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Macaden L, Smith A, Croy S. Simulation on sensory impairment in older adults: nursing education. ACTA ACUST UNITED AC 2017; 26:1057-1064. [DOI: 10.12968/bjon.2017.26.19.1057] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Leah Macaden
- Lecturer, Department of Nursing, School of Health, Social Care and Life Sciences, University of the Highlands & Islands, Inverness
| | - Annetta Smith
- Senior Lecturer and Head of Nursing, Department of Nursing, School of Health, Social Care and Life Sciences, University of the Highlands & Islands, Inverness
| | - Suzanne Croy
- Lecturer, Division of Mental Health Nursing and Counselling, School of Social and Health Sciences, Abertay University, Dundee
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Pai HC. An integrated model for the effects of self-reflection and clinical experiential learning on clinical nursing performance in nursing students: A longitudinal study. NURSE EDUCATION TODAY 2016; 45:156-162. [PMID: 27518178 DOI: 10.1016/j.nedt.2016.07.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Revised: 05/28/2016] [Accepted: 07/26/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND The use of clinical simulation in undergraduate nursing programs in Taiwan has gradually increased over the past 5years. Previous research has shown that students' experience of anxiety during simulated laboratory sessions influences their self-reflection and learning effectiveness. Thus, further study that tracks what influences students' clinical performance in actual clinical sites is vital. OBJECTIVE The aim of the study is to develop an integrated model that considers the associations among anxiety, self-reflection, and learning effectiveness and to understand how this model applies to student nurses' clinical performance while on clinical placement. DESIGN This study used a correlational and longitudinal study design. METHODS The 80 nursing students, who ranged in age from 19 to 21 (mean=20.38, SD=0.56), were recruited from a nursing school in southern Taiwan. Data were collected during three phases of implementation using four questionnaires. During the first phase, the State-Trait Anxiety Inventory (STAI), Simulation Learning Effectiveness Scale (SLES), and Self-Reflection and Insight Scale (SRIS) were used after students completed the simulation course in the school simulation laboratory. Nursing students also completed the Holistic Nursing Competence Scale at 2months (Phase 2) and 4months (Phase 3) after clinical practice experience. In Phase 3, students again completed the STAI and SRIS. Partial least squares (PLS), a structural equation modeling (SEM) procedure, was used to test the research model. RESULTS The findings showed that: (1) at the start of the simulation laboratory, anxiety had a significant negative effect on students' simulation learning effectiveness (SLE; β=-0.14, p<0.05) and on self-reflection with insight (SRI; β=-0.52, p<0.01). Self-reflection also had a significant positive effect on simulation learning effectiveness (β=0.37, p<0.01). Anxiety had a significant negative effect on students' nursing competence during the first 2months of practice in a clinical nursing site (β=-0.20, p<0.01). Simulation learning effectiveness and self-reflection and insight also had a significant positive effect on nursing competence during the first 2months of practice in a clinical site (β=0.13; β=0.16, p<0.05), respectively; and (2) when students practice in a clinical setting, their previous experience of nursing competence during the first 2months of clinical care and their self-reflection and insight have a significant positive effect on their 4-month nursing competence (β=0.58; β=0.27, p<0.01). Anxiety, however, had a negative effect on 4-month nursing competence but not significantly. Overall, 41% of the variance in clinical nursing performance was accounted for by the variables in the integrated model. CONCLUSION This study highlights that self-reflection with insight and clinical experience may help students to deflect anxiety that may influence the development of clinical competence. Of note is that real-life clinical experience has a stronger effect on enhancing clinical performance than does a simulation experience.
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Affiliation(s)
- Hsiang-Chu Pai
- Department of Nursing, Chung-Shan Medical University, No.110, Sec.1, Jianguo N. Rd., Taichung City, 40201, Taiwan, R.O.C.
