Journal of Educational Evaluation for Health Professions

Research articles

Medical students’ self-assessed efficacy and satisfaction with training on endotracheal intubation and central venous catheterization with smart glasses in Taiwan: a non-equivalent control-group pre- and post-test study: Yu-Fan Lin, Chien-Ying Wang, Yen-Hsun Huang, Sheng-Min Lin, Ying-Ying Yang; J Educ Eval Health Prof. 2022;19:25. Published online September 2, 2022; DOI: https://doi.org/10.3352/jeehp.2022.19.25

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Purpose
Endotracheal intubation and central venous catheterization are essential procedures in clinical practice. Simulation-based technology such as smart glasses has been used to facilitate medical students’ training on these procedures. We investigated medical students’ self-assessed efficacy and satisfaction regarding the practice and training of these procedures with smart glasses in Taiwan.
Methods
This observational study enrolled 145 medical students in the 5th and 6th years participating in clerkships at Taipei Veterans General Hospital between October 2020 and December 2021. Students were divided into the smart glasses or the control group and received training at a workshop. The primary outcomes included students’ pre- and post-intervention scores for self-assessed efficacy and satisfaction with the training tool, instructor’s teaching, and the workshop.
Results
The pre-intervention scores for self-assessed efficacy of 5th- and 6th-year medical students in endotracheal intubation and central venous catheterization procedures showed no significant difference. The post-intervention score of self-assessed efficacy in the smart glasses group was better than that of the control group. Moreover, 6th-year medical students in the smart glasses group showed higher satisfaction with the training tool, instructor’s teaching, and workshop than those in the control group.
Conclusion
Smart glasses served as a suitable simulation tool for endotracheal intubation and central venous catheterization procedures training in medical students. Medical students practicing with smart glasses showed improved self-assessed efficacy and higher satisfaction with training, especially for procedural steps in a space-limited field. Simulation training on procedural skills with smart glasses in 5th-year medical students may be adjusted to improve their satisfaction.

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The use of smart glasses in nursing education: A scoping review
Charlotte Romare, Lisa Skär
Nurse Education in Practice.2023; 73: 103824. CrossRef

Simulation-based training using a novel Surabaya hysterectomy mannequin following video demonstration to improve abdominal hysterectomy skills of obstetrics and gynecology residents during the COVID-19 pandemic in Indonesia: a pre- and post-intervention study: Dara Dasawulansari Syamsuri, Brahmana Askandar Tjokroprawiro, Eighty Mardiyan Kurniawati, Budi Utomo, Djoko Kuswanto; J Educ Eval Health Prof. 2022;19:11. Published online May 17, 2022; DOI: https://doi.org/10.3352/jeehp.2022.19.11

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Abstract PDF Supplementary Material

Purpose
During the coronavirus disease 2019 (COVID-19) pandemic, the number of abdominal hysterectomy procedures decreased in Indonesia. The existing commercial abdominal hysterectomy simulation model is expensive and difficult to reuse. This study compared residents’ abdominal hysterectomy skills after simulation-based training using the Surabaya hysterectomy mannequin following a video demonstration.
Methods
We randomized 3rd- and 4th-year obstetrics and gynecology residents to a video-based group (group 1), a simulation-based group (group 2), and a combination group (group 3). Abdominal hysterectomy skills were compared between before and after the educational intervention. The pre- and post-tests were scored by blinded experts using the validated Objective Structured Assessment of Technical Skills (OSATS) and Global Rating Scale (GRS).
Results
A total of 33 residents were included in the pre- and post-tests. The OSATS and GRS mean differences after the intervention were higher in group 3 than in groups 1 and 2 (OSATS: 4.64 [95% CI, 2.90–6.37] vs. 2.55 [95% CI, 2.19–2.90] vs. 3.82 [95% CI, 2.41–5.22], P=0.047; GRS: 10.00 [95% CI, 7.01–12.99] vs. 5.18 [95% CI, 3.99–6.38] vs. 7.18 [95% CI, 6.11–8.26], P=0.006). The 3rd-year residents in group 3 had greater mean differences in OSATS and GRS scores than the 4th-year residents (OSATS: 5.67 [95% CI, 2.88–8.46]; GRS: 12.83 [95% CI, 8.61–17.05] vs. OSATS: 3.40 [95% CI, 0.83–5.97]; GRS: 5.67 [95% CI, 2.80–8.54]).
Conclusion
Simulation-based training using the Surabaya hysterectomy mannequin following video demonstration can be a bridge to learning about abdominal hysterectomy for residents who had less surgical experience during the COVID-19 pandemic.

