A medical simulator for subcutaneous contraceptive implant insertion

Jardin, Audrey; Pham, Minh Tu; Mallet, A.; Redarce, Tanneguy; Dupuis, Olivier

doi:10.1016/j.medengphy.2008.02.003

Cited by 3 publications

(6 citation statements)

References 20 publications

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“…This simulator adds to the growing body of evidence that simulator-based training has the potential to help healthcare workers acquire the skills needed to perform various activities. 11,19,21,22 One limitation of this study is that the intervention group was not asked to also observe actual insertions of implants in the clinical setting (a component of the current standard training procedure) before practicing with the simulator. It is possible that the inclusion of that additional training component may have further improved the performance of the intervention group.…”

Section: Discussionmentioning

confidence: 99%

“…It may also boost the confidence of trainees and reduce any anxiety that they may have in the process of inserting implants. This simulator adds to the growing body of evidence that simulator‐based training has the potential to help healthcare workers acquire the skills needed to perform various activities …”

Section: Discussionmentioning

confidence: 99%

“…A key factor contributing to the low usage of modern methods, particularly implants, is a shortage of trained staff, particularly those skilled in providing contraceptive insertion services . Insertion of implants requires skilled staff; if not properly inserted, implants can cause pain, vary in their effectiveness, and lead to difficult removal frequently requiring surgical interventions with the possibility of additional complications . A recent WHO review of the evidence on the safety of the insertion and removal of implants concluded that auxiliary nurses could deliver implant services with targeted monitoring and evaluation .…”

Section: Introductionmentioning

confidence: 99%

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Design and evaluation of a subcutaneous contraceptive implant training simulator

Dery

Kaufmann

Marzano

et al. 2019

Intl J Gynecology & Obste

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Objective To design and fabricate a subcutaneous contraceptive implant insertion simulator, and to characterize the performance of nursing students trained with and without the simulator. Method A cross‐sectional study was conducted on nursing students in Ghana who had no previous training in the insertion of contraceptive implants. They were given standardized training in insertion of implants from 25 April to 26 April, 2016, and then were randomly assigned to an intervention or control group. The control group watched insertions of live implants while the intervention group practiced using the simulator. Local materials were used to fabricate the simulator. The performance of both groups was assessed after the training. Results The participants consisted of 50 nursing students. Those in the intervention group were more likely to: insert the implant accurately (95.2% vs 78.4%, P<0.001); take less time to complete an insertion (mean of 33.6 seconds vs 42.2 seconds, P<0.001); and commit fewer errors (1.9 vs 2.5, P=0.005) compared to the control group. In addition, participants rated the simulator high on 11/11 of the product requirements with the teaching (93.2%), learning (91.4%), and skill acquisition (88.6%) requirements being the highest rated. Conclusion A low‐cost, locally fabricated simulator is an effective tool for augmenting the current training protocol by improving insertion skills of contraceptive implants.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Design and evaluation of a subcutaneous contraceptive implant training simulator

Dery

Kaufmann

Marzano

et al. 2019

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…In other fields, training tools are comparatively substantial and problems are not encountered even if commercially available tools are used (2–5). However, there are currently no effective training tools in the field of PA.…”

Section: Discussionmentioning

confidence: 99%

“…The concepts desired by our medical practitioners included: (1) providing a tactile sensation that is very close to that of a living body; (2) creating the sequence of organs within the abdominal cavity (reproduction of the Douglas pouch, bladder, rectum, etc.) similar to that of a human body; (3) enabling the draining of liquid when a PD catheter is inserted into the Douglas pouch; and (4) using medical devices such as electric knives that are used in actual clinical environments.…”

Section: Methodsmentioning

confidence: 99%

Practice of Peritoneal Dialysis Access Education using the New Hybrid Simulator in Japan

Fukasawa

2015

J Vasc Access

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Introduction To promote the increase in patients undergoing peritoneal dialysis (PD) in Japan, the Japanese Society for Dialysis Access started offering workshops on peritoneal access (PA) preparation procedures for doctors with less experience. Since the transfer of technology used in surgical procedures is difficult in small communities such as individual hospitals, a specialist group such as a society should take the initiative and fulfill this responsibility. Methods Here we used a hybrid simulator developed by Terumo Medical Pranex that uses the abdominal wall of an edible pig (a lump from the peritoneum to skin) and a mannequin. Since the structure of the porcine abdominal wall is similar to that of humans, the PA procedure can be simulated in this actual procedure. With three-dimensional reproduction of the Douglas pouch and other features of the pelvis using human computed tomography images, we created a system in which even drainage is possible if the catheter is well placed. Results Using this simulator, students were able to experience the PA access preparation procedure 2-4 times and easily observed the catheter position after insertion by peeling the abdominal wall from the mannequin. Conclusions In the future, by leveraging the advantages of the hybrid simulator, we aim to promote the training of medical staff interested in PD health care and increase the number of patients able to benefit from the many advantages of PD.

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