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Abstract online early

Mobile emergency simulation training for rural health providers     [ Original Research ]

Submitted: 15 June 2016
Revised: 31 March 2017
Accepted: 5 April 2017

Author(s) : Martin D, Bekiaris B, Hansen G.


Introduction: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, we evaluated Canadian rural health care providersí
satisfaction from high fidelity emergency simulation training using a modified motorhome as our Mobile Education Unit (MEU).
Methods: Over a five-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities. Groups of up to five rural health care providers managed emergency simulation cases including polytrauma, severe sepsis, and inferior myocardial infarction with right ventricular involvement, followed by a debrief. Participants anonymously completed a feedback form that contained eleven questions on a 5-point Likert scale, and six short answer questions.
Results: Data from 131 respondents were analyzed, for a response rate of 75.6%. The majority of respondents included nurses (27.5%), medical residents (26.7%), medical first responders (16.0%) and physicians (12.2%). The median response was 5 for overall quality of learning, development of clinical reasoning skills and decision-making ability, recognition of patient deterioration, and self-reflection. The post simulation debrief median response was also 5 for summarizing important issues, constructive criticism, and feedback to learn. Respondents also reported that a) the MEU provided a believable
working environment 87.0% (n = 114); b) they had limited or no
previous access to high fidelity mannequins 82.7% (n = 107), and; c) they had no specific training in Crisis Resource Management or were unfamiliar with the term.
Conclusions: A high level of satisfaction was reported in rural health providers with mobile emergency simulation. Access to and experience with high fidelity mannequins was limited, suggesting areas for potential educational growth.

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