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  1. Article ; Online: Sustainability efforts in healthcare simulation and clinical learning: An international survey.

    Marsack, Jessica E / Bathish, Melissa A / Lee, Deborah R

    Nurse education today

    2023  Volume 132, Page(s) 105990

    Abstract: Background: Little is known about international environmental sustainability practices in healthcare simulation education. Understanding these practices can elucidate current differences in practice, promote sharing of current practices, and establish ... ...

    Abstract Background: Little is known about international environmental sustainability practices in healthcare simulation education. Understanding these practices can elucidate current differences in practice, promote sharing of current practices, and establish baseline efforts for improving sustainability practices globally. Therefore, an electronic survey was undertaken targeting international healthcare simulation centers to acquire a more comprehensive understanding of healthcare simulation education sustainability practices in differing international settings.
    Results: Only 40 % of respondents had a written sustainability plan, but 68.75 % indicated their center purchased environmentally preferable supplies, 100 % endorsed supply reuse, 60.4 % endorsed supply recycling, and 37.5 % endorsed sustainable supply disposal. Most participants cited "environmental consciousness" motivated these efforts. Comparison analyses found significant differences between the U.S. and Canada for recycling (p = 0.0065) and disposal (p = 0.0074), and between Canada and international countries for recycling (p = 0.01395).
    Conclusion: Canadian simulation centers implement more waste reduction practices than any other country surveyed. Further research should investigate factors contributing to variability and perceptions of sustainability efforts, as well as differences in international waste reduction capabilities. Countries with the most successful waste reduction efforts should advertise and expand them. In addition, healthcare simulation centers must be aware of current options for plastic reuse and embed those practices into healthcare simulation centers. Embedded practices should be taught to all simulation educators and students, with the ultimate goal of students translating these ideas into practice. The summation of improving these sustainability efforts in healthcare simulation education can have a positive global impact.
    MeSH term(s) Humans ; Canada ; Learning ; Delivery of Health Care ; Awareness ; Surveys and Questionnaires
    Language English
    Publishing date 2023-10-18
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 1062570-7
    ISSN 1532-2793 ; 0260-6917
    ISSN (online) 1532-2793
    ISSN 0260-6917
    DOI 10.1016/j.nedt.2023.105990
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Evaluating an intervention of telehealth education and simulation for advanced practice registered nurse students: A single group comparison study.

    Jones, Heather M / Ammerman, Beth A / Joiner, Kevin L / Lee, Deborah R / Bigelow, April / Kuzma, Elizabeth K

    Nursing open

    2023  Volume 10, Issue 6, Page(s) 4137–4143

    Abstract: As healthcare delivery continues to evolve and expand, nurse educators must prepare advanced practice registered nursing (APRN) students to use telehealth technology safely, effectively, and confidently. The aims of this study were to describe APRN ... ...

    Abstract As healthcare delivery continues to evolve and expand, nurse educators must prepare advanced practice registered nursing (APRN) students to use telehealth technology safely, effectively, and confidently. The aims of this study were to describe APRN students' beliefs and confidence regarding the delivery of care via telehealth in their future practice. To evaluate these aims, a single group comparison study was conducted. APRN students received an intervention comprised of multimodal telehealth instruction, which involved the simulated application of telehealth with standardized patients. Students' beliefs regarding telehealth did not significantly change between the pre- and post-intervention, in which all areas were rated high pre-intervention. Students reported an increase in their perception and confidence post-intervention. Integration of telehealth into the APRN curriculum is essential to instil knowledge and confidence as healthcare technology advances.
    MeSH term(s) Humans ; Advanced Practice Nursing ; Educational Status ; Students ; Telemedicine ; Nurses
    Language English
    Publishing date 2023-01-24
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2809556-X
    ISSN 2054-1058 ; 2054-1058
    ISSN (online) 2054-1058
    ISSN 2054-1058
    DOI 10.1002/nop2.1620
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Does Extended Reality Simulation Improve Surgical/Procedural Learning and Patient Outcomes When Compared With Standard Training Methods?: A Systematic Review.

    Woodall, William J / Chang, Eugene H / Toy, Serkan / Lee, Deborah R / Sherman, Jonathan H / Liu, Matthew / Chen, Philip / Youner, Emily / Cooke, James / Lancaster, Andy / Gerberi, Danielle / Herur-Raman, Aalap

    Simulation in healthcare : journal of the Society for Simulation in Healthcare

    2024  Volume 19, Issue 1S, Page(s) S98–S111

    Abstract: Introduction: The use of extended reality (XR) technologies, including virtual, augmented, and mixed reality, has increased within surgical and procedural training programs. Few studies have assessed experiential learning- and patient-based outcomes ... ...

    Abstract Introduction: The use of extended reality (XR) technologies, including virtual, augmented, and mixed reality, has increased within surgical and procedural training programs. Few studies have assessed experiential learning- and patient-based outcomes using XR compared with standard training methods.
    Methods: As a working group for the Society for Simulation in Healthcare, we used Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and a PICO strategy to perform a systematic review of 4238 articles to assess the effectiveness of XR technologies compared with standard training methods. Outcomes were grouped into knowledge, time-to-completion, technical proficiency, reactions, and patient outcomes. Because of study heterogeneity, a meta-analysis was not feasible.
    Results: Thirty-two studies met eligibility criteria: 18 randomized controlled trials, 7 comparative studies, and 7 systematic reviews. Outcomes of most studies included Kirkpatrick levels of evidence I-III (reactions, knowledge, and behavior), while few reported level IV outcomes (patient). The overall risk of bias was low. With few exceptions, included studies showed XR technology to be more effective than standard training methods in improving objective skills and performance, shortening procedure time, and receiving more positive learner ratings. However, XR use did not show significant differences in gained knowledge.
    Conclusions: Surgical or procedural XR training may improve technical skill development among trainees and is generally favored over standard training methods. However, there should be an additional focus on how skill development translates to clinically relevant outcomes. We recommend longitudinal studies to examine retention and transfer of training to clinical settings, methods to improve timely, adaptive feedback for deliberate practice, and cost analyses.
    MeSH term(s) Humans ; Computer Simulation ; Augmented Reality ; Problem-Based Learning ; Clinical Competence ; Physical Therapy Modalities ; Simulation Training
    Language English
    Publishing date 2024-01-19
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2223429-9
    ISSN 1559-713X ; 1559-2332
    ISSN (online) 1559-713X
    ISSN 1559-2332
    DOI 10.1097/SIH.0000000000000767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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