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  Subjects -> HEALTH AND SAFETY (Total: 1421 journals)
    - CIVIL DEFENSE (23 journals)
    - DRUG ABUSE AND ALCOHOLISM (88 journals)
    - HEALTH AND SAFETY (620 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (389 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (106 journals)
    - PHYSICAL FITNESS AND HYGIENE (113 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (620 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
A Life in the Day     Hybrid Journal   (Followers: 12)
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 25)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 15)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 30)
American Journal of Health Sciences     Open Access   (Followers: 8)
American Journal of Health Studies     Full-text available via subscription   (Followers: 11)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 240)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 7)
Autism & Developmental Language Impairments     Open Access   (Followers: 9)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 18)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 10)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 21)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 3)
Case Studies in Fire Safety     Open Access   (Followers: 15)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access  
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 8)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 21)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 3)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 8)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 9)
Family Relations     Partially Free   (Followers: 13)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 16)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 3)
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 10)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 8)
Health and Social Work     Hybrid Journal   (Followers: 57)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 23)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 53)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 20)
Health Psychology Review     Hybrid Journal   (Followers: 42)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  
Highland Medical Research Journal     Full-text available via subscription  
Hispanic Health Care International     Full-text available via subscription  

        1 2 3 4 | Last

Similar Journals
Journal Cover
BMJ Simulation & Technology Enhanced Learning
Number of Followers: 10  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Online) 2056-6697
Published by BMJ Publishing Group Homepage  [61 journals]
  • Simulation scenario rehearsal: the key to successful and effective
           simulations
    • Authors: Ahmed, R. A; Hughes, P. G, Gardner, A. K.
      Pages: 157 - 158
      Abstract: "All the real work is done in the rehearsal period." The late British actor, Donald Pleasence The key to successful and effective execution of simulation cases is rehearsal. This is the distinct area where those programmes and faculty who regularly make running complex high-fidelity simulations look effortless distinguish themselves. This flawless execution is not the manifestation of expensive simulators, large fully equipped simulation labs or a huge cadre of simulation support staff. Rather, it is the ability of the simulation team to come together before the execution of the simulation scenario to ensure a unified vision, in both the creative and technical aspects of the case (see figure 1). This requires the development of an atmosphere of creativity, openness to new ideas to improve the case and the strong desire to execute outstanding simulations. This is also the area that is frequently overlooked by many as an...
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2018-000343
      Issue No: Vol. 4, No. 4 (2018)
       
  • Simulation-based education to improve communication skills: a systematic
           review and identification of current best practice
    • Authors: Blackmore, A; Kasfiki, E. V, Purva, M.
      Pages: 159 - 164
      Abstract: BackgroundGood communication in healthcare between professionals and between professionals and patients is important in delivering high-quality care. Evidence of translation of technical skills taught through simulation into the clinical environment has been demonstrated, but the evidence for the impact of communication skills is less well known.ObjectivesTo identify and critically appraise the evidence for the impact of communication taught through simulation-based education (SBE) and use this evidence to suggest a model for future SBE interventions for communication skills.Study selectionMEDLINE, CINAHL, EMBASE and PsycINFO were searched for articles pertaining to communication skills taught through simulation. A content expert was consulted to suggest additional studies. 1754 studies were initially screened for eligibility, with 274 abstracts screened further. 147 full-text articles were further assessed for eligibility, with 79 of these excluded. The remaining 68 studies were reviewed and 18 studies were included in the qualitative synthesis as studies designed to show benefits beyond the simulation centre.FindingsThe 18 identified studies with an impact at a Kirkpatrick level of ≥3, are analysed; 4 looking specifically at communication between healthcare professionals and 14 looking at communication between health professionals and patients or relatives.ConclusionsThere is some evidence that the improvements in communication taught through simulation can be translated into benefits measurable beyond the simulation centre, but this evidence is limited due to the way that most of the studies are designed. We suggest a model for SBE aimed at teaching communication skills that is informed by the current evidence and takes into account the need to collect higher-level outcome data.
      Keywords: Editor's choice
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000220
      Issue No: Vol. 4, No. 4 (2018)
       
