Simulation Training Methods Research Articles

Virtual Simulation Games as an Educational Tool for University First Responders in Canada: A Usability Study

BackgroundCampus emergency response teams need continued education in order to retain critical skills and knowledge. Multiple studies have been conducted on the usefulness of virtual simulation games (VSGs); however, there is a gap in the literature for use in campus emergency response teams. MethodA mixed-methods usability study was designed to review three VSGs designed as an online training tool for Campus Emergency Response Teams (CERT) and First Response team members. Quantitative data collection included a participant demographic survey and the Virtual Simulation Technology Acceptance Survey VSTAS. Qualitative data were obtained from individual interviews. ResultsFindings suggest strong support for the ease of use and usefulness of these VSGs. Internet bandwidth should be considered when implementing virtual simulation training methods. A lack of understanding of CERT member-specific scope of practice related to capillary glucose monitoring, which can inform future training practices. ConclusionsThis study demonstrates the VSGs are a useful educational tool. Further testing is needed to assess effectiveness in relation to learning outcomes and knowledge retention.

Management of errors and complications in surgery

Das Fehler- und Komplikationsmanagement leistet einen entscheidenden Beitrag zur Qualitätssicherung einer chirurgischen Abteilung. Das strukturierte Risikomanagement ist als fester Bestandteil der chirurgischen Tätigkeit anzusehen, was sich unter anderem in der zunehmenden Bedeutung von Simulations- und anderen Trainingsmethoden im Rahmen der Facharztweiterbildung widerspiegelt. Grundvoraussetzung für die Etablierung einer Fehlerkultur, die auf die Verbesserung der Patientensicherheit und einen konstruktiven Umgang mit Komplikationen abzielt, ist die Enttabuisierung und die transparente Aufarbeitung komplikativer Behandlungsverläufe. Der Fokus sollte sich hierbei auf die Erkennung struktureller und systemischer Fehlerquellen richten und nicht die individuelle Verantwortung in den Vordergrund stellen. Für die Bereiche Komplikationsvermeidung, -erkennung und erfolgreiche -behebung stehen gut validierte Werkzeuge zur Verfügung. Team-time-out-Protokolle zur Vermeidung fataler Fehler, standardisierte Behandlungsabläufe und strukturierte Morbiditäts- und Mortalitätskonferenzen sind hierbei die wesentlichen, konsequent einzuhaltenden Maßnahmen. Für den unvermeidbaren Fall eintretender Komplikationen gilt es gemäß des „Failure-to-rescue“-Konzeptes, durch konsequentes, standardisiertes und interdisziplinär abgestimmtes Handeln fatale Verläufe zu verhindern.

Hospital-Based Simulation.

This chapter discusses the current state of hospital-based simulation, including the unprecedented events of 2020's global COVID-19 pandemic. Hospital-based simulation training requires a new approach. The realities of social distancing and the operational demands of hospital staffing ratios warrant creative adaptations of traditional simulation training methods. Hospitals used simulation to improve patient outcomes by training healthcare staff and students through telesimulation, and tested systems and equipment using in situ simulation (ISS). Latent safety threats (LSTs) were identified and corrected to improve patient outcomes. Hospital-based simulation has been incorporated into newly licensed registered nurses (NLRNs) residency programs to prepare them for competent practice. Simulations are also used for preparing staff for low-incidence, high-risk medical emergencies or disasters, such as active shooter events. Hospital-based simulation training adds value to healthcare systems, but requires more evidence of its quantitative and qualitative impacts.

Research on simulation training method based on computer simulation technology

Simulation training is based on virtual reality and computer simulation technology as the main technical support, so as to realize the combat method of training personnel in the virtual battlefield environment, weapon system operation, joint operations under the battlefield environment, including operational method of simulated training, simulation training as a military exercise method has important practical significance.

Simulation Methods as a Tool to Enhance Medical Student Education and Combat Stigma in Addictions

Individuals with substance use disorders are besieged by stigma, within their community and also the broader social context. This stigma may also pervade interactions with health care professionals, preventing individuals with SUD from seeking treatment for medical and/or psychiatric conditions. Given the current opioid crisis, providers must be equipped with the skills to diagnose and treat individuals with SUD, as well as the ability to communicate in an empathic, nonjudgmental manner. While training in addictions has often been absent from medical school curriculum, increasing numbers of programs are incorporating such training. Simulation methods have been underutilized in mental health and addiction training. The present study sought to examine learner knowledge, perceptions, and confidence in treating patients with SUD and build upon existing findings regarding the utility of simulations in addictions. Although research in this area is scant, the existing evidence supports the value of simulations to enhance clinical skills, learner confidence, and perceptions of individuals with SUD. Results of the present pilot study appear to support previous findings. Simulation training methods appear to be a viable option to train providers to identify and treat individuals with SUD, while potentially combating stigma and increasing provider confidence and empathy.