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Improving the quality of care and patient safety in oncology, the contribution of simulation-based training: A scoping review
Nadia Al Wachami, Mohamed Chahboune, Ibtissam Youlyouz-marfak, Mohamed Reda Mesradi, Hajar Lemriss, Abderraouf Hilali
International Journal of Nursing Sciences.2024;[Epub] CrossRef
Effect of midwife competence training in primary healthcare facilities on obstetric risk early detection
Ai Nur Zannah, Yuningsih Yuningsih, Asri Iman Sari, Eka Afdi Septiyono
Healthcare in Low-resource Settings.2024;[Epub] CrossRef

Comparison of the use of manikins and simulated patients in a multidisciplinary in situ medical simulation program for healthcare professionals in the United Kingdom: Marrit Meerdink, Joshua Khan; J Educ Eval Health Prof. 2021;18:8. Published online April 20, 2021; DOI: https://doi.org/10.3352/jeehp.2021.18.8

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Abstract PDF Supplementary Material

Purpose
Simulation training is increasingly popular in healthcare education, and often relies on specially designed manikins. However, it is also possible to work with actors, or simulated patients (SPs), which may provide a greater sense of realism. This study aimed to compare these 2 approaches, to ascertain which makes healthcare professionals feel most comfortable, which leads to the greatest improvement in confidence, and which is most beneficial to learning.
Methods
This study was embedded in a pre-existing multidisciplinary in situ simulation program. A multidisciplinary group of learners from a range of backgrounds—including nurses, doctors, and other allied health professionals—were asked to complete a questionnaire about their learning preferences. We collected 204 responses from 40 simulation sessions over 4 months, from September to December 2019. Of these 204 responses, 123 described using an SP and 81 described using a manikin.
Results
We found that 58% of respondents believed they would feel more comfortable working with an actor, while 17% would feel more comfortable using a manikin. Learners who used both modalities reported a significant increase in confidence (P<0.0001 for both). Participants felt that both modalities were beneficial to learning, but SPs provided significantly more benefits to learning than manikins (P<0.0001). The most common reason favoring SP-based simulation was the greater realism.
Conclusion
In scenarios that could reasonably be provided using either modality, we suggest that educators should give greater consideration to using SP-based simulation.