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Smith JE, Withnall RDJ, Rickard RF, Lamb D, Sitch A, Hodgetts TJ. A pilot study to evaluate the utility of live training (LIVEX) in the operational preparedness of UK military trauma teams. Postgrad Med J 2016; 92:697-700. [DOI: 10.1136/postgradmedj-2015-133585] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Revised: 12/22/2015] [Accepted: 04/17/2016] [Indexed: 11/04/2022]
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Gutmann M. Use of Simulation With Standardized Patients in AAC Pre-Service Training: Potentiating Practical Learning. ACTA ACUST UNITED AC 2016. [DOI: 10.1044/persp1.sig12.41] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
In this article, a brief overview of simulation is presented as a way to contextualize discussion of its application to pre-service clinical skill learning in augmentative and alternative communication (AAC). The emphasis of this article is on the process of standardized patient implementation rather than its product. The steps involved in preparing for, implementing, and evaluating this learning activity will be discussed, as will directions for further relevant activity and research.
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Affiliation(s)
- Michelle Gutmann
- Department of Speech, Language and Hearing Sciences, Purdue University
West Lafayette, IN
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Macaden L. Being Dementia Smart (BDS): A Dementia Nurse Education Journey in Scotland. Int J Nurs Educ Scholarsh 2016; 13:/j/ijnes.2016.13.issue-1/ijnes-2015-0019/ijnes-2015-0019.xml. [DOI: 10.1515/ijnes-2015-0019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 05/04/2016] [Indexed: 11/15/2022]
Abstract
AbstractThere is a global demographic transition secondary to population ageing. The number of older people living with multimorbidities including dementia has been significantly rising both in developed and developing countries. It is estimated that there would be 74.7 million people living with dementia by 2030 that would escalate to 135.46 million by 2050. 62 % of people with dementia currently live in low and middle income countries that are very poorly resourced to cope with this epidemic. Dementia is now duly recognised as a national priority within the UK and a global priority at the 2013 G8 Summit. Management and care of an individual with dementia requires a multidisciplinary approach with expertise and a competent skill base. Nurses are central to the delivery of dementia care delivery in hospitals, community and residential care settings. It is against this background that this pre-registration integrated dementia curriculum was developed to build capacity and capability with dementia expertise among the future nursing workforce in Scotland in line with the National Dementia Strategy.
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Affiliation(s)
- Leah Macaden
- 1School of Health Sciences, University of Stirling, Centre for Health Science Old Perth Road, Inverness IV2 3JH, United Kingdom of Great Britain and Northern Ireland
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O'Connell KM, De Jong MJ, Dufour KM, Millwater TL, Dukes SF, Winik CL. An Integrated Review of Simulation Use in Aeromedical Evacuation Training. Clin Simul Nurs 2014. [DOI: 10.1016/j.ecns.2013.07.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Paige JB, Morin KH. Simulation Fidelity and Cueing: A Systematic Review of the Literature. Clin Simul Nurs 2013. [DOI: 10.1016/j.ecns.2013.01.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Mundell WC, Kennedy CC, Szostek JH, Cook DA. Simulation technology for resuscitation training: A systematic review and meta-analysis. Resuscitation 2013; 84:1174-83. [DOI: 10.1016/j.resuscitation.2013.04.016] [Citation(s) in RCA: 115] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2013] [Accepted: 04/17/2013] [Indexed: 10/26/2022]
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Akhu-Zaheya LM, Gharaibeh MK, Alostaz ZM. Effectiveness of Simulation on Knowledge Acquisition, Knowledge Retention, and Self-Efficacy of Nursing Students in Jordan. Clin Simul Nurs 2013. [DOI: 10.1016/j.ecns.2012.05.001] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Duff B. A theoretically informed education program designed specifically for acute surgical nurses. NURSE EDUCATION TODAY 2012; 32:e73-e78. [PMID: 22513156 DOI: 10.1016/j.nedt.2012.03.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Accepted: 03/19/2012] [Indexed: 05/31/2023]
Abstract
AIM The aim of the research was to evaluate the effectiveness of implementing the Respiratory Skills Update (ReSKU) education program using integrated teaching and learning strategies, in the context of organisational utility, on improving surgical nurses' practice in the area of respiratory assessment. BACKGROUND Technological advances and changes in healthcare delivery have necessitated that nurse educators adopt innovative teaching and learning strategies to better prepare acute care nurses for their increasingly complex roles. This 2007 study used a robust overarching theoretical framework to develop and evaluate an educational model using the ReSKU program as a basis for the content. METHODS The study was conducted in a 400 bed regional referral public hospital, in Australia. The research was guided by the work of Forneris (2004) to operationalise a critical thinking process incorporating the complexities of the clinical context. The theoretical framework used multi-modal, interactive educational strategies that were learner-centred and participatory. These strategies aimed to engage the clinician in dynamic thinking processes in clinical practice situations guided by coaches and educators. CONCLUSION The construct of critical thinking in practice combined with clinical reasoning and purposeful and collective reflection is a powerful educational strategy to enhance competency and capability in clinicians.
