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A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model

BACKGROUND: New technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple other factors as described by the Consolidated Framework in Implementation Research...

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Autores principales: Barker, Lisa T., Bond, William F., Vincent, Andrew L., Cooley, Kimberly L., McGarvey, Jeremy S., Vozenilek, John A., Powell, Emilie S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519488/
https://www.ncbi.nlm.nih.gov/pubmed/32999737
http://dx.doi.org/10.1186/s41077-020-00145-x
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author Barker, Lisa T.
Bond, William F.
Vincent, Andrew L.
Cooley, Kimberly L.
McGarvey, Jeremy S.
Vozenilek, John A.
Powell, Emilie S.
author_facet Barker, Lisa T.
Bond, William F.
Vincent, Andrew L.
Cooley, Kimberly L.
McGarvey, Jeremy S.
Vozenilek, John A.
Powell, Emilie S.
author_sort Barker, Lisa T.
collection PubMed
description BACKGROUND: New technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple other factors as described by the Consolidated Framework in Implementation Research (CFIR). A simulation-based introduction to new technologies provides opportunity to intentionally address specific factors that influence adoption. METHODS: The new technology proposed for adoption was a telehealth cart that provided direct video communication with electronic intensive care unit (eICU) staff for a rural Emergency Department (ED). A novel 3-Act-3-Debrief in situ simulation structure was created to target predictive constructs from the CFIR and connect debriefing to specific workflows. The structure and content of the simulation in relation to the framework is described. Participants completed surveys pre-simulation/post-simulation to measure change in their readiness to adopt the new technology. RESULTS: The scenario was designed and pilot tested before implementation at two rural EDs. There were 60 interprofessional participants across the 2 sites, with 58 pre-simulation and 59 post-simulation surveys completed. The post-simulation mean ratings for each readiness measure (feasibility, quality, resource availability, role clarity, staff receptiveness, and tech usability) increased significantly as a result of the simulation experience. CONCLUSIONS: A novel 3-stage simulation-debriefing structure positively targets factors influencing the adoption of new healthcare technologies.
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spelling pubmed-75194882020-09-29 A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model Barker, Lisa T. Bond, William F. Vincent, Andrew L. Cooley, Kimberly L. McGarvey, Jeremy S. Vozenilek, John A. Powell, Emilie S. Adv Simul (Lond) Innovation BACKGROUND: New technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple other factors as described by the Consolidated Framework in Implementation Research (CFIR). A simulation-based introduction to new technologies provides opportunity to intentionally address specific factors that influence adoption. METHODS: The new technology proposed for adoption was a telehealth cart that provided direct video communication with electronic intensive care unit (eICU) staff for a rural Emergency Department (ED). A novel 3-Act-3-Debrief in situ simulation structure was created to target predictive constructs from the CFIR and connect debriefing to specific workflows. The structure and content of the simulation in relation to the framework is described. Participants completed surveys pre-simulation/post-simulation to measure change in their readiness to adopt the new technology. RESULTS: The scenario was designed and pilot tested before implementation at two rural EDs. There were 60 interprofessional participants across the 2 sites, with 58 pre-simulation and 59 post-simulation surveys completed. The post-simulation mean ratings for each readiness measure (feasibility, quality, resource availability, role clarity, staff receptiveness, and tech usability) increased significantly as a result of the simulation experience. CONCLUSIONS: A novel 3-stage simulation-debriefing structure positively targets factors influencing the adoption of new healthcare technologies. BioMed Central 2020-09-25 /pmc/articles/PMC7519488/ /pubmed/32999737 http://dx.doi.org/10.1186/s41077-020-00145-x Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Innovation
Barker, Lisa T.
Bond, William F.
Vincent, Andrew L.
Cooley, Kimberly L.
McGarvey, Jeremy S.
Vozenilek, John A.
Powell, Emilie S.
A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title_full A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title_fullStr A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title_full_unstemmed A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title_short A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
title_sort novel in situ simulation framework for introduction of a new technology: the 3-act-3-debrief model
topic Innovation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7519488/
https://www.ncbi.nlm.nih.gov/pubmed/32999737
http://dx.doi.org/10.1186/s41077-020-00145-x
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