Anaesthesiology, Aarhus Universitetshospital, Aarhus N, Denmark
Dept of Medicine, Randers Regional Hospital, Randers NE, Denmark.
BMJ Open. 2022 Jan 7;12(1):e056599. doi: 10.1136/bmjopen-2021-056599.
The COVID-19 pandemic forced hospital organisation and healthcare professionals to prepare for large quantities of patients in isolation rooms. In situ simulation may seem promising in order to manage the organisational changes that the pandemic require. This study aims to investigate in situ simulations influence on healthcare professional's self-perceived preparedness to face the pandemic.
A qualitative focus group study.
We conducted full scale in situ simulations over a 3-week period in April 2020, including 277 healthcare professionals, at a Danish University Hospital. Subsequently, six semistructured focus group interviews, including 22 participants from the simulations, were conducted in May 2020.
22 healthcare professionals participated in the focus group interviews.
The simulations consisted of a briefing, two scenarios focusing on acute respiratory insufficiency and correct use of personal protective equipment (PPE), and a debriefing. We conducted six focus group interviews using comparable semistructured interview guides focusing on the organisational restructuring of the departments and outcomes of the needs-driven simulation-based programme. We used thematic analysis to identify main themes.
The informants perceived that the simulations resulted in positive experiences for the healthcare professionals and perceived the organisational changes as effective. They highlighted that simulation enhanced teamwork, demystified the COVID-19 disease, and improved skills, in correct use of PPE and acute treatment of COVID-19 patients. Data revealed that a predefined simulation task force including both experienced simulators and medical experts for facilitation of in situ simulation would be beneficial.
In situ simulation may be useful to enhance learning on organisation and individual level during a pandemic. This educational activity could serve an important role in facilitating hospital preparation and education of large numbers of healthcare professionals during a healthcare crisis. Introduction of a simulation task force is suggested to handle coordination and rapid enrolment across the hospital.
COVID-19 大流行迫使医院组织和医疗保健专业人员为隔离病房的大量患者做好准备。现场模拟似乎很有希望，可以管理大流行所要求的组织变革。本研究旨在调查现场模拟对医疗保健专业人员应对大流行的自我准备程度的影响。
定性焦点小组研究。
我们在 2020 年 4 月进行了为期 3 周的全面现场模拟，包括丹麦一家大学医院的 277 名医疗保健专业人员。随后，在 2020 年 5 月进行了六次半结构化焦点小组访谈，其中包括 22 名来自模拟的参与者。
22 名医疗保健专业人员参加了焦点小组访谈。
模拟包括一次介绍、两个重点关注急性呼吸功能不全和正确使用个人防护设备（PPE）的场景以及一次汇报。我们使用类似的半结构化访谈指南进行了六次焦点小组访谈，重点关注部门的组织重组和以需求为导向的基于模拟的计划的结果。我们使用主题分析来确定主要主题。
信息提供者认为模拟为医疗保健专业人员带来了积极的体验，并认为组织变革是有效的。他们强调，模拟增强了团队合作，使 COVID-19 疾病不再神秘，并提高了技能，包括正确使用 PPE 和对 COVID-19 患者的急性治疗。数据显示，包括经验丰富的模拟专家和医学专家在内的预定义模拟工作队将是有益的。
现场模拟可能有助于在大流行期间增强组织和个人层面的学习。这种教育活动可以在医院准备和大量医疗保健专业人员的教育方面发挥重要作用，在医疗危机期间。建议引入模拟工作队来处理整个医院的协调和快速注册。
