Comparing Resource Management Skills in a High- versus Low-Resource Simulation Scenario: A Pilot Study
| Autor: | Grazia Meneghetti, Moran Bodas, Luca Ragazzoni, Alba Ripoll Gallardo, Jeffrey Michael Franc, Alessandro Costa, Vaclav Jordan, Francesco Della Corte |
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| Rok vydání: | 2019 |
| Předmět: |
Cross-Over Studies
Situation awareness Humanitarian crisis Internship and Residency Pilot Projects 030208 emergency & critical care medicine Emergency Nursing Altruism Scientific evidence Advanced trauma life support Advanced life support 03 medical and health sciences 0302 clinical medicine Operating theater Italy Social skills Nursing Emergency Medicine Humans Resource management Clinical Competence 030212 general & internal medicine Psychology Simulation Training |
| Zdroj: | Prehospital and Disaster Medicine. 35:83-87 |
| ISSN: | 1945-1938 1049-023X |
| DOI: | 10.1017/s1049023x19005107 |
| Popis: | Background:Low-resource environments, such as those found in humanitarian crises, pose significant challenges to the provision of proper medical treatment. While the lack of training of health providers to such settings has been well-acknowledged in literature, there has yet to be any scientific evidence for this phenomenon.Methods:This pilot study utilized a randomized crossover experimental design to examine the effects of high- versus low-resource simulated scenarios of a resuscitation of a critically ill obstetric patient on a medical doctors’ performance and inter-personal skills. Ten senior residents (fifth-year post-graduate) of the Maggiore Hospital School of Medicine (Novara, NO, Italy) were included in the study.Results:Overall performance score for the high-resource setting was 5.2, as opposed to only 2.3 for the low-resource setting. The mean effect size for the overall score was 2.9 (95% CI, 1.7–4.0; P Conclusions:This pilot study suggests that untrained physicians in low-resource environments may experience a considerable setback not only to their professional performance, but also to their interpersonal skills, when deployed ill-prepared to humanitarian missions. Consequently, this may endanger the health of local populations. |
| Databáze: | OpenAIRE |
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