View in EDS HTML Full Text PDF Full Text

A view from the top: A qualitative exploration of top‐level health care leaders' perceptions on the implementation of simulation‐based education in postgraduate medical education.

Saved in:
Bibliographic Details
Title: A view from the top: A qualitative exploration of top‐level health care leaders' perceptions on the implementation of simulation‐based education in postgraduate medical education.
Authors: Nayahangan, Leizl Joy, Thinggaard, Ebbe, Khan, Farsana, Gustafsson, Amandus, Mørcke, Anne Mette, Dubrowski, Adam, Hirshfield, Laura E., Konge, Lars
Source: Medical Education. Apr2024, Vol. 58 Issue 4, p415-429. 15p.
Subjects: Curriculum, Health services accessibility, Leaders, Medical education, Human services programs, Qualitative research, Interprofessional relations, Medical care, Internship programs, Interviewing, Patient care, Simulation methods in education, Thematic analysis, Research methodology, Psychosocial factors
Geographic Terms: Denmark
Abstract: Introduction: Although there is substantial evidence supporting the benefits of simulation‐based education (SBE), its widespread and effective implementation remains challenging. The aim of this study was to explore the perceptions of top‐level health care leaders regarding SBE and the barriers and facilitators that influence its wide implementation as part of the postgraduate surgical curricula in Denmark. Methods: We conducted semi‐structured interviews with top‐level health care leaders who were chosen based on their roles in ensuring high‐quality patient care delivery and developing strategies to achieve the goals of the entire health care system. The interview transcripts were translated into English, and a thematic approach was used to code and inductively analyse the data. We used the Consolidated Framework for Implementation Research to identify and understand the determinants to a successful implementation of SBE. Results: We interviewed 13 participants from different political and administrative levels. We found that the participants had limited knowledge about SBE, which highlighted a disconnection between these leaders and the educational environment. This was further compounded by a lack of effective communication and inadequate information dissemination between simulation centres and higher‐level organisations. While participants recognised the benefits of SBE for doctors in training, they expressed concerns about the implementation given the already strained health care system and limited resources. The need for evidence, particularly in the context of patient safety, was emphasised to facilitate SBE implementation. Although participants supported the implementation of SBE, it was unclear who should initiate action. Discussion: This study highlighted the perspectives of top‐level health care leaders regarding SBE and identified the determinant factors for a successful implementation. Effective communication channels are crucial to enhance collaborations and reduce the disconnection between the different health care organisational levels. Strategic implementation processes, including the roles and responsibilities, should be defined and established. These will inform decisions regarding the implementation strategies to effectively integrate SBE into the residency training curricula. A view from the top! Read top‐level healthcare leaders' perspectives on the implementation of simulation‐based education. #SBE #toplevelperspectives #implementation [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 176295403
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: A view from the top: A qualitative exploration of top‐level health care leaders' perceptions on the implementation of simulation‐based education in postgraduate medical education.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Nayahangan%2C+Leizl+Joy%22">Nayahangan, Leizl Joy</searchLink><br /><searchLink fieldCode="AR" term="%22Thinggaard%2C+Ebbe%22">Thinggaard, Ebbe</searchLink><br /><searchLink fieldCode="AR" term="%22Khan%2C+Farsana%22">Khan, Farsana</searchLink><br /><searchLink fieldCode="AR" term="%22Gustafsson%2C+Amandus%22">Gustafsson, Amandus</searchLink><br /><searchLink fieldCode="AR" term="%22Mørcke%2C+Anne+Mette%22">Mørcke, Anne Mette</searchLink><br /><searchLink fieldCode="AR" term="%22Dubrowski%2C+Adam%22">Dubrowski, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22Hirshfield%2C+Laura+E%2E%22">Hirshfield, Laura E.</searchLink><br /><searchLink fieldCode="AR" term="%22Konge%2C+Lars%22">Konge, Lars</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Apr2024, Vol. 58 Issue 4, p415-429. 15p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Curriculum%22">Curriculum</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Leaders%22">Leaders</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+education%22">Medical education</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Internship+programs%22">Internship programs</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+care%22">Patient care</searchLink><br /><searchLink fieldCode="DE" term="%22Simulation+methods+in+education%22">Simulation methods in education</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Denmark%22">Denmark</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Although there is substantial evidence supporting the benefits of simulation‐based education (SBE), its widespread and effective implementation remains challenging. The aim of this study was to explore the perceptions of top‐level health care leaders regarding SBE and the barriers and facilitators that influence its wide implementation as part of the postgraduate surgical curricula in Denmark. Methods: We conducted semi‐structured interviews with top‐level health care leaders who were chosen based on their roles in ensuring high‐quality patient care delivery and developing strategies to achieve the goals of the entire health care system. The interview transcripts were translated into English, and a thematic approach was used to code and inductively analyse the data. We used the Consolidated Framework for Implementation Research to identify and understand the determinants to a successful implementation of SBE. Results: We interviewed 13 participants from different political and administrative levels. We found that the participants had limited knowledge about SBE, which highlighted a disconnection between these leaders and the educational environment. This was further compounded by a lack of effective communication and inadequate information dissemination between simulation centres and higher‐level organisations. While participants recognised the benefits of SBE for doctors in training, they expressed concerns about the implementation given the already strained health care system and limited resources. The need for evidence, particularly in the context of patient safety, was emphasised to facilitate SBE implementation. Although participants supported the implementation of SBE, it was unclear who should initiate action. Discussion: This study highlighted the perspectives of top‐level health care leaders regarding SBE and identified the determinant factors for a successful implementation. Effective communication channels are crucial to enhance collaborations and reduce the disconnection between the different health care organisational levels. Strategic implementation processes, including the roles and responsibilities, should be defined and established. These will inform decisions regarding the implementation strategies to effectively integrate SBE into the residency training curricula. A view from the top! Read top‐level healthcare leaders' perspectives on the implementation of simulation‐based education. #SBE #toplevelperspectives #implementation [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=176295403
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/medu.15248
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 415
    Subjects:
      – SubjectFull: Curriculum
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Leaders
        Type: general
      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Internship programs
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Patient care
        Type: general
      – SubjectFull: Simulation methods in education
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Denmark
        Type: general
    Titles:
      – TitleFull: A view from the top: A qualitative exploration of top‐level health care leaders' perceptions on the implementation of simulation‐based education in postgraduate medical education.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Nayahangan, Leizl Joy
      – PersonEntity:
          Name:
            NameFull: Thinggaard, Ebbe
      – PersonEntity:
          Name:
            NameFull: Khan, Farsana
      – PersonEntity:
          Name:
            NameFull: Gustafsson, Amandus
      – PersonEntity:
          Name:
            NameFull: Mørcke, Anne Mette
      – PersonEntity:
          Name:
            NameFull: Dubrowski, Adam
      – PersonEntity:
          Name:
            NameFull: Hirshfield, Laura E.
      – PersonEntity:
          Name:
            NameFull: Konge, Lars
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 04
              Text: Apr2024
              Type: published
              Y: 2024
          Identifiers:
            – Type: issn-print
              Value: 03080110
          Numbering:
            – Type: volume
              Value: 58
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Medical Education
              Type: main
ResultId 1