Bredmose Per P, Østergaard Doris, Sollid Stephen
Department of Research, Norwegian Air Ambulance Foundation, Oslo, Norway.
Division of Prehospital Services, Air Ambulance Department, Oslo University Hospital, Postboks 414, Sentrum, 0103, Oslo, Norway.
Adv Simul (Lond). 2021 Nov 24;6(1):42. doi: 10.1186/s41077-021-00193-x.
Facilitators play an essential role in simulation-based training on helicopter emergency medical services (HEMS) bases. There is scant literature about the barriers to the implementation of simulation training in HEMS. The purpose of this explorative interview study was to identify factors that the local facilitators anticipated would challenge the smooth implementation of the program, and their strategies to overcome these before the national implementation of in situ simulation-based training locally, and subsequently, one year after the programme was initiated, to identify the actual challenges they had indeed experienced, and their solutions to overcome these.
A qualitative study with semi-structured group interviews of facilitators was undertaken before and after one year of simulation-based training on all HEMS bases and one Search and Rescue base. Systematic text condensation was used to extract facilitators' expectations and experiences.
Facilitators identified 17 themes in the pre-study-year interviews. Pedagogical, motivational and logistical issues were amongst the dominant themes. Other key themes included management support, dedicated time for the facilitators and ongoing development of the facilitator. In the post-study-year interviews, the same themes were identified. Despite anxiety about the perceptions of, and enthusiasm for, simulation training amongst the HEMS crews, our facilitators describe increasing levels of motivation over the study period.
Facilitators prognosticated the anticipated challenges to the successful implementation of simulation-based training on HEMS bases and suggested solutions for overcoming these challenges. After one year of simulation-based training, the facilitators reflected on the key factors for successful implementation.
在直升机紧急医疗服务（HEMS）基地的模拟培训中，协调员发挥着至关重要的作用。关于在HEMS中实施模拟培训的障碍的文献很少。这项探索性访谈研究的目的是确定当地协调员预计会对该项目的顺利实施构成挑战的因素，以及他们在全国范围内在当地实施现场模拟培训之前克服这些因素的策略，随后，在该项目启动一年后，确定他们实际遇到的挑战以及克服这些挑战的解决方案。
在所有HEMS基地和一个搜救基地进行基于模拟培训的一年前后，对协调员进行了半结构化小组访谈的定性研究。使用系统的文本浓缩法提取协调员的期望和经验。
协调员在研究前一年的访谈中确定了17个主题。教学、激励和后勤问题是主要主题。其他关键主题包括管理支持、为协调员留出专用时间以及协调员的持续发展。在研究后一年的访谈中，确定了相同的主题。尽管HEMS机组人员对模拟培训的看法和热情存在焦虑，但我们的协调员表示在研究期间积极性在不断提高。
协调员预测了在HEMS基地成功实施基于模拟培训的预期挑战，并提出了克服这些挑战的解决方案。经过一年的基于模拟的培训后，协调员反思了成功实施的关键因素。
