Influence of the embedded participant on learners’ performance during high-fidelity simulation sessions in healthcare

BMC Medical Education

Research

Lucas Denoyel¹  Quentin Delas²  Thomas Rimmelé³  Sophie Schlatter⁴  Jean-Jacques Lehot⁵  Marc Lilot⁵  Ayça Koca⁶ 

[1] Claude Bernard Lyon 1 University, Hospices Civils de Lyon, Centre Lyonnais d’Enseignement par la Simulation en Santé (CLESS), SimuLyon, Lyon, France;Claude Bernard Lyon 1 University, Hospices Civils de Lyon, Centre Lyonnais d’Enseignement par la Simulation en Santé (CLESS), SimuLyon, Lyon, France;Department of Anaesthesiology and Critical Care Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France;Claude Bernard Lyon 1 University, Hospices Civils de Lyon, Centre Lyonnais d’Enseignement par la Simulation en Santé (CLESS), SimuLyon, Lyon, France;Department of Anaesthesiology and Critical Care Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France;Pathophysiology of Injury-Induced Immunosuppression (Pi3, Claude Bernard Lyon 1 University-Biomerieux-Hospices Civils de Lyon, 7426, Lyon, EA, France;Claude Bernard Lyon 1 University, Hospices Civils de Lyon, Centre Lyonnais d’Enseignement par la Simulation en Santé (CLESS), SimuLyon, Lyon, France;Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France;Claude Bernard Lyon 1 University, Hospices Civils de Lyon, Centre Lyonnais d’Enseignement par la Simulation en Santé (CLESS), SimuLyon, Lyon, France;Research on Healthcare Performance (RESHAPE), INSERM U1290, Lyon, France;Department of Anaesthesiology and Critical Care Medicine, Louis Pradel Hospital, Hospices Civils de Lyon, Groupement Hospitalier Est, Lyon, France;Department of Emergency Medicine, Ankara University School of Medicine, Ankara, Turkey;

关键词: Embedded participant;    Full-scale simulation;    High-fidelity simulation;    Medical education;    Non-technical performance;    Technical performance;    Survey;   

DOI  :  10.1186/s12909-023-04724-0

 received in 2023-06-16, accepted in 2023-09-25,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe embedded participant (EP) plays a key role during a full scale/high-fidelity simulation (HFS) session. He/she is expected to guide the learner towards the achievement of the educational objectives of the scenario. However, his/her influence on learners’ performance stands undetermined and this effect remains briefly addressed in the literature. This study primarily aims to assess whether the EP could have an influence on the performance of the learner during a HFS scenario. The secondary aim was to establish an inventory of the EP practices in France.MethodsThis retrospective study was conducted in Lyon Claude Bernard University Health Simulation Centre (France). Anaesthesia and critical care residents in postgraduate years 1 to 5 who were scheduled for their HFS sessions during the 2016 to 2021 academic years were included. Two investigators independently evaluated the resident performance regarding both technical and non-technical skills from video recordings. In addition, a nationwide survey was sent out by email through the networks of the Francophone Healthcare Simulation Society (SoFraSimS, Société Francophone de Simulation en Santé) to collect information on EP practices in French-speaking Simulation centres.ResultsFrom a total of 344 HFS videos analysed, a cohort of 19 experienced EPs was identified. The EPs had an influence on the technical and non-technical performances of the learners. The 147 responses to the survey showed that predefined rules of EP good practice existed in only 36% of the simulation centres and 65% of respondents believed that specific EP training would be justified.ConclusionThe EP can exert an influence on the performance of the learners during HFS. For acting as an EP, a great variability of practices and a lack of training are reported by professionals working in simulation centres. These results suggest that more attention must be paid to EP training and attitudes during simulation, especially if summative simulations are extensively developed.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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