An IMPROVEMENT OF ABILITY TO CARDIOPULMONAR RESUSITATION USING COMPRESSION POLKESBAN SIMULATORS OF HIGH SCHOOL STUDENTS IN TANGERANG CITY

Out-Hospital Cardiac Arrest (OHCA) is a cardiac arrest event that occurs outside the hospital. Patients who experience OHCA rely on the community to provide support as the closest person when the attack occurs. The simulation training method is considered as one of the most effective and most frequently used methods for teaching CPR actions. In the implementation of the simulation needed appropriate media in the form of phantom that has been designed in such a way as to resemble the human condition. Phantom media is considered more expensive and less efficient when used as outdoor media, so this study provides an alternative substitute media in the RJP training simulation in the form of Polkesban Compression simulator. This research is a quasi-experimental study with a pretest and postets group design approach, aimed at identifying the effect of the Polkesban Compression Simulator on the Ability to Perform RJP in High School Students in the city of Tangerang. The study was conducted in June - November 2019 with a population of high school students in Tangerang City. The sampling method used was consecutive sampling totaling 50 people. The results showed there was an increase in ability in each intervention and control group, and there were significant differences in the measurements before and after the intervention (P value 0,000). In the statistical test of the two groups, the p value was 0.016 (P value ≤ 0.005), so it can be concluded that there were significant mean differences between the phantom group and PKS group, where the average PKS group was higher than the Phantom group.

ANALYTICAL MODEL OF NOISE STABILITY CALCULATION OF SYSTEMS WITH MULTIPOSITIONAL MODULATION AND CODING BY REED-SOLOMON ALGORITHM

The aim of this article is to create analytical models that estimate the continuity and effectiveness of digital radio communication systems using multipositional types of modulation (CAM-M, PM-M, FM-M, AM-M) and block coding according to the Reed–Solomon algorithm (RS) with hard decoding. In contrast to the well-known approaches to determining the noise immunity of systems that require computation model, new estimating models are presented that do not require knowledge of the spectrum coefficients, computer simulation training methods and graphical construction of interference curves for various types of modulation and coding parameters. The calculated ratios presented in the article include only the main parameters of the code (free distance, codeword length, relative code speed) and of the modulation type (modulation order, squared noise immunity). They make it possible to directly determine the theoretically required values of signalto-noise ratios (SNR) for input devices from given probabilistic errors based on RS signals, as well as to study the energy gain from coding (EGC), accessible and frequency-efficient systems. Based on the proposed rations, the calculations of the main characteristics of the communication channels for various parameters of the RS codes, the reliability of reception, types and orders of modulation are performed. Comparison of the results of calculation of noise immunity and system effectiveness given in the article with known similar characteristics obtained as a result of computer modeling confirms the correctness of the presented analytical models. The error of the constructed noise immunity curves does not exceed 0.1 dB in the operating range of the SNR. The materials presented in this article are original and can be used in the design, calculation and development of terrestrial and satellite systems.

Reducing Bias in Human Rights Fact-Finding: The Potential of the Clinical Simulation Model to Overcome Ethical, Practical, and Cultural Tensions in “Foreign” Contexts

This article considers the ethical tensions inherent in international human rights field documentation and proposes intensive, simulation model, pre-fieldwork training as a means of reducing the risk of insensitive encounters. The article evaluates the social, educational, class, racial, and other power imbalances between parties in the ordinary fact-finding process. After mapping pitfalls and challenges, it assesses the simulation training method and its potential to respond to the volatile dynamics of fact-finding. We conclude that the rigorous, three-day or week-long exercise, carried out in a controlled, supervised setting, holds potential to train future advocates to navigate power dynamics, challenges in intercultural engagement, and other communications barriers.

Research on Operation, Repair and Simulation Training Method of Electrical Equipment in Substation Based on Virtual Reality Technology

Virtual reality technology is applied to substation training and a substation training system is established. Based on virtual reality technology, this paper studies the methods of substation electrical equipment operation, maintenance and simulation training. The overall structure of the substation training system is given, and the functions of the substation training system, the system software and hardware environment configuration and the object modeling method are introduced. The research results show that the application of virtual reality technology to construct virtual environment for substation simulation system can greatly improve the realism of substation scene. At the same time, the power system simulation software is connected with the virtual substation to simulate the various operating states of the substation, which brings a technological leap to the substation simulation training work.