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Communication and swallowing training of stroke‐specialized health professionals using transdisciplinary knowledge in a patient–actor scenario: A case report
Maria da Assunção Coelho de Matos, Ana Rita Pinheiro, Isabel Maria Monteiro da Costa, Joaquim Alvarelhão
International Journal of Language & Communication Disorders.2024; 59(2): 798. CrossRef
Learning outcomes and cost-utility analysis of hybrid patient and mannequin-based simulation
Juana Perpiñá-Galvañ, Silvia Satorra-Rodríguez, Ana Isabel Gutiérrez-García, Noelia García-Aracil, Lourdes José-Alcaide, Néstor Montoro-Pérez, Rocío Juliá-Sanchís
Nurse Education Today.2024; 132: 106003. CrossRef
Promoting knowledge of metered dose inhaler (MDI) usage among pharmacy professional students through a mobile app
Muhammad Thesa Ghozali, Tasya Aulia Mutiara
Journal of Asthma.2024; : 1. CrossRef
Standardized Patients Versus Mannequins in Mental Health Simulation
Rebecca Luebbert, Amelia Perez, Angela Andrews, Tracy Webster-Cooley
Journal of the American Psychiatric Nurses Association.2023; 29(4): 283. CrossRef
Use of an in-house-developed, 3D-printed mannequin for emergency medicine training among medical students
Zulvikar Syambani Ulhaq, Ferry Nur Nasyroh, Achmad Arief Hidayatullah, Christyaji Indradmojo, Amalia Nur Aisa, Gita Vita Soraya
Educación Médica.2023; 24(6): 100848. CrossRef
The Effect of Simulation on Nursing Student Perceptions of Readiness to Provide End-of-Life Care
Rebecca Dias, Kathryn Robinson, Patricia Poirier
Journal of Hospice & Palliative Nursing.2023; 25(6): E116. CrossRef
The Impact of a Simulation-Based Learning Activity Using Actor Patients on Final Year Nursing Students’ Learning
Dianne Marshall, Michelle Honey
Nursing Praxis in Aotearoa New Zealand.2023;[Epub] CrossRef
Metaverse in Medical Education
Agus Rizal Ardy Hariandy Hamid, Ferdiansyah Sultan Ayasasmita Rusdhy, Prasandhya Astagiri Yusuf
Medical Journal of Indonesia.2023; 32(2): 67. CrossRef
In situ simulation and its different applications in healthcare: an integrative review
Marcos Maciel Candido Justino dos Santos, Sara Fiterman Lima, Carine Freitas Galvão Vieira, Alexandre Slullitel, Elaine Cristina Negri Santos, Gerson Alves Pereira Júnior
Revista Brasileira de Educação Médica.2023;[Epub] CrossRef
Simulação in situ e suas diferentes aplicações na área da saúde: uma revisão integrativa
Marcos Maciel Candido Justino dos Santos, Sara Fiterman Lima, Carine Freitas Galvão Vieira, Alexandre Slullitel, Elaine Cristina Negri Santos, Gerson Alves Pereira Júnior
Revista Brasileira de Educação Médica.2023;[Epub] CrossRef
Perception of Realism and Acquisition of Clinical Skills in Simulated Pediatric Dentistry Scenarios
Begoña Bartolomé Villar, Irene Real Benlloch, Ana De la Hoz Calvo, Gleyvis Coro-Montanet
International Journal of Environmental Research and Public Health.2022; 19(18): 11387. CrossRef
Just-in-Time Orientation of Non-Critical Care Nurses to the Critical Care Environment
Meghan Doelger, Karen Kesten, Bonnie Sakallaris
The Journal of Continuing Education in Nursing.2022; 53(10): 465. CrossRef
Content validity test of a safety checklist for simulated participants in simulation-based education in the United Kingdom: a methodological study
Matthew Bradley
Journal of Educational Evaluation for Health Professions.2022; 19: 21. CrossRef
A manikin or human simulator—development of a tool for measuring students’ perception
Kamil Torres, Phillip Evans, Izabela Mamcarz, Natalia Radczuk, Anna Torres
PeerJ.2022; 10: e14214. CrossRef

Brief report

Impact of multi-professional simulation-based training on perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 patients in Pakistan: Jamal Azfar Khan, Muhammad Rizwan Bashir Kiani; J Educ Eval Health Prof. 2020;17:19. Published online June 29, 2020; DOI: https://doi.org/10.3352/jeehp.2020.17.19

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This study aimed to evaluate perceptions of safety and preparedness among health workers caring for coronavirus disease 2019 (COVID-19) patients before and after a multi-professional simulation-based course in Pakistan. Health workers’ perceptions of preparedness, safety, and their willingness to care for COVID-19 patients were measured before and after they attended a simulation-based training course to prepare them to care for COVID-19 patients at Combined Military Hospital Landi Kotal Cantt, from March 1 to April 30, 2020. The participants’ perceived level of safety and preparedness to care for COVID-19 patients before the simulation-based course was low, but increased after completing it (P<0.05). They felt confident and were significantly more willing to care for patients with COVID-19 or other infections requiring strict isolation. Simulation-based training is an effective tool to improve perceptions of risk and readiness to deal with COVID-19 among medical and non-medical health workers in Pakistan.