  • Differences in talking-to-the-room behaviour between novice and expert
           teams during simulated paediatric resuscitation: a quasi-experimental
           study
    • Authors: Burtscher, M. J; Jordi Ritz, E.-M, Kolbe, M.
      Pages: 165 - 170
      Abstract: BackgroundTeam coordination represents an important factor for clinical performance. Research in this area suggests that not only behaviour frequencies but also patterns of team coordination constitute a central aspect of teamwork. However, little is known about potential differences in coordination patterns between novice teams (ie, teams of inexperienced members) and expert teams (ie, teams of experienced members). The current study addresses this gap by investigating the use of talking-to-the-room—an important implicit coordination behaviour—in novice teams versus expert teams.AimTo illustrate differences in coordination behaviour between novice and expert teams. This will provide important knowledge for simulation-based training.MethodsThe study was conducted in the context of two resuscitation training courses (introductory course and refresher course) for staff members at a children’s hospital. Volunteers from both courses participated in the study. They were randomly assigned to 16 teams each consisting of one physician and two nurses. The study used a quasi-experimental design with two conditions (novice vs expert). Participants of the introductory course were assigned to the novice condition (eight teams), and participants of the refresher course were assigned to the expert condition (eight teams). All teams completed the same standardised paediatric resuscitation scenario. They were videotaped during the simulation, and team coordination behaviour was coded using Co-ACT.ResultsLag-sequential analysis of 1902 distinct coordination acts revealed that novice teams and expert teams differed significantly in their coordination behaviour. Expert teams were characterised by patterns in which implicit coordination behaviour (ie, talking to the room) was followed by further implicit coordination behaviour and not followed by explicit coordination behaviour (ie, instructions), whereas the reverse was found for novice teams.ConclusionThe current study highlights role of coordination patterns for understanding teamwork in healthcare and provides important insights for team training.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000268
      Issue No: Vol. 4, No. 4 (2018)
       
  • Relationship between acute stress and clinical performance in medical
           students: a pilot simulation study
    • Authors: Russ, S. J; Morrison, I, Bell, C, Morse, J. C, Mackenzie, R. K, Johnston, M. K.
      Pages: 171 - 178
      Abstract: BackgroundAcute stress has been linked to impaired clinical performance in healthcare settings. However, few studies have measured experienced stress and performance simultaneously using robust measures in controlled experimental conditions, which limits the strength of their findings.AimIn the current study we examined the relationship between acute stress and clinical performance in second-year medical students undertaking a simulated ECG scenario. To explore this relationship in greater depth we manipulated two variables (clinical urgency and cognitive load), and also examined the impact of trait anxiety and task self-efficacy.MethodsSecond-year medical students were asked to conduct a 12-lead ECG on a simulated patient. Students were randomly assigned to one of four experimental conditions according to clinical urgency (high/low) and cognitive load (high/low), which were manipulated during a handover prior to the ECG. As part of the scenario they were asked to describe the ECG trace to a senior doctor over the phone and to conduct a drug calculation. They then received a performance debrief. Psychological stress and physiological stress were captured (via self-report and heart rate, respectively) and various aspects of performance were observed, including technical competence, quality of communication, work rate and compliance with patient safety checks. Trait anxiety and task self-efficacy were also captured via self-report.ResultsFifty students participated. While there was little impact of experimental condition on stress or performance, there was a significant relationship between stress and performance for the group as a whole. Technical competence was poorer for those reporting higher levels of psychological stress prior to and following the procedure. Neither trait anxiety nor task self-efficacy mediated this relationship.ConclusionsThis study has provided evidence for a link between acute stress and impaired technical performance in medical students completing a simulated clinical scenario using real-time measures. The implications for patient safety and medical education are discussed.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000276
      Issue No: Vol. 4, No. 4 (2018)
       
  • Repetitive simulation is an effective instructional design within a
           pediatric resident simulation curriculum
    • Authors: Sagalowsky, S. T; Prentiss, K. A, Vinci, R. J.
      Pages: 179 - 183
      Abstract: IntroductionRepetitive paediatric simulation (scenario-debrief-scenario; RPS) is an instructional design that allows immediate application of learner-directed feedback, in contrast to standard simulation (scenario-debrief; STN). Our aim was to examine the impact of RPS embedded within a paediatric resident simulation curriculum, comparing it to STN.MethodsIn this prospective educational cohort study, paediatric residents were enrolled in STN (n=18) or RPS (n=15) groups from August 2012 through June 2013. Each group performed an initial high-fidelity simulation and another after 1–2 weeks. Attitudes, confidence and knowledge were assessed using anonymous surveys with each scenario and at 4–6 months. Skills were assessed in real time with a modified Tool for Resuscitation Assessment Using Computerised Simulation (TRACS). Two blinded reviewers assessed a subset of videotaped scenarios for TRACS inter-rater reliability.ResultsBoth STN and RPS designs were rated highly. The curriculum led to significant short-term and long-term improvements in confidence, knowledge and performance, with no significant differences between groups. All final respondents reported that they would prefer RPS to STN (n=6 STN, 4 RPS). TRACS intraclass correlation was 0.87 among all reviewers.ConclusionsPaediatric residents reported preference for RPS over STN, with comparable impacts on confidence, knowledge and performance. The modified TRACS was a reliable tool to assess individual resident performance. Further research is needed to determine whether RPS is a more effective instructional design for teaching resuscitation skills to paediatric residents.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000282
      Issue No: Vol. 4, No. 4 (2018)
       
