Biomedical subjects

Guillaume Alinier

Publications and source records attributed to Guillaume Alinier.

3 recordsLinked to original sources

PubMed2006

Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education.

AIM: The aim of this paper is to present the results of a study designed to determine the effect of scenario-based simulation training on nursing students' clinical skills and competence. BACKGROUND: Using full-scale, realistic, medical simulation for training healthcare professionals is becoming more and more common. Access to this technology is easier than ever before with the opening of several simulation centres throughout the world and the availability on the market of more sophisticated and affordable patient simulators. However, there is little scientific evidence proving that such technology is better than more traditional techniques in the education of, for example, undergraduate nursing students. METHODS: A pretest/post-test design was employed with volunteer undergraduate students (n = 99) from second year Diploma of Higher Education in Nursing programme in United Kingdom using a 15-station Objective Structured Clinical Examination. Students were randomly allocated to either a control or an experimental group. The experimental group, as well as following their normal curriculum, were exposed to simulation training. Subsequently, all students were re-tested and completed a questionnaire. The data were collected between 2001 and 2003. RESULTS: The control and experimental groups improved their performance on the second Objective Structured Clinical Examination. Mean test scores, respectively, increased by 7.18 and 14.18 percentage points. The difference between the means was statistically significant (P < 0.001). However, students' perceptions of stress and confidence, measured on a 5-point Likert scale, was very similar between groups at 2.9 (1, not stressful; 5, very stressful) and 3.5 (1, very confident; 5, not confident) for the control group, and 3.0 and 3.4 for the experimental group. CONCLUSIONS: Intermediate-fidelity simulation is a useful training technique. It enables small groups of students to practise in a safe and controlled environment how to react adequately in a critical patient care situation. This type of training is very valuable to equip students with a minimum of technical and non-technical skills before they use them in practice settings.

Adult↗

PubMed2005

12-lead ECG training: the way forward.

The teaching of electrocardiography (ECG) monitoring has not changed for decades and still very much relies on access to real patients for practice. However there is nowadays an even greater need for modern training tools in this field as more healthcare professionals than ever before need to be trained on 12-lead ECG monitoring techniques. For example in many parts of the UK ambulance paramedics use features observed from 12-lead ECG monitoring equipment to determine whether or not a patient can receive pre-hospital thrombolytic therapy. Because important decisions are made without the presence of a cardiologist, it is essential that the training is carried out with the most realistic tools, including tools which give realistic feedback of the consequences of incorrect electrode placement. Current mannequins for ECG training are designed with protruding electrodes on the chest, which act as cues for trainees. There is therefore a need for a realistic simulation training tool to teach 12-lead ECG interpretation which includes the ability to give this feedback. We are currently working on the development of such a training tool and it is expected that it will be of great interest to medical, nursing and paramedic schools.

Clinical Competence↗

PubMed2003

Nursing students' and lecturers' perspectives of objective structured clinical examination incorporating simulation.

Objective Structured Clinical Examination (OSCE) has been widely and increasingly used since it was developed. Research has shown that it is an effective evaluation tool to assess practical skills (Sloan et al. 1995). In many instances the OSCE process has been adapted to test trainees from different healthcare related disciplines. In nursing education, as presented in this paper, principles of OSCE can also be used in a formative way to enhance skill acquisition through simulation. The aim of this approach to teaching is safely to help students gain more confidence when confronted by technical instruments present in the hospital environment, and to encourage them to reflect on a range of skills and competences they need to acquire. The OSCE stations can be designed in the form of small scenarios where students have to set-up or interact with technical instruments, or communicate with patients. This type of simulation exercise can be varied as a whole and specifically within each station at the same time. The use of this hybrid formative OSCE is being assessed by nursing students and lecturers. The feedback received regarding this teaching method and the results of this study are useful and show that OSCE are favourably perceived.

Computer Simulation↗