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Health Care Simulation as a Training Tool for Epidemic Management
Marcia A. Corvetto, Fernando R. Altermatt, Francisca Belmar, Eliana Escudero
Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare.2023; 18(6): 382. CrossRef
Factors Affecting the Preparedness to Care for Patients with Highly Infectious Diseases among Nursing Staff in Long-term Care Hospitals: A Cross-Sectional Descriptive Study
Ye Seul Lee, Min Hye Lee
Korean Journal of Adult Nursing.2023; 35(1): 35. CrossRef
Effectiveness of Simulation-Based Education for Caring Patients with COVID-19
Min Hye Lee, Eun-Young Noh
Journal of Korean Academy of Nursing.2023; 53(4): 397. CrossRef
Education and Training Adaptations for Health Workers during the COVID-19 Pandemic: A Scoping Review of Lessons Learned and Innovations
Perla Boutros, Nour Kassem, Jessica Nieder, Catalina Jaramillo, Jakob von Petersdorff, Fiona J. Walsh, Till Bärnighausen, Sandra Barteit
Healthcare.2023; 11(21): 2902. CrossRef
COVID-19 Pandemic Support Programs for Healthcare Workers and Implications for Occupational Mental Health: A Narrative Review
Eden David, Jonathan M. DePierro, Deborah B. Marin, Vanshdeep Sharma, Dennis S. Charney, Craig L. Katz
Psychiatric Quarterly.2022; 93(1): 227. CrossRef
How stressful was the COVID-19 pandemic for residents specializing in family practice?. A study of stressors and psychological well-being of physicians in further training specializing in family practice (GP trainees) within a pandemic context
Anna-Maria von Oltersdorff-Kalettka, Janina Meinel, Karen Voigt, Thomas Mundt, Markus Bleckwenn, Antje Bergmann, Mandy Gottschall
BMC Primary Care.2022;[Epub] CrossRef
An update on developments in medical education in response to the COVID-19 pandemic: A BEME scoping review: BEME Guide No. 64
Michelle Daniel, Morris Gordon, Madalena Patricio, Ahmad Hider, Cameron Pawlik, Rhea Bhagdev, Shoaib Ahmad, Sebastian Alston, Sophie Park, Teresa Pawlikowska, Eliot Rees, Andrea Jane Doyle, Mohan Pammi, Satid Thammasitboon, Mary Haas, William Peterson, Ma
Medical Teacher.2021; 43(3): 253. CrossRef
Training in healthcare during and after COVID-19: proposal for simulation training
Carolina Felipe Soares Brandão, Ellen Cristina Bergamasco, Gabriela Furst Vaccarezza, Maria Luiza Ferreira de Barba, Enrico Ferreira Martins de Andrade, Dario Cecilio-Fernandes
Revista da Associação Médica Brasileira.2021; 67( suppl 1): 12. CrossRef
COVID-19 Critical Care Simulations: An International Cross-Sectional Survey
Mohamad-Hani Temsah, Abdulkarim Alrabiaah, Ayman Al-Eyadhy, Fahad Al-Sohime, Abdullah Al Huzaimi, Nurah Alamro, Khalid Alhasan, Vaibhavi Upadhye, Amr Jamal, Fadi Aljamaan, Ali Alhaboob, Yaseen M. Arabi, Marc Lazarovici, Ali M. Somily, Abdulaziz M. Boker
Frontiers in Public Health.2021;[Epub] CrossRef
Interprofessional work in health in the context of the COVID-19 pandemic: a scoping review
Sâmara Fontes Fernandes, Jaira Gonçalves Trigueiro, Márcio Adriano Fernandes Barreto, Rhanna Emanuela Fontenele Lima de Carvalho, Maria Rocineide Ferreira da Silva, Thereza Maria Magalhães Moreira, Marcelo Viana da Costa, Rodrigo Jácob Moreira de Freitas
Revista da Escola de Enfermagem da USP.2021;[Epub] CrossRef
Effect of Simulation-Based Education on the Preparedness of Healthcare Professionals for the COVID-19 Pandemic: a systematic review and meta-analysis
Marc-André Maheu-Cadotte, Alexandra Lapierre, Guillaume Fontaine, Tanya Mailhot, Patrick Lavoie
Science of Nursing and Health Practices.2021; 4(1): 1. CrossRef
Being Prepared During the Evolving COVID-19 Pandemic: A Neonatal Experience in Training and Simulation
Juin Yee Kong, Srabani Samanta Bharadwaj, Amutha Chinnadurai, Selina Kah Ying Ho
Frontiers in Pediatrics.2021;[Epub] CrossRef
Reflections as 2020 comes to an end: the editing and educational environment during the COVID-19 pandemic, the power of Scopus and Web of Science in scholarly publishing, journal statistics, and appreciation to reviewers and volunteers
Sun Huh
Journal of Educational Evaluation for Health Professions.2020; 17: 44. CrossRef

