Live tissue versus simulation training for emergency procedures: Is simulation ready to replace live tissue?
| Autor: | Stephen L. Barnes, Alex Bukoski, Jeffrey D. Kerby, Luis Llerena, John H. Armstrong, Catherine Strayhorn, Jeff Bailey, Warren Dorlac, Rob Shotto, Jack Norfleet, Tim Coakley, Mark Bowyer, Bousseau Murray, Mark Shapiro, Roberto Manson, Al Moloff, Deborah Burgess, Robert Hester, William Lewandowski, Waymon Armstrong, Jack McNeff, Jan Cannon-Bowers, Joanne Hardeman, Jenny Guido, Cole Giering, Robert Rohrlack, Jessica Acosta, Raj Patel, Zachary Green, Ronald Roan, Adam Robinett, Scott Snyder, Bharat Soni, Dale Davis, Lina Rodriquez, Phillip Shum, Steve Osterlind, Chris Cooper, Rindi Uhlich, Christina Stephan, John Tucker, John Anton, Ray Shuford, Emily Anton, Nadine Baez, Erin Honold |
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| Rok vydání: | 2016 |
| Předmět: |
Psychomotor learning
021110 strategic defence & security studies Educational measurement medicine.medical_specialty Modality (human–computer interaction) business.industry Best practice education 0211 other engineering and technologies 030208 emergency & critical care medicine Legislation Cognition 02 engineering and technology Surgery 03 medical and health sciences Subject-matter expert 0302 clinical medicine Health care medicine Medical physics business |
| Zdroj: | Surgery. 160:997-1007 |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2016.04.044 |
| Popis: | Background Training of emergency procedures is challenging and application is not routine in all health care settings. The debate over simulation as an alternative to live tissue training continues with legislation before Congress to banish live tissue training in the Department of Defense. Little evidence exists to objectify best practice. We sought to evaluate live tissue and simulation-based training practices in 12 life-saving emergency procedures. Methods In the study, 742 subjects were randomized to live tissue or simulation-training. Assessments of self-efficacy, cognitive knowledge, and psychomotor performance were completed pre- and post-training. Affective response to training was assessed through electrodermal activity. Subject matter experts gap analysis of live tissue versus simulation completed the data set. Results Subjects demonstrated pre- to post-training gains in self-efficacy, cognitive knowledge, psychomotor performance, and affective response regardless of training modality (P Conclusion Although simulation has made significant gains, no single modality can be identified definitively as superior. Wholesale abandonment of live tissue training is not warranted. We maintain that combined live tissue and simulation-based training add value and should be continued. Congressional mandates may accelerate simulation development and improve performance. |
| Databáze: | OpenAIRE |
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