Brown Joan, De-Oliveira Sophia, Mitchell Christopher, Cesar Rachel Carmen, Ding Li, Fix Melissa, Stemen Daniel, Yacharn Krisda, Wong Se Fum, Dhillon Anahat
Department of Surgery, Keck School of Medicine, University of South California, Los Angeles, CA, United States.
Office of Performance & Transformation, Keck Hospital of USC, Los Angeles, CA, United States, United States.
JMIR Med Educ. 2025 Jan 24;11:e57424. doi: 10.2196/57424.
Extracorporeal membrane oxygenation (ECMO) is a critical tool in the care of severe cardiorespiratory dysfunction. Simulation training for ECMO has become standard practice. Therefore, Keck Medicine of the University of California (USC) holds simulation-training sessions to reinforce and improve providers knowledge.
This study aimed to understand the impact of simulation training approaches on interprofessional collaboration. We believed simulation-based ECMO training would improve interprofessional collaboration through increased communication and enhance teamwork.
This was a single-center, mixed methods study of the Cardiac and Vascular Institute Intensive Care Unit at Keck Medicine of USC conducted from September 2021 to April 2023. Simulation training was offered for 1 hour monthly to the clinical team focused on the collaboration and decision-making needed to evaluate the initiation of ECMO therapy. Electronic surveys were distributed before, after, and 3 months post training. The survey evaluated teamwork and the effectiveness of training, and focus groups were held to understand social environment factors. Additionally, trainee and peer evaluation focus groups were held to understand socioenvironmental factors.
In total, 37 trainees attended the training simulation from August 2021 to August 2022. Using 27 records for exploratory factor analysis, the standardized Cronbach α was 0.717. The survey results descriptively demonstrated a positive shift in teamwork ability. Qualitative themes identified improved confidence and decision-making.
The study design was flawed, indicating improvement opportunities for future research on simulation training in the clinical setting. The paper outlines what to avoid when designing and implementing studies that assess an educational intervention in a complex clinical setting. The hypothesis deserves further exploration and is supported by the results of this study.
体外膜肺氧合（ECMO）是治疗严重心肺功能障碍的关键手段。ECMO模拟培训已成为标准做法。因此，美国南加州大学凯克医学院举办模拟培训课程，以强化和提升医护人员的知识水平。
本研究旨在了解模拟培训方法对跨专业协作的影响。我们认为基于模拟的ECMO培训将通过加强沟通来改善跨专业协作，并提升团队合作能力。
这是一项于2021年9月至2023年4月在美国南加州大学凯克医学院心血管研究所重症监护病房开展的单中心混合方法研究。每月为临床团队提供1小时的模拟培训，重点是评估启动ECMO治疗所需的协作和决策。在培训前、培训后及培训后3个月进行电子问卷调查。该调查评估了团队合作情况和培训效果，并组织焦点小组讨论以了解社会环境因素。此外，还组织了学员和同行评估焦点小组讨论，以了解社会环境因素。
2021年8月至2022年8月，共有37名学员参加了培训模拟。利用27份记录进行探索性因素分析，标准化Cronbach α为0.717。调查结果直观地显示出团队合作能力有积极变化。定性主题表明信心和决策能力有所提高。
本研究设计存在缺陷，这表明在临床环境中对模拟培训进行未来研究时存在改进机会。本文概述了在设计和实施评估复杂临床环境中教育干预措施的研究时应避免的问题。该假设值得进一步探索，本研究结果为其提供了支持。
