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Learning by simulation in prehospital emergency care - an integrative literature review.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Prehospen)
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Learning by simulation in prehospital emergency care

– an integrative literature review

Background: Acquiring knowledge and experience on

high-energy trauma is often difficult due to infrequent

exposure. This creates a need for training which is specifically

tailored for complex prehospital conditions. Simulation

provides an opportunity for ambulance nurses to

focus on the actual problems in clinical practice and to

develop knowledge regarding trauma care. The aim of

this study was to describe what ambulance nurses and

paramedics in prehospital emergency care perceive as

important for learning when participating in simulation

exercises.

Methods: An integrative literature review was carried out.

Criteria for inclusion were primary qualitative and quantitative

studies, where research participants were ambulance

nurses or paramedics, working within prehospital

care settings, and where the research interventions

involved simulation.

Results: It was perceived important for the ambulance

nurses’ learning that scenarios were advanced and possible

to simulate repeatedly. The repetitions contributed to

increase the level of experience, which in turn improved

the patients care. Moreover, realism in the simulation

and being able to interact and communicate with the

patient were perceived as important aspects, as was

debriefing, which enabled the enhancement of knowledge

and skills. The result is presented in the following

categories: To gain experience, To gain practice and To be

strengthened by others.

Conclusion: Learning through simulation does not require

years of exposure to accident scenes. The simulated

learning is enhanced by realistic, stressful scenarios

where ambulance nurses interact with the patients. In

this study, being able to communicate with the patient

was highlighted as a positive contribution to learning.

However, this has seldom been mentioned in a previous

research on simulation. Debriefing is important for learning

as it enables scrutiny of one´s actions and thereby the

possibility to improve and adjust one’s caring. The effect

of simulation exercises is important on patient outcome.

Place, publisher, year, edition, pages
2015.
Keyword [en]
accident and emergency, acute care, advanced nursing practice, clinical nurse specialist, emergency, paramedical care
National Category
Nursing
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-4007DOI: 10.1111/scs.12252OAI: oai:DiVA.org:hb-4007DiVA: diva2:881411
Available from: 2015-12-10 Created: 2015-12-10 Last updated: 2016-01-21

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suserud, Björn-Ove
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Citation style
  • apa
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