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Affiliation(s)
- Beverley Duff
- Surgical Services Education, Acute Care, Practice Development Team, Nambour General Hospital, Queensland, Australia.
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Collaboration between Civilian and Military Healthcare Professionals: A Better Way for Planning, Preparing, and Responding to All Hazard Domestic Events. Prehosp Disaster Med 2012; 25:399-412. [DOI: 10.1017/s1049023x00008451] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractCollaboration is used by the US National Security Council as a means to integrate inter-federal government agencies during planning and execution of common goals towards unified, national security. The concept of collaboration has benefits in the healthcare system by building trust, sharing resources, and reducing costs. The current terrorist threats have made collaborative medical training between military and civilian agencies crucial.This review summarizes the long and rich history of collaboration between civilians and the military in various countries and provides support for the continuation and improvement of collaborative efforts. Through collaboration, advances in the treatment of injuries have been realized, deaths have been reduced, and significant strides in the betterment of the Emergency Medical System have been achieved. This review promotes collaborative medical training between military and civilian medical professionals and provides recommendations for the future based on medical collaboration.
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Settles J, Jeffries PR, Smith TM, Meyers JS. Advanced cardiac life support instruction: do we know tomorrow what we know today? J Contin Educ Nurs 2011; 42:271-9. [PMID: 21425759 DOI: 10.3928/00220124-20110315-01] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2010] [Accepted: 02/21/2011] [Indexed: 11/20/2022]
Abstract
This study compared two instructional and evaluation methods for teaching advanced cardiac life support (ACLS) to health care professionals who were taking the ACLS course for the first time. Outcomes of the instruction were measured on completion of the course and at 3 months and 6 months postinstruction to identify differences in participants' knowledge retention, skills competency, and self-efficacy in performing ACLS. In addition, satisfaction with the teaching method was evaluated. The two methods of teaching and evaluating competencies for ACLS were (1) traditional classroom instruction plus practice and evaluation with monitors (low-fidelity simulation); and (2) classroom instruction plus practice with high-fidelity patient simulators. Participants in the study were 148 health care professionals or health care students who were novices in ACLS preparation. Participants were recruited from a large Midwest school of nursing and school of medicine, a Midwest physicians' assistant program, and a not-for-profit hospital. The findings showed no significant differences in ACLS knowledge, skills, self-efficacy, or learner satisfaction immediately after instruction or at 3 to 9 months posttraining. Retention of ACLS knowledge and skills competency over time was low in both groups; recommendations and interventions are discussed based on the study results.
