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Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept

BACKGROUND: Continuous medical education is essential in Helicopter Emergency Medical Services (HEMS). In-situ simulation training makes it possible to train in a familiar environment. The use of a dedicated facilitator is essential; however, when an in-situ simulation training session is interrupte...

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Autores principales: Bredmose, Per P., Hagemo, Jostein, Østergaard, Doris, Sollid, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594198/
https://www.ncbi.nlm.nih.gov/pubmed/34781954
http://dx.doi.org/10.1186/s12909-021-03015-w
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author Bredmose, Per P.
Hagemo, Jostein
Østergaard, Doris
Sollid, Stephen
author_facet Bredmose, Per P.
Hagemo, Jostein
Østergaard, Doris
Sollid, Stephen
author_sort Bredmose, Per P.
collection PubMed
description BACKGROUND: Continuous medical education is essential in Helicopter Emergency Medical Services (HEMS). In-situ simulation training makes it possible to train in a familiar environment. The use of a dedicated facilitator is essential; however, when an in-situ simulation training session is interrupted by a live mission, the efforts invested in the training are left unfulfilled. This study aims to evaluate if HEMS mission observation and debriefing by the simulation facilitator is a feasible alternative to mission-interrupted simulation training, and how this alternative to simulation training is perceived by both facilitators and HEMS crew members. METHODS: Facilitator observation during live missions and post-mission debriefing was offered as an alternative to mission-interrupted simulation training over a one-year period at three HEMS bases. Immediate feedback was requested from crews and facilitators after each observed live mission on a predefined questionnaire. At the end of the study period, semi-structured interviews were performed with a sample of HEMS crew members and facilitators to further explore the experience with the concept. Numerical data about the sessions were recorded continuously. RESULTS: A total of 78 training sessions were attempted, with 46 (59%) of the simulations conducted as planned. Of the remaining, 23 (29%) were not started because the crew had other duties (fatigued crew or crew called for a mission where observation was inappropriate/impossible), and 9 (12%) training sessions were converted to observed live missions. In total, 43 (55%), 16 (21%) and 19 (24%) attempts to facilitate simulation training were undertaken on the three bases, respectively. The facilitators considered mission observation more challenging than simulation. The interviews identified local know-how, clinical skills, and excellent communication skills as important prerequisites for the facilitators to conduct live mission observation successfully. Participating crews and facilitators found simulation both valuable and needed. Being observed was initially perceived as unpleasant but later regarded as a helpful way of learning. CONCLUSION: Live mission observation and debriefing seems a feasible and well-received alternative to an in-situ simulation program in HEMS to maximise invested resources and maintain the learning outcome. Furthermore, additional training of simulation facilitators to handle the context of live mission observation may further improve the learning output. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-03015-w.
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spelling pubmed-85941982021-11-16 Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept Bredmose, Per P. Hagemo, Jostein Østergaard, Doris Sollid, Stephen BMC Med Educ Research BACKGROUND: Continuous medical education is essential in Helicopter Emergency Medical Services (HEMS). In-situ simulation training makes it possible to train in a familiar environment. The use of a dedicated facilitator is essential; however, when an in-situ simulation training session is interrupted by a live mission, the efforts invested in the training are left unfulfilled. This study aims to evaluate if HEMS mission observation and debriefing by the simulation facilitator is a feasible alternative to mission-interrupted simulation training, and how this alternative to simulation training is perceived by both facilitators and HEMS crew members. METHODS: Facilitator observation during live missions and post-mission debriefing was offered as an alternative to mission-interrupted simulation training over a one-year period at three HEMS bases. Immediate feedback was requested from crews and facilitators after each observed live mission on a predefined questionnaire. At the end of the study period, semi-structured interviews were performed with a sample of HEMS crew members and facilitators to further explore the experience with the concept. Numerical data about the sessions were recorded continuously. RESULTS: A total of 78 training sessions were attempted, with 46 (59%) of the simulations conducted as planned. Of the remaining, 23 (29%) were not started because the crew had other duties (fatigued crew or crew called for a mission where observation was inappropriate/impossible), and 9 (12%) training sessions were converted to observed live missions. In total, 43 (55%), 16 (21%) and 19 (24%) attempts to facilitate simulation training were undertaken on the three bases, respectively. The facilitators considered mission observation more challenging than simulation. The interviews identified local know-how, clinical skills, and excellent communication skills as important prerequisites for the facilitators to conduct live mission observation successfully. Participating crews and facilitators found simulation both valuable and needed. Being observed was initially perceived as unpleasant but later regarded as a helpful way of learning. CONCLUSION: Live mission observation and debriefing seems a feasible and well-received alternative to an in-situ simulation program in HEMS to maximise invested resources and maintain the learning outcome. Furthermore, additional training of simulation facilitators to handle the context of live mission observation may further improve the learning output. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12909-021-03015-w. BioMed Central 2021-11-15 /pmc/articles/PMC8594198/ /pubmed/34781954 http://dx.doi.org/10.1186/s12909-021-03015-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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 Research
Bredmose, Per P.
Hagemo, Jostein
Østergaard, Doris
Sollid, Stephen
Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title_full Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title_fullStr Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title_full_unstemmed Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title_short Combining in-situ simulation and live HEMS mission facilitator observation: a flexible learning concept
title_sort combining in-situ simulation and live hems mission facilitator observation: a flexible learning concept
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594198/
https://www.ncbi.nlm.nih.gov/pubmed/34781954
http://dx.doi.org/10.1186/s12909-021-03015-w
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