Effectiveness of Simulation-based Training on Emergency Response Knowledge Among Inter-Professional Staff Involved in Gastrointestinal Endoscopic Practice.
Simulation-based training can improve emergency response knowledge among endoscopy staff, but ongoing training may be necessary to maintain these improvements.
Where it sits
this study against the rest of the glutathione (gsh) corpusSummary and findings
This study evaluated the effectiveness of simulation-based training on emergency response knowledge among inter-professional staff in gastrointestinal endoscopy. Twenty-two participants, including physicians and nurses, underwent knowledge tests before, immediately after, and one month after the training. The study found improvements in knowledge scores immediately post-training, but many scores returned to baseline after one month.
Abstract
<h4>Objective</h4>To evaluate the effectiveness of simulation-based training in improving emergency response capabilities during endoscopic practice.<h4>Methods</h4>Physicians, nurses, laboratory technologists, and clinical engineers working in the endoscopy department were enrolled. The simulation-based training program employed simulation models and was conducted under the guidance of a certified emergency nurse using predefined scenarios. Knowledge tests were administered before, immediately after, and 1 month after the training. Test scores were compared across time points and among professional groups.<h4>Results</h4>Twenty-two participants (14 physicians, seven nurses, and one laboratory technologist) were included. The accuracy rates improved across all items immediately after the training compared with the pre-training outcomes: correct chest compression (<i>p</i> < 0.01), drugs for cardiac arrest (<i>p</i> < 0.01), drugs for anaphylaxis (<i>p</i> = 0.13), indications for defibrillation (<i>p</i> < 0.01), automated external defibrillator (AED) location (<i>p</i> = 0.01), and Code Blue contact number (<i>p</i> < 0.01). However, at 1 month after the training, most items returned to pre-training levels, except for the indications for defibrillation and Code Blue contact number. In the subgroup analysis by profession, when the accuracy rates immediately before and immediately after the training were compared, physicians showed significant improvements in AED location (<i>p</i> = 0.03) and Code Blue contact number (<i>p</i> < 0.01), whereas nurses showed a significant improvement in drugs for cardiac arrest (<i>p</i> = 0.02).<h4>Conclusions</h4>Simulation-based training is effective in improving emergency response knowledge in gastrointestinal endoscopy. However, repeated or continuous training may be necessary to sustain these gains. <b>Trial Registration</b>: N/A.
Background
This paper addresses the need for effective emergency response training in gastrointestinal endoscopic practice, an area where timely interventions can be critical. Prior studies have indicated that simulation-based training can enhance knowledge retention and practical skills in medical settings. This study is significant as it evaluates the specific impact of such training on a diverse group of healthcare professionals involved in endoscopic procedures.
Methods
The study utilized a simulation-based training program for physicians, nurses, laboratory technologists, and clinical engineers in the endoscopy department. A total of 22 participants were enrolled, and knowledge tests were administered before, immediately after, and one month post-training. The primary outcome measures included accuracy rates for various emergency response items.
Results
The primary endpoint showed that correct chest compression accuracy improved significantly, p < 0.01. Other areas of knowledge, such as drugs for cardiac arrest and AED location, also showed significant improvements, with p-values of < 0.01 and = 0.01, respectively. However, many knowledge scores returned to pre-training levels after one month, indicating a decline in retention.
Interpretation
The findings suggest that while simulation-based training can lead to immediate improvements in emergency response knowledge, the clinical significance may be limited by the rapid decline in retention observed after one month. This aligns with previous literature indicating that without continuous training, knowledge may diminish over time. The small sample size and lack of long-term follow-up are confounding factors that limit the conclusions that can be drawn.
Key findings
- Correct chest compression improved, p < 0.01.
- Drugs for cardiac arrest improved, p < 0.01.
- Indications for defibrillation improved, p < 0.01.
- AED location improved, p = 0.01.
- Code Blue contact number improved, p < 0.01.
- Physicians showed significant improvements in AED location, p = 0.03.
Limitations
- small sample size of 22 participants
- knowledge retention decreased after one month
- no long-term follow-up reported
- single-site study may limit generalizability