Simulcast

In our latest Advances in Sim collaborative episode, we talk about how to establish and sustain in situ simulation (ISS) programs on health services. Ben and Vic were joined by Susan Eller who is lead author on an important article on this topic: Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs.  Susan is Associate Dean for Immersive Learning and Learning Spaces at the Center for Immersive and simulation Based learning at Stanford, and a long time friend of Simulcast. Her co-authors for this article are Jenny Rudolph, Stephanie Barwick, Sarah Janssens, and Komal Bajaj.  In the episode we discuss the challenges for ISS: space, time, people, resources, safety; but also the opportunities: exploring work environments and the people in them, and probing systems and processes. The authors recognised the need for patient, systematic engagement with staff across healthcare institutions, and take us through their journeys in three separate ISS programs. They call their implementation approach ‘longitudinal prebriefing’. This great work is a reminder of how we need to play the ‘long game’ as simulation faculty, and to embrace ISS implementation as an organisational change challenge.

More interesting work from the healthcare simulation community this month.   Christensen, M.D., Østergaard, D., Stagelund, S. et al. Embracing multiple stakeholders’ perspectives in defining competent simulation facilitators’ characteristics and educational behaviours: a qualitative study from Denmark, Korea, and Australia. Adv Simul 8, 1 (2023).  Cassidy, D.J., Jogerst, K., Coe, T. et al. Simulation versus reality: what can interprofessional simulation teach us about team dynamics in the trauma bay?. Global Surg Educ 1, 56 (2022).  Swerdlow, Barry et al. What is the Best Method to Teach Screen-Based Simulation in Anesthesia Distance Education? Clinical Simulation In Nursing, Volume 74, 49 - 56  Karen J Dickinson, Wendy L Ward, Robert Minarcin, Christopher Trudeau, Kathryn K Neill . International Journal of Healthcare Simulation: An interprofessional medical malpractice mock trial: event evolution and assessment of efficacy. 10.54531/zxmk6987. Adi Health + Wellness.     Happy listening! 

More interesting work from the healthcare simulation community this month.   Preiksaitis CM, Lee MO, Schertzer K. Creating a Safe Space for Simulation: Is it Time to Stop Calling Them Confederates? Simul Healthc. 2022 Nov 28.   Paul O’Connor, Emily O’Dowd, Sinéad Lydon, Dara Byrne . International Journal of Healthcare Simulation: Developing a strategic plan for a healthcare simulation facility.  Mallory LA, Doughty CB, Davis KI, Cheng A, Calhoun AW, Auerbach MA, Duff JP, Kessler DO. A Decade Later-Progress and Next Steps for Pediatric Simulation Research. Simul Healthc. 2022 Dec 1;17(6):366-376.   Minors AM, Yusaf TC, Bentley SK, Grueso D, Campbell-Taylor K, Harford M, Mehri S, Williams LJ, Bajaj K. Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations. Simul Healthc. 2023 Jan 10.   Happy listening! 

Healthcare debriefings have been primarily informed by theories and expert opinions but in this episode Ben explores with Michaela Kolbe how her team took on the remarkable endeavour to code over 18,000 debriefing micro-events from 50 simulation debriefings to uncover the quantitative mysteries inside ‘the black box of debriefing’.  Join us as we explore the evolving evidence on what ‘Advocacy and Inquiry’ actually leads to in a debrief, as well as the surprising impact of praise, paraphrasing and guess what I’m thinking questions.  The paper  Kolbe M, Grande B, Lehmann-Willenbrock N, et al  Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings  BMJ Quality & Safety Published Online First: 28 July 2022. doi: 10.1136/bmjqs-2021-014393 

Ben and Vic round out the Simulcast Journal club year with 4 articles. Listed here with links to the full text versions.   Vadla, M.S., Moshiro, R., Mdoe, P. et al. Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births. Adv Simul 7, 38 (2022).  Høllesli, L. J., Ajmi, S. C., Kurz, M. W., et al. (2022). Simulation-based team-training in acute stroke: Is it safe to speed up? Brain and Behavior, 12, e2814.  Moore N, Ahmadpour N, Brown M, Poronnik P et al. (1, Supplement SRSIS 1). Designing virtual reality experiences to supplement clinician Code Black education. International Journal of Healthcare Simulation 2022  Alyshah Kaba, Theresa Cronin, Walter Tavares, Tanya Horsley, Vincent J Grant, Mirette Dube. Improving team effectiveness using a program evaluation logic model: case study of the largest provincial simulation program in Canada. International Journal of Healthcare Simulation. 2022;:1-8.    Thank you to all our listeners, and to the authors, reviewers and editors of the articles we’re reviewed.  Happy holidays and see you in 2023 ! 