Multifunctional Emergency Plugging Test and Simulation Training Method

This research involves multifunctional belt pressure emergency leak test and simulation training methods, through a lot of water pressure test, Flow meter, pressure transmitter, liquid level meter, inverter and other effective flow, pressure, liquid level sensors, motor frequency data, to provide emergency leak test and simulation training scientific reference data and theoretical basis.

Simulation Training Methods in Neurological Surgery.

Simulation training plays a paramount role in medicine, especially when it comes to mastering surgical skills. By simulating, students gain not only confidence, but expertise, learning to apply theory in a safe environment. As the technological arsenal improved, virtual reality and physical simulators have developed and are now an important part of the Neurosurgery training curriculum. Based on deliberate practice in a controlled space, simulation allows psychomotor skills augment without putting neither patients nor students at risk. When compared to the master-apprentice ongoing model of teaching, simutation becomes even more appealing as it is time-efficient, shortening the learning curve and ultimately leading to error reduction, which is reflected by diminished health care costs in the long run. In this chapter we will discuss the current state of neurosurgery simulation, highlight the potential benefits of this approach, assessing specific training methods and making considerations towards the future of neurosurgical simulation.

Rapid Cycle Deliberate Practice Versus Reflective Debriefing for Pediatric Septic Shock Training.

Rapid cycle deliberate practice is a simulation training method that cycles between deliberate practice and directed feedback to create perfect practice; in contrast to reflective debriefing where learners are asked to reflect on their performance to create change. The aim of this study is to compare the impact of rapid cycle deliberate practice versus reflective debriefing training on resident application and retention of the pediatric sepsis algorithm. Prospective, randomized-control study. A tertiary care university children's hospital simulation room, featuring a high-fidelity pediatric patient simulator. Forty-six upper-level pediatric residents. Simulation training using rapid cycle deliberate practice or reflective debriefing. Knowledge was assessed with a quiz on core sepsis management topics. The application of knowledge was assessed with a sepsis management checklist during the simulated scenario. The residents were assessed before and after the intervention and again at a follow-up session, 3-4 months later, to evaluate retention. Both groups had similar pre-intervention scores. Post-intervention, the rapid cycle deliberate practice group had higher checklist scores (rapid cycle deliberate practice 18 points [interquartile range, 18-19] vs reflective debriefing 17 points [interquartile range, 15-18]; p < 0.001). Both groups had improved quiz scores. At follow-up, both groups continued to have higher scores compared with the pre-intervention evaluation, with the rapid cycle deliberate practice group having a greater change in checklist score from pre-intervention to follow-up (rapid cycle deliberate practice 5 points [interquartile range, 3.5-7] vs reflective debriefing 3 points [interquartile range, 1.5-4.5]; p = 0.019). Both groups reported improved confidence in diagnosing and managing septic shock. Both rapid cycle deliberate practice and reflective debriefing are effective in training pediatric residents to apply the sepsis algorithm and in improving their confidence in the management of septic shock. The rapid cycle deliberate practice method was superior immediately post-training; however, it is unclear if this advantage is maintained over time. Both methods should be considered for training residents.

The application effect of high simulated human in the first aid nursing skill training

Objective To explore the application effect of high simulation human training method in the first aid nursing skill training. Methods A total of 60 emergency nurses in this hospital were selected.According to the random number table method, they were divided into the research group and the control group, 30 cases of each group.The research group adopted the high simulation human training method, while the control group adopted the traditional training method.The skill training results of the two groups were compared.A questionnaire survey was conducted on the design and implementation of the high simulation training method by emergency nurses in the research group. Results After the training, the theoretical and practical skills of nurses in the research group were significantly better than those in the control group(P<0.05). All the emergency nurses in the research group believed that adopting high simulation human method in the practice of first aid nursing skills was helpful to improve the ability of first aid nursing, and most nurses recognized the design and implementation of high simulation human, and believed that it was beneficial to improve the ability of first aid nursing. Conclusions High simulation training method can effectively improve the effect of first aid nursing training, has guiding significance for clinical first aid nursing, and provides a guarantee for training professional first aid nursing talents. Key words: High simulation human; First aid nursing; Emergency nurses; Training effect