  • Simulation of childbirth improves clinical management capacity and
           self-confidence in medical students
    • Authors: Mannella, P; Antonelli, R, Montt-Guevara, M. M, Caretto, M, Palla, G, Giannini, A, Pancetti, F, Cuttano, A, Simoncini, T.
      Pages: 184 - 189
      Abstract: Background The learning process of physiological mechanisms of childbirth and its management are important elements in the education of medical students. In this study, we verify how the use of a high-fidelity simulator of childbirth improves competence of students in this regard. Methods A total of 132 medical students were recruited for the study in order to attend a physiological childbirth in a no-hospital environment after being assigned to two groups. The control group received only a normal cycle of lectures, while the simulation (SIM) group followed a specific training session on the simulator. Subsequently, both groups were assessed for their technical and non-technical skills in a simulated childbirth. Also, a self-assessment test regarding their self-confidence was administrated before and after simulation, and repeated after 8 weeks. Results The SIM group showed better performance in all the domains with a better comprehension of the mechanisms of childbirth, managing and assistance of labour and delivery. In addition, compared to the control group, they presented a better self-related awareness and self-assurance regarding the possibility of facing a birth by themselves. Conclusion The present study demonstrated that the use of a high-fidelity simulator for medical students allows a significant improvement in the acquisition of theoretical and technical expertise to assist a physiological birth.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000259
      Issue No: Vol. 4, No. 4 (2018)
       
  • Effect of In Situ High-Fidelity Simulation Training on the Emergency
           management of Pneumonia (INSTEP): a mixed-methods study
    • Authors: Leng, O. M; Rothwell, C, Buckton, A, Elmer, C, Illing, J, Metcalf, J.
      Pages: 190 - 195
      Abstract: BackgroundThe patient safety agenda has propelled the rise of simulation education, but relatively few evaluations of simulation-based educational interventions have focused on patient outcomes.ObjectiveTo evaluate the impact of an in situ, high-fidelity simulation teaching intervention on the management of community-acquired pneumonia in the ambulatory care unit of a district general hospital.MethodsThis study used a mixed-methods approach to evaluate the impact of a programme of 10 in situ high-fidelity simulation education sessions delivered to a total of 10 junior doctors, nine nurses and seven healthcare assistants. Participants were tasked with managing a manikin simulating a patient with pneumonia in real time in a working clinical area. Subsequent structured debrief emphasised key themes from the national guidelines on pneumonia management. The intervention was evaluated through an immediate feedback form, follow-up semistructured interviews by independent qualitative researchers that underwent content analysis and triangulation with audit data on compliance with national pneumonia guidelines before and after the simulation intervention.ResultsThe in situ simulation intervention was valued by participants both in immediate written feedback and in follow-up semistructured interviews. In these interviews, 17 of 18 participants were able to identify a self-reported change in practice following the simulation intervention. Furthermore, most participants reported observing a change in the clinical practice of their colleagues following the training. Collected audit data did not show a statistically significant change in compliance with the guidelines for the management of pneumonia.ConclusionThis study found evidence of a change in both self-reported and observed clinical practice following a simulation intervention, supporting expert opinion that simulation education can impact clinician behaviours and patient outcomes in complex clinical scenarios. Furthermore, this feasibility study provides a transferrable method to evaluate the real-world impact of simulation education that merits further investigation through an appropriately powered study.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000228
      Issue No: Vol. 4, No. 4 (2018)
       
  • Analysing voice quality and pitch in interactions of emergency care
           simulation
    • Authors: Coffey, F; Tsuchiya, K, Timmons, S, Baxendale, B, Adolphs, S, Atkins, S.
      Pages: 196 - 200
      Abstract: Background/aimsIn emergency care, healthcare professionals (HCPs) interact with both a patient and their colleagues at the same time. How HCPs regulate the two distinct interactions is our central interest. Focusing on HCPs’ use of their voice quality and pitch, a multimodal analysis of the interaction in a simulation training session was conducted. Our aims are (1) to compare the use of HCPs’ voice quality and pitch in HCP–patient and HCP–HCP interactions, (2) to examine how different voice quality and pitch function in interaction, and (3) to develop the research methodology so as to integrate multimodal features in emergency care interaction for analysis.MethodsThree HCPs performed a scripted acute care scenario (chest pain) at the simulation centre. The multimodal corpus-based approach was applied to analyse the varying voice pitch and quality of the HCPs, in interactions with a simulated patient (SP) and with two other HCPs, in emergency care training.ResultsThe HCPs tended to use a clear voice when they talk to an SP and a ‘shattered’ voice to colleagues in the team. The pitch was raised to talk to an SP, by Helen (a nurse) and Mike (a doctor).ConclusionThis indicates that the HCPs strategically change their voice quality and pitch according to the addressees, regulating the interaction.
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000212
      Issue No: Vol. 4, No. 4 (2018)
       
