Purva Makani, Nicklin Jane
Association for Simulated Practice in Heathcare, Lichfield, Staffordshire, UK.
Department of Anaesthetics, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK.
BMJ Simul Technol Enhanc Learn. 2018 Jul 9;4(3):117-125. doi: 10.1136/bmjstel-2017-000232. eCollection 2018.
There is widespread enthusiasm and emerging evidence of the efficacy of simulation-based education (SBE) but the full potential of SBE has not been explored. The Association for Simulated Practice in Healthcare (ASPiH) is a not-for-profit membership association with members from healthcare, education and patient safety background. ASPiH's National Simulation Development Project in 2012 identified the lack of standardisation in the approach to SBE with failure to adopt best practice in design and delivery of SBE programmes. ASPiH created a standards project team in 2015 to address this need. The article describes the iterative process modelled on implementation science framework, spread over six stages and 2 years that resulted in the creation of the standards. The consultation process supported by Health Education England resulted in a unique document that was driven by front line providers while also having strong foundations in evidence base. The final ASPiH document consisting of 21 standards for SBE has been extensively mapped to regulatory and professional bodies in the UK and abroad ensuring that the document is relevant to a wide healthcare audience. Underpinning the standards is a detailed guidance document that summarises the key literature evidence to support the standard statements. It is envisaged the standards will be widely used by the simulation community for quality assurance and improving the standard of SBE delivered.
基于模拟的教育(SBE)受到广泛关注,且有新证据表明其具有有效性,但SBE的全部潜力尚未得到挖掘。医疗保健模拟实践协会(ASPiH)是一个非营利性会员协会,其成员来自医疗保健、教育和患者安全领域。ASPiH在2012年开展的国家模拟发展项目发现,SBE方法缺乏标准化,在SBE项目的设计和实施中未能采用最佳实践。ASPiH于2015年成立了一个标准项目团队来满足这一需求。本文描述了一个以实施科学框架为模型的迭代过程,该过程历经六个阶段、耗时两年,最终形成了这些标准。在英国健康教育署的支持下进行的咨询过程产生了一份独特的文件,该文件由一线提供者推动,同时有坚实的证据基础。最终的ASPiH文件包含21条SBE标准,已与英国及国外的监管和专业机构进行了广泛对接,以确保该文件适用于广泛的医疗保健受众。这些标准的基础是一份详细的指导文件,该文件总结了支持标准声明的关键文献证据。预计这些标准将被模拟社区广泛用于质量保证和提高所提供的SBE的标准。