From Information to Simulation: Improving Competency in ECT Training Using High-Fidelity Simulation

Raysin, Anetta; Gillett, Brian; Carmody, Joseph; Goel, Nidhi; McAfee, Scot G; Jacob, Theresa

doi:10.1007/s40596-017-0859-1

Cited by 9 publications

(9 citation statements)

References 17 publications

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“…This suggests that simulation intervention in small groups was effective in improving the quality of ECT care. These results are consistent with the findings of Rabheru et al and Raysin et al (12,23). However, in the study conducted by Raysin et al (23), data collection instrument was a self-report questionnaire with lower reliability compared to the present study; they also performed data collection using a checklist and by an external evaluator.…”

Section: Discussionsupporting

confidence: 92%

“…These results are consistent with the findings of Rabheru et al and Raysin et al (12,23). However, in the study conducted by Raysin et al (23), data collection instrument was a self-report questionnaire with lower reliability compared to the present study; they also performed data collection using a checklist and by an external evaluator. In addition, Raysin et al ( 23) evaluated the quality of care in three areas of knowledge, relaxation, and capability.…”

Section: Discussionsupporting

confidence: 92%

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Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

et al. 2021

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Background: Considering the high risk and vital nature of electroconvulsive therapy (ECT) process, as well as the subsequent intensive, essential, and life-saving cares, it is necessary to promote the skills of nurses providing this kind of care. Objectives: This study aimed to determine the effect of simulation on developing the quality of care in nurses working in the ECT department. Methods: This experimental study compared two groups before and after the intervention. Fifty nurses who met the inclusion criteria were randomly allocated into two groups of intervention and control. Low-tech (static) task trainer was used for simulation-based medical education (SBME) in the intervention group. Data were collected using a checklist to investigate the quality of nursing care before and after the intervention. Results: The mean scores obtained from initial preparation subscales, preparation of tools and equipment, measures during ECT, post-ECT measures, and checking patient’s status in pre-test and post-test in the intervention group were significantly different. This suggests that simulation intervention in small groups is effective in improving the quality of nursing care in ECT (P < 0.05). Conclusions: Our results showed that promoting ECT nursing care knowledge among the nurses in small groups by simulation method is an effective intervention.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

et al. 2021

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“…92,[106][107][108] Early research into the use of manikins to teach discrete procedural skills in psychiatry, such as electroconvulsive therapy, have showed effectiveness. 64,109,110 Few studies 24,[111][112][113][114] identified used real patients for simulations, possibly emphasizing the need for prudence, which raises questions around how to address stigma, as proximity and exposure are known approaches. However, simulation training can provide other methods through which to address stigma using alternative pedagogies that illicit the personal narratives and experiences of patients, 111,115 such as: simulation formats (e.g.…”

Section: Discussionmentioning

confidence: 99%

Simulation in psychiatry for medical doctors: A systematic review and meta‐analysis

et al. 2020

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CONTEXT: Most medical doctors are likely to work with patients experiencing mental health conditions. However, there are often limited educational opportunities for medical doctors to achieve professional development in the field of psychiatry. Simulation training in psychiatry may be a useful tool to foster this development. OBJECTIVES:To assess the effectiveness of simulation training in psychiatry for medical students, post-graduate trainees, and medical doctors. METHODS:For this systematic review and meta-analysis, we searched 8 electronic databases and trial registries up to August 31, 2018. We manually searched key journals and the reference lists of selected studies. We included randomised and non-randomised controlled studies and single group prepost-test studies. Our main outcomes were based on Kirkpatrick levels. We included data only from Randomised Controlled Trials (RCTs) using random-effects models. RESULTS:From 46 571 studies identified, we selected 163 studies and combined 27 RCTs. Interventions included simulation by role-play (n=69), simulated patients (n=72), virtual reality (n=22), manikin (n=5) and voice simulation (n=2). Meta-analysis found significant differences at immediate post-test for simulation compared with active and inactive controls on attitudes (SMD=0.52 (95%CI 0.31; 0.73; I 2 = 0%) and 0.28 (95%CI 0.04; 0.53; I 2 = 52%), respectively); on skills (SMD=1.37 (95%CI 0.56; 2.18; I 2 =93%) and 1.49 (95%CI 0.39; 2.58; I 2 = 93%), respectively); on knowledge (SMD=1.22 (95%CI 0.57; 1.88; I 2 = 0%) and 0.72 (95%CI 0.14; 1.30; I 2 = 80%), respectively); and on behaviours (SMD= 1.07 (95%CI 0.49; 1.65; I 2 =68%) and 0.45 (95%CI 0.11; 0.79; I 2 =41%), respectively. Significant differences were found at three-month follow-up for patient benefit and doctors' behaviours and skills. CONCLUSIONS: Despite heterogeneity in methods and simulation interventions, our findings demonstrate the effectiveness of simulation training in psychiatry training.

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“…44 Similarly, Raysin et al reported that psychiatry residents who received augmented simulation training showed significant improvements in ECT knowledge, skills, and comfort compared to those who received a traditional didactic ECT curriculum. 45 Simulation through virtual reality (VR) has emerged as a novel, immersive, and effective high-fidelity training approach to procedural skill acquisition. A meta-analysis comparing pedagogical methods in pre-and post-skills outcomes revealed a superiority in learners who took part in VR interventions compared to traditional didactic teaching or other forms of digital learning.…”

Section: Potential Role For Simulation-based Education In Interventio...mentioning

confidence: 99%

Interventional Psychiatry and Neurotechnologies: Education and Ethics Training

Giacobbe

Burhan

Waxman

et al. 2023

Can. J. Neurol. Sci.

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ABSTRACT:The last two decades have seen dramatic growth in the application of procedurally based interventions for treating refractory psychiatric conditions, leading to interest in developing the foundations for the subspecialty of “Interventional Psychiatry.” However, there is cause for concern that the rate of expansion of clinical advances in this field may be outpacing the ability of postgraduate curricula to provide sufficient exposure to and teaching and supervision of these treatments. The paucity of adequately trained practitioners in Interventional Psychiatry further exacerbates inequities in the ability of eligible patients to access and benefit from these approaches. This paper explores the rates of utilization of Interventional Psychiatry treatments, the current state of education in these treatments, and the role that training can play in translating scientific advances in this area to ensure equitable access and maximum impact at a population level. The majority of the discussion is centered on electroconvulsive therapy (ECT), the most established and available of these treatments, highlighting how enhancing education and training in ECT can reduce barriers to its utilization. It is argued that innovations in pedagogical approaches for disseminating the learning of these procedures are needed to increase the current low rates of competency in these treatments and can facilitate the more rapid dissemination of other Interventional Psychiatry approaches and neurotechnologies, such as repetitive transcranial magnetic stimulation, ketamine, deep brain stimulation, and focused ultrasound.

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From Information to Simulation: Improving Competency in ECT Training Using High-Fidelity Simulation

Cited by 9 publications

References 17 publications

Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

Simulation in psychiatry for medical doctors: A systematic review and meta‐analysis

Interventional Psychiatry and Neurotechnologies: Education and Ethics Training

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