Primary care emergencies: improved confidence in clinical and non-clinical members of the multidisciplinary team using a simulation programme

Lamb, Elizabeth Iris; Jenkins, Nichola; Male, Phillipa; McFetrich, James; Towart, Maria; Sudlow, Mark

doi:10.1136/bmjstel-2019-000440

Cited by 5 publications

(16 citation statements)

References 3 publications

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“…Five of the studies mainly used surveys to record a combination of selfreported confidence using a Likert scale and collected qualitative information using free-text questions. 3,4,6,12,25 One study was a qualitative study that used semi-structured interviews and thematic data analysis. 26 Two studies incorporated independent assessments of performance during emergency simulations.…”

Section: Includedmentioning

confidence: 99%

“…Six percent of all out-of-hospital cardiac arrests can occur in primary care. 2 Although emergencies occur relatively infrequently in primary care, 3 general practitioners (GPs) have a responsibility to provide prompt and effective care when attending to life-threatening emergencies in their surgeries. 4 The primary care provider plays an important role in the paediatric 5 and adult emergency care services; however, due to the relative infrequency of emergencies in primary care, it can be quite daunting for those involved when emergencies occur.…”

Section: Introductionmentioning

confidence: 99%

“…4 The primary care provider plays an important role in the paediatric 5 and adult emergency care services; however, due to the relative infrequency of emergencies in primary care, it can be quite daunting for those involved when emergencies occur. 3 Primary care providers, particularly those who have worked outside of a hospital setting for a prolonged period, may feel ill-prepared to manage emergently ill patients. 6 Simulation is one tool that can be used for education and systems testing for rare, but risky events 7 such as emergency medical scenarios.…”

Section: Introductionmentioning

confidence: 99%

“…18,20 A reason why this is not regularly incorporated in the training of primary care specialties could be due to the lack of literature supporting the use of simulation for the wider primary care team including for non-clinical colleagues. 3 There are relatively little data regarding the long-term value of simulationbased training in primary care. 17 This research aimed to conduct a rapid literature review of studies looking at the use and impacts of emergency care simulation training in primary care,and to use this information to inform the use of such educational tools in the training of primary care clinicians.…”

Section: Introductionmentioning

confidence: 99%

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Impact of emergency simulation training in primary care: a rapid review

Gauznabi

2024

J Prim Health Care

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Introduction. Primary care is increasingly exposed to acutely unwell patients and there is an increasing responsibility of primary care physicians to be well-equipped to manage medical emergencies. One means of training primary care staff is through simulation training; however, emergency simulation training in primary care is not well established. Aim. The objective of this study was to conduct a rapid literature review of studies looking at the use and impacts of emergency care simulation training in primary care. Methods. A systematic literature search with pre-defined key terms was carried out in November 2023 using the databases of PubMed, ERIC, EmBase and PsychInfo. Studies between 2013 and 2023 that met the inclusion criteria were reviewed. Only journal articles in English with full texts that were available were reviewed. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, data extraction was systematically structured, and studies were appraised systematically. Results. Of 523 initial studies found from the literature review, eight studies met the eligibility criteria. Seven of the eight studies evaluated the efficacy of simulation training for primary care providers; these were prospective cohort studies. One of the eight studies was a proof-ofconcept study. One study specifically compared high-fidelity to low-fidelity simulations. No previous literature reviews on the use of emergency simulations in primary care were found in this literature search. All studies were consistent in terms of the significant benefits emergency care simulation has for primary care staff in improving confidence, clinical practice and emergency management systems. These changes applied to both clinical and non-clinical staff. There were specific benefits from in-clinic simulation. Discussion. This review emphasises the significant benefits of emergency simulation training in primary care. There should be greater consideration of specifically incorporating such educational tools in primary care specialties such as general practice, rural general practice and urgent care.

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Section: Includedmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of emergency simulation training in primary care: a rapid review

Gauznabi

2024

J Prim Health Care

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“…Time is of the essence during these situations and early cardiopulmonary resuscitation and defibrillation have been shown to improve outcomes during outof-hospital cardiac arrest [7]. Only recently have any studies sought to determine the impact of simulation training on primary care office staff confidence in managing these emergencies [8,9]. The aim of this training was to provide family medicine physicians, nurses, and office staff education about how to manage in-office emergencies.…”

Section: Introductionmentioning

confidence: 99%

In-Situ Simulation in Interdisciplinary Family Practice Improves Response to In-Office Emergencies

Gable

Hommema

2021

Cureus

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BackgroundMedical emergencies can present to family medicine offices. For optimal patient outcomes, multiple team members must come together to provide emergency care and mobilize the appropriate resources. In-situ simulation has been used to improve provider knowledge, skills, and attitudes as well as identify latent safety threats. The aim of this training was to provide family medicine physicians, nurses, and office staff education about how to manage in-office emergencies. Specifically, we sought to clarify team members' roles, improve communication, and identify latent safety threats. MethodologyTwo different in-situ simulations were performed with debriefing sessions. The first was a pediatric patient in respiratory distress. The second was a patient who presented for shortness of breath and became unresponsive in the lobby. Physicians, nurses, and office staff responded to the emergencies and used existing equipment and protocols to medically manage each patient. A standardized return on investment in learning survey evaluating the learners' confidence in managing in-office emergencies was completed by all learners immediately prior to and after the training. ResultsThe training improved the participants' self-reported confidence in their ability to manage in-office emergencies. Additionally, participants believed they were better able to identify other team members' roles when responding to an in-office emergency. Learners were able to identify where knowledge gaps existed in current protocols, as well as aspects of the protocols that required updating. Lastly, the teams identified latent safety threats that were able to be mitigated by the practice. ConclusionsIn-situ simulation for high-risk, low-frequency in-office emergencies is a valuable tool to improve team members' confidence, identify knowledge gaps, and mitigate latent safety threats.

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