reality) AND (Education OR Training) AND Plastic Surgery from January 1998 to September 2019. A total of 244 results were found, and 80 of them were selected for abstract review. Sixty-four articles were selected for complete reading. Several attempts have been made to create VR simulators and most of them are non-immersive or partially immersive. The main conclusions of them are summarized. VR simulation has been proven to have a role in PS training, offering many advantages. Furthermore, VR simulation can be used for safety training, team interaction and decision-making education. Validation is a key point for acceptance of simulators. Further efforts are required to include simulation in PS curricula.
Collapse
Affiliation(s)
- V Fuertes Bielsa
- Plastic Surgery Department University Hospital Miguel Servet Paseo Isabel la Católica, 1-3, 50009 Zaragoza, Spain.
| |
Collapse
|
6
|
Meschial WC, Ciccheto JRM, Lima MFD, Menegaz JDC, Echevarría-Guanilo ME, Oliveira MLFD. Active teaching strategies improve nursing knowledge and skills to assist burn victims. Rev Bras Enferm 2021; 74Suppl 5:e20200235. [PMID: 33759945 DOI: 10.1590/0034-7167-2020-0235] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 09/07/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to evaluate the impact of an educational intervention, on nurses' self-perception, about knowledge and skills for initial care for burn victims. METHODS a quasi-experimental study of the type before and after, with 18 nurses who assist burn victims. The intervention was carried out for 11 days in face-to-face meetings and online activities, and comprised active case-based learning strategies, simulation training, concept maps and digital portfolio. A structured instrument was used to collect sociodemographic data, and another one related to the knowledge and essential skills to the initial care for burn victims. RESULTS The average scores found before the intervention ranged from 2.78 to 3.33 and, after the intervention, they ranged from 3.89 to 4.72. Relevant statistical differences (p <0.005) were found in all questions addressed. CONCLUSION this educational intervention, based on innovative teaching methods, showed a positive impact on nurses' knowledge and skills on initial care for people with burns.
Collapse
Affiliation(s)
- William Campo Meschial
- Universidade do Estado de Santa Catarina. Chapecó, Santa Catarina, Brazil.,Universidade Estadual de Maringá. Maringá, Paraná, Brazil
| | | | | | | | | | | |
Collapse
|
7
|
Meschial WC, Sales CCF, Rodrigues BC, Lima MFD, Garanhani ML, Oliveira MLFD. EDUCATIONAL INTERVENTION ON ACUTE MANAGEMENT OF BURNS BASED ON INNOVATIVE PEDAGOGICAL METHODS: NURSES’ PERCEPTIONS. TEXTO & CONTEXTO ENFERMAGEM 2020. [DOI: 10.1590/1980-265x-tce-2019-0222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to analyze the perception of nurses regarding an educational intervention with innovative pedagogical methods on acute management of burns. Method: a qualitative and exploratory study based on Paulo Freire's sociocultural pedagogical approach. The educational intervention was carried out with 18 nurses who worked in the areas of urgency and emergency. The intervention was centered on active teaching-learning methodologies, in which the main teaching methods were case-based learning, conceptual maps, simulation training, and digital portfolio. Data was collected in November 2017 and October 2018, in the setting of a state public university, by means of a sociodemographic questionnaire, records produced from focus groups, field diaries and portfolios, which were analyzed based on data triangulation, using Bardin's content analysis technique. Results: four categories were identified: collaborative construction of knowledge based on autonomy and dialog between the students; learning with dynamism and joy; from problematizing reality to critical thinking; and education that leads to professional empowerment and confidence. Conclusion: the nurses perceived the educational intervention as positive, since the innovative and participatory teaching methods adopted contributed to the development of competences and skills, ensuring more critical thinking, autonomy and empowerment for these professionals. The study represents an advance in the scope of Nursing education and in the orientation of continuing education actions.
Collapse
Affiliation(s)
- William Campo Meschial
- Universidade do Estado de Santa Catarina, Brasil; Universidade Estadual de Maringá, Brasil
| | | | | | | | | | | |
Collapse
|
8
|
Baldwin AJ. Volunteering for burns moulage as a medical student. Burns 2019; 45:1488-1489. [PMID: 31174973 DOI: 10.1016/j.burns.2019.03.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2019] [Accepted: 03/26/2019] [Indexed: 11/25/2022]
Affiliation(s)
- Alexander J Baldwin
- College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom.
