Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study

Background: Technical skills refer to all practical abilities necessary for surgery or anesthesia. Non-technical skills (Task management, Team-working, Situation-awareness, and Decision-making) are abilities accelerate the individuals' adaptability in critical anesthetic situations. Simulation...

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Main Authors: Ali Khalafi, Pegah Arman, Nahid Manouchehrian
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:International Journal of Africa Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214139122001020
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author Ali Khalafi
Pegah Arman
Nahid Manouchehrian
author_facet Ali Khalafi
Pegah Arman
Nahid Manouchehrian
author_sort Ali Khalafi
collection DOAJ
description Background: Technical skills refer to all practical abilities necessary for surgery or anesthesia. Non-technical skills (Task management, Team-working, Situation-awareness, and Decision-making) are abilities accelerate the individuals' adaptability in critical anesthetic situations. Simulation (a type of unreal simulated education similar to the real situation in which the learner can achieve clinical experiences using human models) and debriefing sessions (a method of education in which the learners have a discussion about what they have learned during simulation) are educational protocols for non-technical skills improvement. Thus, in the current quasi-experimental study, we aimed to investigate the effects of scenario-based simulation and debriefing sessions on the development of non-technical skills among nurse anesthetist students (Hamadan, Iran). Methods: Nurse anesthetist students (n = 60) were categorized into control (n = 30) and test (n = 30) groups. Anesthesia induction was simulated by an anesthesiologist for students in a practice hall. Immediately, debriefing sessions were held to improve non-technical skills. A week later, the Anaesthetists' Non-Technical Skills (ANTS) checklist was hired, and non-technical skills were scored. Collected data were analyzed (SPSS v.16.0) and represented as Mean ± SD. P-value < 0.05 was also considered a significant level. Results: Significantly (p < 0.05), following simulation and debriefing interventions, non-technical skills were improved, including Task management (mean ANTS score: 11.13 ± 2.87 and 14.53 ± 2.20 in control and test, respectively), Team-working (mean ANTS score: 10.42 ± 3.20 and 14.93 ± 2.19 in control and test, respectively), and Situation-awareness (mean ANTS score: 9.62 ± 4.30 and 13.20 ± 2.86 in control and test, respectively) skills. Besides, Decision-making skills represented no significant (p = 0.299) alteration after the intervention (mean ANTS score: 5.81 ± 2.75 and 4.73 ± 2.55 in control and test, respectively). Conclusions: Scenario-based simulation training and debriefing sessions, as the proposed educational curriculum, can promote non-technical skills during anesthesia induction in nurse anesthetist students leading to improvement of patient safety and prevention of medical profession errors.
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spelling doaj.art-cc138afeb52046c486b35a2bf4e8bdce2022-12-22T02:48:50ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0117100495Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental studyAli Khalafi0Pegah Arman1Nahid Manouchehrian2Department of Anesthesiology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranDepartment of Anesthesiology, School of Allied Medical Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran; Corresponding author.Associate professor, Department of Anesthesia, Hamadan University of Medical Sciences, Hamedan, IranBackground: Technical skills refer to all practical abilities necessary for surgery or anesthesia. Non-technical skills (Task management, Team-working, Situation-awareness, and Decision-making) are abilities accelerate the individuals' adaptability in critical anesthetic situations. Simulation (a type of unreal simulated education similar to the real situation in which the learner can achieve clinical experiences using human models) and debriefing sessions (a method of education in which the learners have a discussion about what they have learned during simulation) are educational protocols for non-technical skills improvement. Thus, in the current quasi-experimental study, we aimed to investigate the effects of scenario-based simulation and debriefing sessions on the development of non-technical skills among nurse anesthetist students (Hamadan, Iran). Methods: Nurse anesthetist students (n = 60) were categorized into control (n = 30) and test (n = 30) groups. Anesthesia induction was simulated by an anesthesiologist for students in a practice hall. Immediately, debriefing sessions were held to improve non-technical skills. A week later, the Anaesthetists' Non-Technical Skills (ANTS) checklist was hired, and non-technical skills were scored. Collected data were analyzed (SPSS v.16.0) and represented as Mean ± SD. P-value < 0.05 was also considered a significant level. Results: Significantly (p < 0.05), following simulation and debriefing interventions, non-technical skills were improved, including Task management (mean ANTS score: 11.13 ± 2.87 and 14.53 ± 2.20 in control and test, respectively), Team-working (mean ANTS score: 10.42 ± 3.20 and 14.93 ± 2.19 in control and test, respectively), and Situation-awareness (mean ANTS score: 9.62 ± 4.30 and 13.20 ± 2.86 in control and test, respectively) skills. Besides, Decision-making skills represented no significant (p = 0.299) alteration after the intervention (mean ANTS score: 5.81 ± 2.75 and 4.73 ± 2.55 in control and test, respectively). Conclusions: Scenario-based simulation training and debriefing sessions, as the proposed educational curriculum, can promote non-technical skills during anesthesia induction in nurse anesthetist students leading to improvement of patient safety and prevention of medical profession errors.http://www.sciencedirect.com/science/article/pii/S2214139122001020Non-technicalSkillsDebriefingSimulationScenarioAnesthetic
spellingShingle Ali Khalafi
Pegah Arman
Nahid Manouchehrian
Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
International Journal of Africa Nursing Sciences
Non-technical
Skills
Debriefing
Simulation
Scenario
Anesthetic
title Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
title_full Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
title_fullStr Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
title_full_unstemmed Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
title_short Scenario-based simulation and debriefing sessions can potentially improve non-technical skills in nurse anesthetist students of Iran; A quasi-experimental study
title_sort scenario based simulation and debriefing sessions can potentially improve non technical skills in nurse anesthetist students of iran a quasi experimental study
topic Non-technical
Skills
Debriefing
Simulation
Scenario
Anesthetic
url http://www.sciencedirect.com/science/article/pii/S2214139122001020
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AT pegaharman scenariobasedsimulationanddebriefingsessionscanpotentiallyimprovenontechnicalskillsinnurseanesthetiststudentsofiranaquasiexperimentalstudy
AT nahidmanouchehrian scenariobasedsimulationanddebriefingsessionscanpotentiallyimprovenontechnicalskillsinnurseanesthetiststudentsofiranaquasiexperimentalstudy