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Affiliation(s)
- Julie Settles
- Indiana University School of Nursing, Indianapolis, Indiana, USA
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Shinnick MA, Woo MA, Mentes JC. Human Patient Simulation: State of the Science in Prelicensure Nursing Education. J Nurs Educ 2011; 50:65-72. [DOI: 10.3928/01484834-20101230-01] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2010] [Accepted: 08/06/2010] [Indexed: 11/20/2022]
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Abstract
Successful transition of the neonate from the intrauterine environment to the extrauterine world is a complex and unique process. The assessments and interventions of the nurse during these precious moments following birth have a dramatic impact on the well-being of the neonate. This article reports on the development and implementation of a nursing situation simulation focused on educating nurses for this role. Simulation has been shown to increase confidence and competence of nurses. Use of simulation allows nurses to gain experience without placing the patient at risk.
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Libin A, Lauderdale M, Millo Y, Shamloo C, Spencer R, Green B, Donnellan J, Wellesley C, Groah S. Role-Playing Simulation as an Educational Tool for Health Care Personnel: Developing an Embedded Assessment Framework. CYBERPSYCHOLOGY BEHAVIOR AND SOCIAL NETWORKING 2010; 13:217-24. [PMID: 20528282 DOI: 10.1089/cyber.2009.0040] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Alexander Libin
- National Rehabilitation Hospital, MedStar Research Institute, Washington, District of Columbia
- Department of Physical Medicine and Rehabilitation, Georgetown University of Medical Center, Washington, District of Columbia
| | - Manon Lauderdale
- National Rehabilitation Hospital, MedStar Research Institute, Washington, District of Columbia
| | - Yuri Millo
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Christine Shamloo
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Rachel Spencer
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Brad Green
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Joyce Donnellan
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Christine Wellesley
- Simulation and Training Environment Laboratory (SiTEL), Washington Hospital Center, Washington, District of Columbia
| | - Suzanne Groah
- National Rehabilitation Hospital, MedStar Research Institute, Washington, District of Columbia
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Kobayashi L, Overly FL, Fairbanks RJ, Patterson M, Kaji AH, Bruno EC, Kirchhoff MA, Strother CG, Sucov A, Wears RL. Advanced medical simulation applications for emergency medicine microsystems evaluation and training. Acad Emerg Med 2008; 15:1058-70. [PMID: 18828832 DOI: 10.1111/j.1553-2712.2008.00247.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Participants in the 2008 Academic Emergency Medicine Consensus Conference "The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise" morning workshop session on developing systems expertise were tasked with evaluating best applications of simulation techniques and technologies to small-scale systems in emergency medicine (EM). We collaborated to achieve several objectives: 1) describe relevant theories and terminology for discussion of health care systems and medical simulation, 2) review prior and ongoing efforts employing systems thinking and simulation programs in general medical sectors and acute care medicine, 3) develop a framework for discussion of systems thinking for EM, and 4) explore the rational application of advanced medical simulation methods to a defined framework of EM microsystems (EMMs) to promote a "quality-by-design" approach. This article details the materials compiled and questions raised during the consensus process, and the resulting simulation application framework, with proposed solutions as well as their limitations for EM systems education and improvement.
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Affiliation(s)
- Leo Kobayashi
- Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA.
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The Effectiveness of Disaster Training for Health Care Workers: A Systematic Review. Ann Emerg Med 2008; 52:211-22, 222.e1-2. [DOI: 10.1016/j.annemergmed.2007.09.030] [Citation(s) in RCA: 108] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2006] [Revised: 09/24/2007] [Accepted: 09/28/2007] [Indexed: 11/19/2022]
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Decker S, Sportsman S, Puetz L, Billings L. The evolution of simulation and its contribution to competency. J Contin Educ Nurs 2008; 39:74-80. [PMID: 18323144 DOI: 10.3928/00220124-20080201-06] [Citation(s) in RCA: 238] [Impact Index Per Article: 14.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Nurse educators are challenged to implement teaching strategies that promote learners' clinical competency and critical-thinking skills. Additionally, these educators are asked to base their curriculum decisions, teaching practices, and evaluation methods on current research findings. Simulation offers a unique mode for experiential learning and evaluation, but the appropriate use of the spectrum of simulation typology requires strategic planning. Although simulation provides educators with new educational opportunities, the potential use of simulation in competency testing cannot be achieved until educators and researchers acquire the knowledge and skills needed to use this education strategy, develop realistic case scenarios, and design and validate standardized and reliable testing methods. Numerous pressures exist for clinical settings to document the competencies of their employees. Simulation could be used in the practice environment to promote and validate the clinical judgment and competency of nurses.