  • Cost and value in e-learning: the perspective of the learner
    • Authors: Walsh K.
      Pages: 201 - 202
      Abstract: Introduction Medical education is expensive. Its expense has led to growing interest in methods to deliver medical education that will maximise outcomes for a given spend.1 There has long been enthusiasm for the use of e-learning as a method that can be low cost and that can deliver worthwhile outcomes. However, this enthusiasm has not been built on strong evidence. There is evidence that e-learning produces broadly similar outcomes as face-to-face education.2 However, there is little evidence as to the cost utility of e-learning in medical education. There is also little evidence as to how learners perceive the utility of e-learning in light of its cost. This paper reports an evaluation of the perceptions and views of general practitioners (GPs) with regard to the cost and utility of an e-learning resource—BMJ Learning. Methods BMJ Learning is the e-learning service of the BMJ....
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000239
      Issue No: Vol. 4, No. 4 (2018)
       
  • Recorded performance during simulation activities in medical imaging: do
           students see a benefit'
    • Authors: Moore, C; Berry, C, Braithwaite, V, Gunn, T, Rowntree, P, Starkey, D.
      Pages: 203 - 204
      Abstract: Introduction Undergraduate students in medical imaging at Queensland University of Technology (QUT) practise imaging in a dedicated simulation environment using clinical equipment. Students work in small teams to complete specific imaging procedures using anthropomorphic phantoms as patients. The use of these facilities to undertake learning activities is invaluable in the development of technical skills and also the clinically relevant skills of teamwork, communication and efficiency. Students undertake objective structured clinical examination (OSCE) assessments each semester using these facilities as a prerequisite to clinical experience. Audiovisual recording devices were initially sought to document student performance in these OSCE assessments. Once these recording devices became available, the teaching team decided to explore whether students perceived any benefit from the opportunity to self-review and reflect on their performance. As noted by Coffey (2014 p. 87), ‘through an examination of performance, one gains an insight into practices that should be retained, those practices that...
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000231
      Issue No: Vol. 4, No. 4 (2018)
       
  • Simulation of fluoroscopic-guided lumbar puncture with a novel spine task
           trainer
    • Authors: Ali, S; Ramakrishna, R, Alexander, A, Yang, C. W.
      Pages: 205 - 206
      Abstract: Introduction Lumbar puncture is a frequently performed procedure for a variety of indications including withdrawal of cerebrospinal fluid for laboratory analysis, intracranial pressure assessment, administration of intrathecal therapeutic agents and myelography. Typically, this procedure is first attempted at bedside, and if unsuccessful, radiologists are requested to perform it under fluoroscopic guidance. As fluoroscopic-guided lumbar puncture (FGLP) requests are common, proficiency is required for general radiology and neuroradiology trainees. Pain physicians from speciality backgrounds including anesthesiology, neurology and physical medicine and rehabilitation also receive training in similar fluoroscopic-guided spinal procedures. The use of fluoroscopy in guiding spinal procedures can be challenging to a new learner as it requires integration of anatomy and procedural technique while attempting to minimise fluoroscopy times and radiation dosage; the importance of the latter is indicated by data revealing medical radiation’s contribution of almost half of the American population’s average annual radiation exposure.1...
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000240
      Issue No: Vol. 4, No. 4 (2018)
       
  • Student acceptability of human patient simulators in undergraduate OSCEs
    • Authors: Brown, C. W; Morse, J. C.
      Pages: 207 - 208
      Abstract: Introduction For many years low-fidelity, medium-fidelity and high-fidelity simulation within various undergraduate healthcare professional (HCP) curricula has been widely used in the provision of clinical education. Part task trainers, cardiopulmonary resuscitation (CPR) manikins and human patient simulators (HPS) are now routinely used at varying stages of training to allow learners to practise the required skills in a ‘safe environment’. Similarly, many of these educational establishments will use the same part task trainers and CPR manikins to assess competency and performance of clinical skills. However, as the use of simulation in its various forms continues to rise in both undergraduate and postgraduate education, there still remains a sparsity of evidence with regard to its acceptance in undergraduate degree examinations.1 This paper describes the development and subsequent use of an anaphylaxis/cardiac arrest scenario in a final-year medicine objective structured clinical examination (OSCE) and the postexamination student acceptability of...
      PubDate: 2018-10-04T06:18:23-07:00
      DOI: 10.1136/bmjstel-2017-000241
      Issue No: Vol. 4, No. 4 (2018)
       
 
 
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