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Preparing the Next Generation of Code Blue Leaders Through Simulation: What's Missing?
- Source :
- Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 14:77-81
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- Introduction Despite the increasing reliance on simulation to train residents as code blue leaders, the perceived role and effectiveness of code blue simulations from the learners' perspective have not been explored. A code blue Simulation Program (CBSP), developed based on evidence-based simulation principles, was implemented at our institution. We explored the role of simulation in code blue training and the differences between real and simulated code blues from the learner perspective. Methods Using a thematic analysis approach and a purposeful sampling strategy, residents who participated in the CBSP were invited to participate in one of the three focus groups. Data were collected through small group discussions guided by semistructured interviews. The interviews were audio-recorded and transcribed. Interview transcripts were coded to assess underlying themes. Results Thematic analysis revealed that participants believed that the CBSP enhanced preparedness by capturing aspects of real codes (eg, inclusion of precode scenarios with awake patients, lack of readily available information) and facilitating automatization of code blue processes. Despite efforts to develop a high-fidelity simulation, participants noted that they experienced more anxiety, observed more chaos in the environment, and encountered different communication challenges in real codes. Conclusions The CBSP enhanced resident preparedness to serve as code blue leaders. Learners highlighted that they valued the CBSP; however, differences remain between simulated and real codes that could be addressed to enhance the fidelity of future simulations.
- Subjects :
- Evidence-based practice
020205 medical informatics
Epidemiology
Computer science
media_common.quotation_subject
Applied psychology
Medicine (miscellaneous)
Fidelity
02 engineering and technology
Anxiety
Environment
Education
Interviews as Topic
03 medical and health sciences
0302 clinical medicine
0202 electrical engineering, electronic engineering, information engineering
Code (cryptography)
Humans
030212 general & internal medicine
media_common
Ontario
Communication
Perspective (graphical)
Internship and Residency
Focus group
Cardiopulmonary Resuscitation
High Fidelity Simulation Training
Evidence-Based Practice
Modeling and Simulation
Preparedness
Clinical Competence
Thematic analysis
Inclusion (education)
Hospital Rapid Response Team
Subjects
Details
- ISSN :
- 1559713X and 15592332
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare
- Accession number :
- edsair.doi.dedup.....d28397662eff48967caf754d2f113160