Implementation of simulation training in the Intensive Care Units during the COVID-19 pandemic: A scoping review

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Published Jul 28, 2024
https://doi.org/10.62438/tunismed.v102i8.4972
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Vol. 102 No. 8 (2024): Tunis Med aug 2024

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Hajer Nouira
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
https://orcid.org/0000-0003-3252-9403
Oussama Jaoued
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Islem Ouanes
Department of Intensive Care, El Yosr International Clinic, Sousse. University of Monastir , Faculty of Medicine Monastir, Tunisia
Maissa Jrad
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Soumaya Chtioui
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Rim Gharbi
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Mohamed Fekih Hassen
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Habiba Ben Sik Ali
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia
Souheil Elatrous
Department of Intensive Care, Taher Sfar Hospital, Mahdia, University of Monastir, Faculty of Medicine Monastir, Tunisia

Abstract

Introduction: In response to the important influx of critically ill patients as well as resources limitation, simulation would be a tool ensuring the continuum of medical training.


Aim: To assess the impact of simulation training on both education and performance related to protocol development during COVID-19 pandemic, in critical care.


Methods: This scoping review was written in accordance with the PRISMA Guideline. Data sources and studies were identified by searching “MEDLINE”, “Cochrane library” databases and “Clinical trial.gov”. Study inclusion adhered to the PICO criteria: Population, Intervention, Comparison, and Outcomes. The Kirkpatrick Model, is a tool for evaluating the level of impact of training results according to four levels


Results: The search algorithm yielded sixteen articles of which eight were meeting criteria for inclusion and finally seven were available. The number of participants ranged from 12 to 108 with a median of 61 (IQR: 8-76). The length of intervention ranged from 12 min to three hours with a median of 38 min (IQR: 12-135). Studies reported that incorporating simulation yields a more pronounced impact compared to theoretical and clinical training alone in enhancing knowledge and confidence. Regarding the role of simulation in protocol development, results have shown that in the pre-test, all the participants failed donning and doffing Personal Protective Equipment (PPE), the mean cognitive load was high (7.43±0.9 points) and the performance was low (2.5±0.8) while in the post-test, 100% of participants were successful in donning the PPE, the mean of the cognitive load decreased ...( abstract truncated at 250 words).

Keywords:

Simulation Training , Critical Care , Health Education , COVID-19 , Guideline Adherence.

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Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

