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Effect of repeated simulation on the quality of trauma care
Karlstads universitet, Institutionen för hälsovetenskaper.ORCID iD: 0000-0002-1641-6321
Karlstads universitet, Institutionen för hälsovetenskaper.ORCID iD: 0000-0002-9363-5667
Högskolan i Borås.
Karlstads universitet, Institutionen för hälsovetenskaper.
2017 (English)In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 13, no 12, 601-608 p.Article in journal (Refereed) Published
Abstract [en]

Background

Simulation participants are not dependent on learning during an actual clinical situation. This allows for a learning environment that can be constructed to meet the knowledge and experience needs of the participant. Simulations in a prehospital emergency are an ideal way to address these needs without risking patient safety.

Method

Nurses in prehospital emergency care (n = 63) participated in simulation interventions. During the simulation, the performed trauma care was assessed in two groups of participants with different frequency of simulation.

Results

Several statistically significant differences and clinical improvements were found within and between the groups. Differences were noted in specific assessments, examinations, care actions, and time from assessment to action.

Conclusion

The result suggested that repeated simulation may contribute to a clinical improvement in trauma care, and more frequent simulation may led to even greater improvements.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 13, no 12, 601-608 p.
Keyword [en]
simulation; learning; experience; ambulance; prehospital emergency care; trauma
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:hj:diva-37736DOI: 10.1016/j.ecns.2017.07.006OAI: oai:DiVA.org:hj-37736DiVA: diva2:1150871
Note

Included in thesis in submitted form.

Available from: 2017-04-21 Created: 2017-10-20 Last updated: 2017-10-20Bibliographically approved
In thesis
1. Simulering som lärande inom prehospital akutsjukvård
Open this publication in new window or tab >>Simulering som lärande inom prehospital akutsjukvård
2017 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Simulation as learning in prehospital emergency care
Abstract [sv]

Den prehospitala akutsjukvården är ett komplext kunskapsfält som innebär att vårdaren skall kunna bemöta patient och närstående, bedöma skada, sjukdom och den aktuella situationen samt avgöra vilka vårdåtgärder som skall prioriteras.

Patientens lidande kan lindras genom att vårdaren tränar färdigheter i ett prehospitalt kontext. Detta främjar en god och säker vård samt stärker patientens möjligheter till överlevnad.

Resultatet visar på behovet av simulering inom prehospital akutsjukvård. Med simulering lär sig vårdaren att hantera realistiska, dynamiska och komplexa vårdsituationer, vilket skapar kunskaper, färdigheter och erfarenheter av omhändertagande av patient drabbad av högenergitrauma. Simuleringens utformning och miljö skapar förutsättningar för lärandet vilket framkommer i interventionsstudien.

Utifrån resultatet i föreliggande forskning utvecklas en modell för lärande med hjälp av simulering.

Abstract [en]

The overall aim of the research was to deepen the understanding of learning through simulation in prehospital emergency care.

Method: In this research, qualitative and quantitative methods are used as well as integrative literature studies (I, II). Qualitative data from the interview studies (III, V) were analyzed by phenomenographic methodology. Quantitative data from the intervention study (IV) were analyzed using descriptive and analytical statistics.

Results: Research on simulation and learning within the prehospital trauma care context is relatively rare (I). Simulation of realistic scenarios where the caregivers are exposed to stress contributes to strengthen caregiver knowledge, skills and experience (II). Caregivers request simulation opportunities regarding critical and emergency situations (III). They describe that learning through regular simulation provides in-depth knowledge and skills in the care of a patient exposed to high-energy trauma (V). Interventions with repeated simulation opportunities related to the care of the patient exposed to high-energy trauma give some improvement in care provided at the site of the accident (IV).

Conclusion: Through simulation, the caregivers develop knowledge and skills and receive enhanced confidence in the care of an injured and sick patient. The research suggests several areas with potential for improvement with regard to the care of patients exposed to high-energy trauma. A model has been developed for systematic trauma simulation.

 

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2017. 123 p.
Keyword
simulation, learning, nurse, high-energy trauma, ambulance, simulering, lärande, sjuksköterska, högenergitrauma, ambulans
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:hj:diva-37761 (URN)978-91-7063-765-0 (ISBN)978-91-7063-766-7 (ISBN)
Public defence
2017-05-12, 1A305, Lagerlöfsalen, Universitetsgatan 2, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2017-10-20 Created: 2017-10-20 Last updated: 2017-10-20Bibliographically approved

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Abelsson, Anna

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