Martínez A, Rojo E, Piedra L, del Moral I, Maestre JM

Language: Spanish
References: 14
Page: 82-88
PDF size: 192.40 Kb.

ABSTRACT

Introduction: Learning objectives guide the design of a simulated scenario. The scenario provides participants with a concrete experience for learning, and instructors with data on participant actions and results that are the source to conduct the debriefing. Objective: Develop a template to guide the design and implementation of simulated scenarios and validate its ability to evoke the learning objectives during the simulation and debriefing. Material and methods: A template was developed using a modified Delphi technique and its implementation was assessed after the design of 30 simulation scenarios created by multidisciplinary teams from different countries in Latin America and Spain during a training course for simulation instructors. Results: The resulting template consists of five sequential phases and four elements in each of them. All the scenarios implemented allowed to address the specific learning objectives during the simulation and debriefing. A greater number of implementation errors took place during phase 1 (framing) and 4 (evolution). Conclusion: The implementation of simulation scenarios using the template was effective to address the defined learning objectives, both during the simulated case and during the subsequent debriefing.

REFERENCES

1. Armstrong E, Parsa-Parsi R. How can physicians’ learning styles drive educational planning? Acad Med. 2005; 80 (7): 680-684.

2. Maestre JM, Sancho R, Rabago JL, Martínez A, Rojo E, Del Moral I. Diseño y desarrollo de escenarios de simulación clínica: análisis de cursos para el entrenamiento de anestesiólogos. Educ Med. 2013; 16 (1): 49-57.

3. Rudolph JW, Simon R, Raemer DB, Eppich WJ. Debriefing as formative assessment: closing performance gaps in medical education. Acad Emerg Med. 2008; 15 (11): 1010-1016.

4. Maestre JM, Pedraja J, Herrero L, Cano M, Rojo E, Suárez C, et al. Simulación clínica para la mejora de la calidad en la atención a la hemorragia posparto. J Healthc Qual Res. 2018; 33 (2): 88-95.

5. Jarzemsky P, McCarthy J, Ellis N. Incorporating quality and safety education for nurses competencies in simulation scenario design. Nurs Educ. 2010; 35 (2): 90-92.

6. Benishek LE, Lazzara EH, Gaught WL, Arcaro LL, Okuda Y, Salas E. The Template of Events for Applied and Critical Healthcare Simulation (TEACH Sim): A tool for systematic simulation scenario design. Sim Healthcare. 2015; 10: 21-30.

7. Maestre JM, Rudolph JW. Teorías y estilos de debriefing: el método con buen juicio como herramienta de evaluación formativa en salud. Rev Esp Cardiol. 2015; 68 (4): 282-285.

8. Powell C. The Delphi technique: myths and realities. J Adv Nurs. 2003; 41 (4): 376-382.

9. https://harvardmedsim.org. [Último acceso 8 de julio de 2019].

10. Dieckmann P, Lippert A, Glavin R, Rall M. When things do not go as expected: scenario life savers. Sim Healthcare. 2010; 5: 219-225.

11. Bambini D. Writing a simulation scenario: a step-by-step guide. AACN Advanced Critical Care. 2016; 27 (1): 62-70.

12. Lai F, Entin E, Dierks M, Raemer D, Simon R. Designing simulation-based training scenarios for emergency medical first responders. In: Proceedings of the Human Factors and Ergonomics Society 48th Annual Meeting. New Orleans: 2004. pp. 1670-1674.

13. Waxman KT. The development of evidence-based clinical simulation scenarios: guidelines for nurse educators. J Nurs Educ. 2010; 49 (1): 29-35.

14. Munroe B, Thomas B, Curtis K, Morris R. Designing and implementing full immersion simulation as a research tool. Australas Emerg Nurs J. 2016; 19: 90-105.