EXPERIENCE IN APPLYING EDUCATIONAL PROGRAM FOR PEDIATRICIANS ON EMERGENCY CARE FOR CHILDREN USING MOBILE SIMULATION EQUIPMENT

The article describes the experience of implementing the “Emergency pediatrics” educational program with the use of simulation training methods, mobile simulation equipment, and distance educational technologies. The program is aimed at improving the doctors’ professional competence in emergency medical care for children. This format of the training helps to train the largest number of doctors in accordance with the international standards for emergency medical care on-the-job. The educational program makes it possible to assess the level of initial and final knowledge, to monitor professional skills, to determine the degree of the doctor’s readiness for emergency medical care for children. Based on the results of the incoming test control and assessment of basic cardiopulmonary resuscitation skills, we can conclude that the pediatricians have insufficient theoretical and practical skills of emergency care. As a promising direction, we plan to create a Register for sudden cardiac arrest, the Register of survival after sudden cardiac arrest in children at hospital and outside the hospital, which improve the quality of emergency and urgent care for children.

Reprint of: Computer-Based Simulation Training in Surgery

Computer-based simulation training methods have emerged in mainstream residency training in response to evolving educational demands. These methods include surgical virtual reality (VR), computer driven full patient simulation, and screen-based simulations, of which immersive virtual environments reflect the most recent area of development. Over a single decade, surgical VR has progressed from demonstration of concept to a practical training tool, with a body of validation literature for part-task VR trainers that supports their expanded use, as well as the development of more robust and capable systems to satisfy the need for procedural training. Patient simulation is gradually entering surgical residency training for crisis resource management and team training that might not otherwise be feasible outside clinical settings. In the future, simulation of patient care in virtual environments may constitute a similar experience without the resource demands associated with full patient simulation. Collectively, the use of computers to create simulated learning experiences for surgeons is representative of an experiential learning model that has been far more developed in other undertakings, but which will certainly be more relied on in surgical training in the future.

ДОМЕДИЧНА ДОПОМОГА ЯК БАЗОВА СКЛАДОВА У ФОРМУВАННІ КОМПЕТЕНТНОСТЕЙ ФАХІВЦІВ З ФІЗИЧНОЇ ТЕРАПІЇ ТА ЕРГОТЕРАПІЇ

Мета роботи – аналіз стандарту вищої освіти за спеціальністю 227 “Фізична терапія, ерготерапія” галузі знань 22 “Охорона здоров’я” та навчальної програми з фізичної терапії та ерготерапії в аспекті формування компетентності з надання домедичної допомоги.&#x0D; Основна частина. Визначено основні етапи формування компетенції для надання медичної допомоги у надзвичайних ситуаціях шляхом моделювання тренінгів у студентів-ерготерапевтів. Перераховані переваги симуляції методу навчання в медицині. Показано, що врівноваження ролей учителя та студентів допомагає виявити помилки під час тренінгу з практичних навичок. З’ясовано, що краще освоєння навичок відбувається у випадку, коли результати при первинному і вторинному огляді потерпілих відрізняються відповідно до даних ситуаційних завдань. Доведено, що зворотний зв’язок між вчителем та студентами є одним із ключових моментів, який забезпечить кращу асиміляцію алгоритмів практичних навичок і дій студентами.&#x0D; Висновки. Виявлено, що симуляційне навчання покращує формування компетенції студентів-ерготерапевтів. Крім того, це сприяє підвищенню інтересу студентів до вивчення предмета. Симуляційна підготовка дозволяє студентам вивчати алгоритми надання медичної допомоги в умовах, що близькі до реальності. Отримання навичок зупинки критичної кровотечі, переведення потерпілого в стабільне бокове положення та серцево-легенева реанімація дозволяють студентам-ерготерапевтам надати необхідну домедичну допомогу у разі виникнення надзвичайних ситуацій.