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Affiliation(s)
- Sharon Decker
- School of Nursing, Regional Interdisciplinary Simulation Center, Texas Tech University Health Sciences Center, Lubbock, Texas 79430, USA
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Moore EE, Knudson MM, Schwab CW, Trunkey DD, Johannigman JA, Holcomb JB. Military-civilian collaboration in trauma care and the senior visiting surgeon program. N Engl J Med 2007; 357:2723-7. [PMID: 18160694 DOI: 10.1056/nejmsr073207] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Ernest E Moore
- Department of Surgery at the Denver Health Medical Center, University of Colorado at Denver, Denver, USA
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Rudy SJ, Polomano R, Murray WB, Henry J, Marine R. Team management training using crisis resource management results in perceived benefits by healthcare workers. J Contin Educ Nurs 2007; 38:219-26. [PMID: 17907666 DOI: 10.3928/00220124-20070901-08] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Systems failures and ineffective teamwork can lead to serious errors in practice. Crisis Resource Management (CRM) teaches leadership, effective communication skills, and improved team performance. The impact of CRM taught in a simulation laboratory was evaluated. METHODS A mail survey was used to examine perceived benefits and application of CRM principles when encountering practice and everyday life crisis situations. All participants completing the course since its inception who could be located received the survey. RESULTS Fifty-three of 149 participants (35%) responded to the survey. Eighty-three percent had managed a crisis since the course and 68% indicated better practice performance during emergencies. Thirty-eight percent applied CRM to personal crisis experiences. CONCLUSIONS Findings support that CRM training leads to perceived improvements in performance during critical events.
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Affiliation(s)
- Sarah J Rudy
- Penn State M. S. Hershey Medical Center, Simulation Laboratory, Hershey, Pennsylvania 17033, USA
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Morrison JJ, Forbes K, Woolrich-Burt L, Russell R, Mahoney PF. Medium-Fidelity Medical Simulators: Use in a Pre-Hospital,Operational, Military Environment. J ROY ARMY MED CORPS 2006; 152:132-5. [PMID: 17295008 DOI: 10.1136/jramc-152-03-03] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
On Operation Telic 6, the UK Med Group consisting of 3 Close Support Medical Regiment and 205 Field Hospital (Volunteers) deployed to provide medical support to coalition forces in Iraq. Personnel were drawn from Regular and Territorial Units, plus additional medical support from Armies of the Czech Republic and Denmark. The efficient delivery of operational emergency medical care hinged upon the successful integration of personnel from these units. We report on the use of a medium-fidelity simulator, in a pre-hospital and hospital environment over a three month period on an operational tour. In conducting 42 exercises (12 of which commenced in a pre-hospital environment), we have demonstrated the feasibility of the system in rehearsing the management of the major trauma patient. This training was used to enhance teamwork, identify system deficiencies and practise solutions in a safe environment. This paper discusses our experiences in relation to the current literature on this expanding area of trauma training.
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Affiliation(s)
- J J Morrison
- 205 (Scottish) Field Hospital (V), Claverhouse Training Centre, 8 Granton Square, Edinburgh, EH5 1HA.
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Testing Simulation Design Features using an Insulin Management Simulation in Nursing Education. Clin Simul Nurs 2006. [DOI: 10.1016/j.ecns.2009.05.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Affiliation(s)
- John B Holcomb
- United States Army Institute of Surgical Research, Fort Sam Houston, TX 78234, USA.
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Issues Emerging from a Joint Civilian-Military Nursing Program Related to Planning for and Management of a Complex Disaster. Prehosp Disaster Med 2005. [DOI: 10.1017/s1049023x00013984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
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