Hierarchy is pervasive in healthcare, and current strategies to train providers to ‘speak up’ are not enough to overcome the intense challenges that hierarchy creates. In this episode, Vic talks with Taryn Taylor and Adam Garber about their recent articles in Advances in Simulation. Both studies explore the experience of practitioners working in teams managing obstetric emergences. Their studies use clever scenario design and delivery to re-create hierarchy and power gradients, as an example of ‘sociological fidelity’.  Their insights are comprehensive, confronting but deeply resonant for healthcare professionals. We discuss their methods, their findings and what this might mean for simulation being part of the solution to addressing harms caused by hierarchy.  The papers  Pack, R., Columbus, L., Duncliffe, T.H. et al. “Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors. Adv Simul 7, 31 (2022).  Garber, A.B., Posner, G., Roebotham, T. et al. Facing hierarchy: a qualitative study of residents’ experiences in an obstetrical simulation scenario. Adv Simul 7, 34 (2022). 

More interesting work in healthcare simulation this month, including some from our friends and colleagues.  Before that… A final reminder to register for Sim Reconnect ! – a 1 day seminar at Bond University on the Gold Coast.  And – if you’re working in translational or systems focused simulation – consider enrolling in the Bond subject Translational Simulation in healthcare, stand alone or as part of a Masters of Healthcare Innovations.  Now – the papers!  Rao et al. Daily team introductions and simulation education to improve team performance. Great paper from our friends at Logan Hospital, including Sonia Twigg  Roze des Ordons et al. Guiding, Intermediating, Facilitating, and Teaching (GIFT): A Conceptual Framework for Simulation Educator Roles in Healthcare Debriefing. From a team of thought leaders in simulation debriefing   Tsang et al. Electronic Decision Support in the Delivery Room Using Augmented Reality to Improve Newborn Life Support Guideline Adherence. A Randomized Controlled Pilot Study. New frontiers in tech enabled clinical decision support from a group n the Netherlands  Rochlen et al. Sequential Behavioral Analysis: A Novel Approach to Help Understand Clinical Decision-Making Patterns in Extended Reality Simulated Scenarios. More on the intersection of XR and our brains.  Happy listening! 

Great articles this month, including some from our friends and colleagues.  Before that… A reminder to register for Sim Reconnect ! – a 1 day seminar at Bond University on the Gold Coast.  And – if you’re working in translational or systems focused simulation – consider enrolling in the Bond subject Translational Simulation in healthcare, stand alone or as part of a Masters of Healthcare Innovations.  Now – the papers!  Sarah Janssens et al. Coleadership in Maternity Teams, a Randomized, Counterbalanced, Crossover Trial in Simulation.  Kara Allen et al. Eight years of CRASH: A bi-national initiative helping critical care doctors return to work.   Sandra Abbleglen et al. Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study  Pete Snelling et al. PRE-scripted debriefing for Paediatric simulation Associated with Resuscitation EDucation (PREPARED): A multicentre, cluster randomised controlled trial  Díaz-Agea, José et al. To Clap or Not to Clap: Relevance of “Applause” in Simulation-Based Learning Sessions  Happy listening 

The August Journal Club is here, with Ben and Vic talking about 4 papers relevant to our simulation practice.  How do simulation fellows learn some ‘tech skills’? Ahmed et all help us out with Development of a simulation technical competence curriculum for medical simulation fellows, with lessons about learning tech and about how to develop a curriculum. Then we consider ‘arts based pedagogy ‘ in Patrea Andersen’s A Nursing Simulation Pilot Study Comparing Art-Enhanced Debriefing and Traditional Debriefing. A fascinating way to try and enrich debriefing conversations using art cards. Translation of learning to practice is the subject of Jye Gard’s phenomenological study on Simulation translation differences between craft groups. We finish the episode with a review of the delightful editorial from IJoHS from Paul Murphy and Debra Nestel on Healthcare simulation terms: promoting critical reflection  Happy listening!   

“How can we push the boundaries of healthcare simulation research, leading to new insights and innovations?”  Advances in Simulation has announced a new thematic series. Methodological Innovations in Healthcare Simulation Research is “seeking manuscripts that challenge our collective thinking about how to conceptualise, frame, study, and theorise simulation in health and social care article type, in order to help advance our thinking about simulation research.”  In this short episode, Vic speaks with Professor Walter Eppich about the thematic series, and explores examples of methodologic innovations in simulation. A deeper dive can also be found in the accompanying editorial from Walter and Advances Editor in Chief Gabriel Reedy. We look forward to reading and discussing the submissions in this series! vb