Research Article

Randomized study of effectiveness of computerized ultrasound simulators for an introductory course for residents in Brazil: Jack Philip Silva, Trevor Plescia, Nathan Molina, Ana Claudia de Oliveira Tonelli, Mark Langdorf, John Christian Fox; J Educ Eval Health Prof. 2016;13:16. Published online April 4, 2016; DOI: https://doi.org/10.3352/jeehp.2016.13.16

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Abstract PDF

Purpose
This study aimed to assess the impact of ultrasound simulation (SonoSim) on educational outcomes of an introductory point-of-care ultrasound course compared to hands-on training with live models alone. Methods: Fifty-three internal medicine residents without ultrasound experience were randomly assigned to control or experimental groups. They participated in an introductory point-of-care ultrasound course covering eight topics in eight sessions from June 23, 2014 until July 18, 2014. Both participated in lecture and hands-on training, but experimental group received an hour of computerized simulator training instead of a second hour of hands-on training. We assessed clinical knowledge and image acquisition with written multiple-choice and practical exams, respectively. Of the 53 enrolled, 40 participants (75.5%) completed the course and all testing. Results: For the 30-item written exam, mean score of the experimental group was 23.1±3.4 (n=21) vs. 21.8±4.8 (n=19), (P>0 .05). For the practical exam, mean score for both groups was 8.7 out of 16 (P>0 .05). Conclusion: The substitution of eight hours of ultrasound simulation training for live model scanning in a 24 hour training course did not enhance performance on written and image acquisition tests in an introductory ultrasound course for residents. This result suggests that ultrasound simulation technology used as a substitute for live model training on an hour-for-hour basis, did not improve learning outcomes. Further investigation into simulation as a total replacement for live model training will provide a clearer picture of the efficacy of ultrasound simulators in medical education.

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Ultrasound diagnostics in solving situational problems in the discipline of clinical pathophysiology
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The long-term effect of short point of care ultrasound course on physicians’ daily practice
Ortal Tuvali, Re'em Sadeh, Sergio Kobal, Shaked Yarza, Yael Golan, Lior Fuchs, Etsuro Ito
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Zachary C. Headman, Marcus C. Matson, Robert P. Schneider, James L. Potter, Debra L. Loguda-Summers, Shalini Bhatia, Tatyana Kondrashova
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The Use of Ultrasound Simulators to Strengthen Scanning Skills in Medical Students: A Randomized Controlled Trial
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Impact of an intensive education programme of diagnostic lung and lower limb ultrasound on physiotherapist knowledge: A pilot study
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Point-of-Care Ultrasound for Internal Medicine: An International Perspective
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