In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

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Abstract

Background

Anaesthesia personnel are an integral part of an interprofessional operating room-team; hence, team-based training in non-technical skills (NTS) are important in preventing adverse events. Quite a few studies have been done on interprofessional in situ simulation-based team training (SBTT). However, research on anaesthesia personnel’s experiences and the significance for transfer of learning to clinical practice is limited. The aim of this study is to explore anaesthesia personnel’s experience from interprofessional in situ SBTT in NTS and its significance for transfer of learning to clinical practice.

Methods

Follow-up focus group interviews with anaesthesia personnel, who had taken part in interprofessional in situ SBTT were conducted. A qualitative inductive content analysis was performed.

Results

Anaesthesia personnel experienced that interprofessional in situ SBTT motivated transfer of learning and provided the opportunity to be aware of own practice regarding NTS and teamwork. One main category, ‘interprofessional in situ SBTT as a contributor to enhance anaesthesia practice’ and three generic categories, ‘interprofessional in situ SBTT motivates learning and improves NTS’, ‘realism in SBTT is important for learning outcome’, and ‘SBTT increases the awareness of teamwork’ illustrated their experiences.

Conclusions

Participants in the interprofessional in situ SBTT gained experiences in coping with emotions and demanding situations, which could be significant for transfer of learning essential for clinical practice. Herein communication and decision-making were highlighted as important learning objectives. Furthermore, participants emphasized the importance of realism and fidelity and debriefing in the learning design.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12909-023-04201-8.

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Most cited references 36

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The qualitative content analysis process.

Satu Elo, Helvi Kyngäs (2008)

This paper is a description of inductive and deductive content analysis. Content analysis is a method that may be used with either qualitative or quantitative data and in an inductive or deductive way. Qualitative content analysis is commonly used in nursing studies but little has been published on the analysis process and many research books generally only provide a short description of this method. When using content analysis, the aim was to build a model to describe the phenomenon in a conceptual form. Both inductive and deductive analysis processes are represented as three main phases: preparation, organizing and reporting. The preparation phase is similar in both approaches. The concepts are derived from the data in inductive content analysis. Deductive content analysis is used when the structure of analysis is operationalized on the basis of previous knowledge. Inductive content analysis is used in cases where there are no previous studies dealing with the phenomenon or when it is fragmented. A deductive approach is useful if the general aim was to test a previous theory in a different situation or to compare categories at different time periods.

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Sample Size in Qualitative Interview Studies: Guided by Information Power

Volkert Dirk Siersma, Ann Guassora, Kirsti Malterud (2015)

Sample sizes must be ascertained in qualitative studies like in quantitative studies but not by the same means. The prevailing concept for sample size in qualitative studies is "saturation." Saturation is closely tied to a specific methodology, and the term is inconsistently applied. We propose the concept "information power" to guide adequate sample size for qualitative studies. Information power indicates that the more information the sample holds, relevant for the actual study, the lower amount of participants is needed. We suggest that the size of a sample with sufficient information power depends on (a) the aim of the study, (b) sample specificity, (c) use of established theory, (d) quality of dialogue, and (e) analysis strategy. We present a model where these elements of information and their relevant dimensions are related to information power. Application of this model in the planning and during data collection of a qualitative study is discussed.

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Sample size in qualitative research.

Margarete Sandelowski (1995)

A common misconception about sampling in qualitative research is that numbers are unimportant in ensuring the adequacy of a sampling strategy. Yet, simple sizes may be too small to support claims of having achieved either informational redundancy or theoretical saturation, or too large to permit the deep, case-oriented analysis that is the raison-d'être of qualitative inquiry. Determining adequate sample size in qualitative research is ultimately a matter of judgment and experience in evaluating the quality of the information collected against the uses to which it will be put, the particular research method and purposeful sampling strategy employed, and the research product intended.

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Author and article information

Contributors

Anne Strand Finstad: afinstad@ous-hf.no , anne.sf@hotmail.com

Journal

Journal ID (nlm-ta): BMC Med Educ

Journal ID (iso-abbrev): BMC Med Educ

Title: BMC Medical Education

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6920

Publication date (Electronic): 4 April 2023

Publication date PMC-release: 4 April 2023

Publication date Collection: 2023

Volume: 23

Electronic Location Identifier: 208

Affiliations

[1 ]GRID grid.55325.34, ISNI 0000 0004 0389 8485, Department of Nurse Anaesthesia, Division of Emergencies and Critical Care, , Oslo University Hospital, ; Oslo, Norway

[2 ]GRID grid.18883.3a, ISNI 0000 0001 2299 9255, SHARE - Centre for Resilience in Healthcare, Faculty of Health Sciences, , University of Stavanger, ; Stavanger, Norway

[3 ]GRID grid.412835.9, ISNI 0000 0004 0627 2891, The Regional Centre for Emergency Medical Research and Development (RAKOS), , Stavanger University Hospital, ; Stavanger, Norway

[4 ]GRID grid.412835.9, ISNI 0000 0004 0627 2891, Department of Anaesthesiology and Intensive Care, , Stavanger University Hospital, ; Stavanger, Norway

[5 ]GRID grid.7914.b, ISNI 0000 0004 1936 7443, Department of Clinical Medicine, , University of Bergen, ; Bergen, Norway

[6 ]GRID grid.5947.f, ISNI 0000 0001 1516 2393, Department of Health Science, , Norwegian University of Science and Technology, ; Gjøvik, Norway

Article

Publisher ID: 4201

DOI: 10.1186/s12909-023-04201-8

PMC ID: 10071610

PubMed ID: 37013537

SO-VID: 95d906bc-930f-4f78-9eb8-b5b06a864c09

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 2 September 2022

Date accepted : 27 March 2023

Funding

Funded by: University of Oslo (incl Oslo University Hospital)

Open Access :

Open access funding provided by University of Oslo (incl Oslo University Hospital)

Custom metadata

ScienceOpen disciplines: Education

Keywords: anaesthesia,interprofessional,in situ simulation-based team training,non-technical skills,patient safety

Data availability:

ScienceOpen disciplines: Education

Keywords: anaesthesia, interprofessional, in situ simulation-based team training, non-technical skills, patient safety

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Assessment of Anaesthesia Teams' Non-Technical Skills in Clinical Practice before and after Simulation-Based Team Training: A Quasiexperimental Study
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In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel

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Abstract

Background

Methods

Results

Conclusions

Supplementary Information

Related collections

Special feature: Methodological Innovations in Qualitative Educational Research

Most cited references 36

The qualitative content analysis process.

Sample Size in Qualitative Interview Studies: Guided by Information Power

Sample size in qualitative research.

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