From Bricks to Buildings

Abstract

Presently, health care simulation research is largely conducted on a study-by-study basis. Although such "project-based" research generates a plethora of evidence, it can be chaotic and contradictory. A move toward sustained, thematic, theory-based programs of research is necessary to advance knowledge in the field. Recognizing that simulation is a complex intervention, we present a framework for developing research programs in simulation-based education adapted from the Medical Research Council (MRC) guidance. This framework calls for an iterative approach to developing, refining, evaluating, and implementing simulation interventions. The adapted framework guidance emphasizes: (1) identification of theory and existing evidence; (2) modeling and piloting interventions to clarify active ingredients and identify mechanisms linking the context, intervention, and outcomes; and (3) evaluation of intervention processes and outcomes in both the laboratory and real-world setting. The proposed framework will aid simulation researchers in developing more robust interventions that optimize simulation-based education and advance our understanding of simulation pedagogy.

Constructing a Multidisciplinary Network That Relies on Disruptive Technologies to Design, Test, and Implement Simulation Training

“…However, with its improving usability and effectiveness based on increased satisfaction, knowledge, skills, and practice behaviors, it is now imperative to integrate simulation properly throughout education curriculums (e.g. nursing) [3]. Programs can no longer rely on this 'add-on' notion because simulation opts as a replacement for traditional and often rare clinical experiences, and allows learners to develop skills, clinical reasoning, and care competency [4].…”

The 2019 WACEM expert document on the framework for setting up a simulation centre

“…Furthermore, as the center progresses, in-house research will become more established, and thus, the integration of human performance and simulation-based research is imperative. [121314]…”

“…The use of partnership training with other centers can be considered as a working model. [11131516] One of the greatest appeal of simulation is its ability to offer a diversity of courses and training, utilizing a variety of modalities. For a new simulation center, it becomes crucial to define the spectrum and range of training and courses to be offered.…”

“…It is beneficial to have someone who is familiar with research methodologies which are applicable to simulation-based research, which needs to be evidence based and outcomes driven as well. [910121332]…”

“…It can be used to study various aspects of clinical practice that may not be readily or easily measurable, unless in a controlled setting, offered by simulation. [1213] This can help reduce harm to patients and even assess performance such as technical skills, nontechnical skills, and human factors affecting performance. Simulation also offers a good training platform to teach interprofessional practice values and skills.…”