  1. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978-88.
  2. Biddell EA, Vandersall BL, Bailes SA, Estephan SA, Ferrara LA, Nagy KM, et al. Use of simulation to gauge preparedness for Ebola at a free-standing children’s hospital. Simul Healthc. 2016;11(2):94-9.
  3. Haute Autorite de Sante. [Guide for Good Practice in Health Simulation]. Haute Autorite en Sante. 2012;97.
  4. Ben Abdelaziz A, Berkane S, Ben Salem K, Dahdi SA, Mlouki I, Benzarti S et al. Lessons learned from the fight against COVID-19 in the Great Maghreb. Five lessons for better resilience. Tunis Med. 2020; 98 (10):657-63.
  5. Ben Abdelaziz A, Berkane S, Ben Salem K, Dahdi SA, Mlouki I, Benzarti S et al. Lessons learned from the fight against COVID-19 in the Great Maghreb. Five lessons for better response. Tunis Med. 2020; 98(12):879-85.
  6. Ben Abdelaziz A, Berkane S, Ben Salem K, Dahdi SA, Mlouki I, Benzarti S et al. Lessons learned from the fight against COVID-19 in the Great Maghreb. Five lessons for better preparation. Tunis Med. 2020; 98(8-9):589-95.
  7. Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. Int J Surg. 2020; 78:185-193.
  8. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Updating guidance for reporting systematic reviews: development of the PRISMA 2020 statement. J Clin Epidemiol. 2021;134:103-12.
  9. Kirkpatrick D, Kirkpatrick J. Evaluating training programs:In The four levels: Berrett-Koehler Publishers; 2006.
  10. Tawalbeh LI. Effect of simulation modules on Jordanian nursing student knowledge and confidence in performing critical care skills: A randomized controlled trial. Int J Afr Nurs Sci. 2020;13:100242.
  11. Yuriditsky E, Horowitz JM, Nair S, Kaufman BS. Simulation-based uptraining improves provider comfort in the management of critically ill patients with COVID-19. J Crit Care. 2021;61:14-7.
  12. Prasad N, Fernando S, Willey S, Davey K, Kent F, Malhotra A, et al. Online interprofessional simulation for undergraduate health professional students during the COVID-19 pandemic. J Interprof Care. 2020;34(5):706-10.
  13. Díaz-Guio DA, Ricardo-Zapata A, Ospina-Velez J, Gómez-Candamil G, Mora-Martinez S, Rodriguez- Morales AJ. Cognitive load and performance of health care professionals in donning and doffing PPE before and after a simulation-based educational intervention and its implications during the COVID-19 pandemic for biosafety. Infez Med. 2020;28 suppl 1:S111-7.
  14. Fong S, Li E, Violato E, Reid A, Gu Y. Impact of aerosol box on intubation during COVID-19: a simulation study of normal and difficult airways. Can J Anaesth. 2021;68(4):496-504.
  15. Kienbacher CL, Grafeneder J, Tscherny K, Krammel M, Fuhrmann V, Niederer M, et al. The use of personal protection equipment does not impair the quality of cardiopulmonary resuscitation: A prospective triple- cross over randomised controlled non-inferiority trial. Resuscitation. 2021;160:79-83.
  16. Begley J, Lavery K, Nickson C, Brewster D. The aerosol box for intubation in coronavirus disease 2019 patients: an in‐situ simulation crossover study. Anaesthesia. 2020;75(8):1014-21.
  17. Dupre J, Naik V. The role of simulation in high-stakes assessment. BJA education. 2021.
  18. Tawalbeh LI. Effect of simulation on the confidence of university nursing students in applying cardiopulmonary assessment skills: A randomized controlled trial. J Nurs Res. 2017;25(4):289-95.
  19. Tubaishat A, Tawalbeh LI. Effect of cardiac arrhythmia simulation on nursing students’ knowledge acquisition and retention. West J Nurs Res. 2015;37(9):1160-74.
  20. Cant RP, Cooper SJ. Simulation‐based learning in nurse education: systematic review. J Adv Nurs. 2010;66(1):3-15.
  21. So HY, Chen PP, Wong GKC, Chan TTN. Simulation in medical education. J R Coll Physicians Edinb. 2019;49(1):52-7.
  22. Reinholz M, French L. Medical education and care in dermatology during the SARS‐CoV2 pandemia: challenges and chances. J Eur Acad Dermatol Venereol. 2020;34(5):e214-e6.
  23. Dedeilia A, Sotiropoulos MG, Hanrahan JG, Janga D, Dedeilias P, Sideris M. Medical and surgical education challenges and innovations in the COVID-19 era: a systematic review. in vivo. 2020;34(3 suppl):1603-11.
  24. Abrahamson SD, Canzian S, Brunet F. Using simulation for training and to change protocol during the outbreak of severe acute respiratory syndrome. Crit Care. 2005;10(1):1-6.
  25. Arentz M, Yim E, Klaff L, Lokhandwala S, Riedo FX, Chong M, et al. Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State. JAMA. 2020;323(16):1612-4.11
  26. Chaplin T, McColl T, Petrosoniak A, Hall AK. “Building the plane as you fly”: Simulation during the COVID-19 pandemic. CJEM. 2020;22(5):576-8.
  27. Pan D, Rajwani K. Implementation of Simulation Training During the COVID-19 Pandemic: A New York Hospital Experience. Simul Healthc. 2021;16(1):46.