Effects of diversity training strategy on nurse education after integration of two hospitals

Objective To explore the methods and strategies of nursing training promotion after integration of two hospital, so as to improve the effects of nursing training and promote the rapid integration of the class Ⅱ hospital to class Ⅲ hospitals. Methods In February 2015, Zhongda Hospital Southeast University hosted district level class Ⅱ Nanjing Dachang Public Hospital. Nursing department-area-department, a hierarchical management of three level of training management architecture has been formed by analyzing the difficulties in nursing training after the integration of the two hospitals. Hierarchical training and assessment has been applied in N0 to N4 nursing staff, combining scene simulation, video teaching and other diversity training and assessment methods. A self-designed satisfaction questionnaire was adopted, and quality control data was extracted and statistically analyzed by nursing management information system, so as to compare the nursing training effect of earlier integration (August 2015 to January 2016) and after integration (February to July 2016) . Results The median score of nursing training satisfaction after integration was 96, which was higher than 92 before integration , and the difference was statistically significant (Z=-10.876, P<0.01) . The qualification rate of special grade Ⅰ nursing, ward management, nursing technique, emergency medicine equipment, disinfection and sterilization was 98.38%, 95.00%, 93.38%, 95.70% and 96.27% respectively after integration, which were all higher than those before integration (92.88%, 92.85%, 91.01%, 93.04%, 93.48%) , and the differences were statistically significant (χ2=28.923, 6.410, 8.446, 10.502, 12.596; P<0.01) . The satisfaction of clinical ward, outpatient and operation theatre improved significantly after integration (97.36% vs. 91.26%, 93.42% vs. 90.35%, 97.68% vs. 94.14%; χ2=94.373, 4.419, 4.131; P<0.05) . Conclusions After the two hospitals' integration, diversified training helps to improve nurses' satisfaction with nursing training, nursing quality and patient satisfaction, which is worthy of further application in clinical nursing training. Key words: Inservice training; Nursing care; Diversity; Integration of two hospitals

PENGARUH METODE PEMBELAJARAN DAN PERSEPSI TENTANG LINGKUNGAN TERHADAP KEPEDULIAN TARUNA PADA PELESTARIAN LAUT

The research objectives are to determine the effect of learning method and environmental perception onawareness of marine conservation. The research was accomplished toward students of the Sekolah Tinggi IlmuPelayaran, Jakarta with factorial 2x2 design.The results are: (1) Awareness of marine conservation between on job trainning method and simulationtraining method have significant difference. (2) Students with higher of environmental perception, awareness ofmarine conservation between on the job training method and simulation training method have not significantdifference. (3) Students with lower of environmental perception, awareness of marine conservation between onthe job training method and simulation training method have not significant difference. (4) There is aninteraction effect between learning method and environmental perception on awareness of marine conservation.Therefore, in enhancing students’ awareness of marine conservation, using learning method and by controllingenvironmental perception should be taken in consideration.

ДОСВІД ОСВОЄННЯ ПРАКТИЧНИХ НАВИЧОК СТУДЕНТАМИ НА КАФЕДРІ ПРОПЕДЕВТИКИ ВНУТРІШНЬОЇ МЕДИЦИНИ В УМОВАХ СИМУЛЯЦІЙНОГО ЦЕНТРУ

У статті розглянуто можливості методу симуляційного навчання у світлі сучасних уявлень про процес засвоєння інформації та набуття практичних компетенцій. Проаналізовано власний досвід проведення практичних занять для студентів ІІ-ІІІ курсів медичного університету на основі наявних у наукових публікаціях даних про результати впровадження методу симуляційного навчання у медичних вищих навчальних закладах України.

Impact of High-Fidelity Simulation and Pharmacist-Specific Didactic Lectures in Addition to ACLS Provider Certification on Pharmacy Resident ACLS Performance

Purpose: This pilot study explored the use of multidisciplinary high-fidelity simulation and additional pharmacist-focused training methods in training postgraduate year 1 (PGY1) pharmacy residents to provide Advanced Cardiovascular Life Support (ACLS) care. Pharmacy resident confidence and comfort level were assessed after completing these training requirements. Methods: The ACLS training requirements for pharmacy residents were revised to include didactic instruction on ACLS pharmacology and rhythm recognition and participation in multidisciplinary high-fidelity simulation ACLS experiences in addition to ACLS provider certification. Surveys were administered to participating residents to assess the impact of this additional education on resident confidence and comfort level in cardiopulmonary arrest situations. Results: The new ACLS didactic and simulation training requirements resulted in increased resident confidence and comfort level in all assessed functions. Residents felt more confident in all areas except providing recommendations for dosing and administration of medications and rhythm recognition after completing the simulation scenarios than with ACLS certification training and the didactic components alone. All residents felt the addition of lectures and simulation experiences better prepared them to function as a pharmacist in the ACLS team. Conclusion: Additional ACLS training requirements for pharmacy residents increased overall awareness of pharmacist roles and responsibilities and greatly improved resident confidence and comfort level in performing most essential pharmacist functions during ACLS situations.