| |
Collapse
|
9
|
How Educational Theory Can Inform the Training and Practice of Plastic Surgeons. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2018; 6:e2042. [PMID: 30656119 PMCID: PMC6326625 DOI: 10.1097/gox.0000000000002042] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Accepted: 10/10/2018] [Indexed: 11/26/2022]
Abstract
It is important to optimize our current learning and teaching models, particularly in a climate of decreased clinical exposure. With technical advancements and clinical care now more accountable, traditional methods of skill acquisition need to be revisited. The past decade has seen changes in plastic surgery curricula. There has also been a shift toward competency-based training programs reflecting the growing emphasis on outcomes-based surgical education. This review explores the role of educational theory in promoting effective learning in practical skills teaching. Key models of educational theory are presented and their application to plastic surgery training to an expert level are highlighted. These models include (1) learning within communities of practice (Lave and Wenger’s theory); (2) the role of the zone of proximal development and importance of the availability of expert assistance (Vygotsky’s theory); (3) skill acquisition and retention (Dreyfus’ and Dreyfus’, and Fitts’ and Posner’s theories); (4) development of expertise after repeated practice and regular reinforcement (Ericsson’s theory); and (5) the assessment of competence (Miller’s triangle). Future plastic surgeons need to possess a thorough understanding of the technical and nontechnical skills required to manage patients effectively. Surgical educators are therefore compelled to develop practical training programs that can teach each of these skills in a safe, learner-centric manner. It is hoped that new approaches to surgical skills training are designed in light of our understanding of educational theory to optimize the training of the next generation of plastic surgeons.
Collapse
|
10
|
D'Asta F, Homsi J, Sforzi I, Wilson D, de Luca M. "SIMBurns": A high-fidelity simulation program in emergency burn management developed through international collaboration. Burns 2018; 45:120-127. [PMID: 30268630 DOI: 10.1016/j.burns.2018.08.030] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 08/23/2018] [Accepted: 08/30/2018] [Indexed: 12/23/2022]
Abstract
Acute management of a severely burned patient is an infrequent and stressful situation that requires medical knowledge as well as immediate coordinated action. Many adverse events in health care result from issues related to the application of 'non-technical' skills such as communication, teamwork, leadership and decision making rather than lack of medical knowledge. Training in these skills is known as Crisis Resource Management (CRM) training. In order to create well-prepared burn teams, it is critical to teach CRM principles through high-fidelity simulation (HFS). While CRM teaches foundational non-technical skills, HFS incorporates lifelike, whole-body, fully-responsive mannequins in order to provide a realistic emergency situation. The aim of the study is to describe the development of a novel high-fidelity simulation course called "SIMBurns: High Fidelity Simulation Program for Emergency Burn Management" that uses CRM as its foundation and is focused on management of burn injuries. The course was designed by a panel of simulation and burns experts from Meyer Children's Hospital in Italy and Birmingham Children's Hospital in the U.K. Simulation Program experts were certified by Boston Children's Hospital's Simulation Program. In this paper, we describe the course's design, development, structure, and participant's assessment of the course. Since the creation of the SIMBurns course in 2013, 9 courses have been conducted and 101 participants have attended the course. The course was well-received and its "Overall Satisfaction" was rated at 4.8/5. The primary objective in the SIMBurns course - to teach teamwork and CRM skills to medical staff involved in emergency burn care - was also met at 4.8/5. Participants felt that the course developed their ability to interact with other team members, further improved their understanding of how to appropriately use resources, emphasized the importance of role clarity and developed their communication skills. Additional quantitative and qualitative analyses obtained from participants were also reviewed after each course. The SIMBurns course aims to contribute to the education of those in healthcare in order to improve patient safety and to continue advancing the education of our emergency burn care teams.
Collapse
Affiliation(s)
- Federica D'Asta
- Burns Centre, Birmingham Women's and Children's Hospital, Birmingham, United Kingdom; AOU Meyer Children Hospital, Florence, Italy. federica.d'
| | | | | | - David Wilson
- Burns Centre, Birmingham Women's and Children's Hospital, Birmingham, United Kingdom
| | | |
Collapse
|
11
|
Oliveira-Kumakura ARDS, Silva JLG, Gonçalves N. From theory to simulation to teach care for burn victims: case report. ESCOLA ANNA NERY 2018. [DOI: 10.1590/2177-9465-ean-2017-0391] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Aim: To report the experience of applying different teaching strategies on undergraduate nursing students caring for burn victims. Method: Experience report on the topic, "Nursing care for the patient with burns", for undergraduate nursing student education. Results: Teaching strategies during this course involved theoretical lecture, discussion of clinical cases, use of a virtual environment, and practice in a simulated environment. The students reported satisfaction with the tools used. Conclusion: It is important to incorporate different active teaching strategies, such as clinical simulation practices, e-learning, classes incorporating dialogue, case studies, and others, for undergraduate nursing education on caring for the burn victim.
Collapse
|