Use of simulation-based training in continuing medical education is still an area of growth, despite its ongoing use in both undergraduate and graduate medical education. In the present study, we aimed to assess high fidelity simulation experience among Tunisians. In the context of continuing medical education, our survey revealed a high level of participants’ satisfaction and self-confidence with clinical simulation experience. The mean scores were respectively (M = 4.12, SD = 0.52 and (M = 4.25, SD = 0.47). In addition, we found that design characteristics, feedback/guided reflection and problem solving were the highly correlated characteristics with participants’ satisfaction (rs = 0.620, rs = 0.600) and self-confidence (rs = 0.704, rs = 0.675). In conclusion, we found that for continuing medical education, simulation was an effective tool, which promotes medical practitioners’ satisfaction and self-confidence with learning.
Cite this paper
Gabbouj, S. B. , Idoudi, M. , Rejeb, M. B. , Zedini, C. and Mellouli, M. (2022). Assessing High-Fidelity Simulation Outcomes in Continuing Medical Education among Tunisian Practitioners. Open Access Library Journal, 9, e9313. doi: http://dx.doi.org/10.4236/oalib.1109313.
McGaghie, W.C., Siddall, V.J., Mazmanian, P.E. and Myers, J. (2009) Lessons for Continuing Medical Education from Simulation Research in Undergraduate and Graduate Medical Education: Effectiveness of Continuing Medical Education: American College of Chest Physicians Evidence-Based Educational Guidelines. CHEST Journal, 135, 62S-68S. https://doi.org/10.1378/chest.08-2521
Blum, R.H., Raemer, D.B., Carroll, J.S., et al. (2004) Crisis Resource Management Training for an Anaesthesia Faculty: A New Approach to Continuing Education. Medical Education, 38, 45-55. https://doi.org/10.1046/j.1365-2923.2004.01696.x
Okuda, Y., Bryson, E.O., DeMaria, S., et al. (2009) The Utility of Simulation in Medical Education: What Is the Evidence? Mount Sinai Journal of Medicine, 76, 330-343.
https://doi.org/10.1002/msj.20127
Bremner, M., Aduddell, K., Bennett, D. and VanGeest, J. (2006) The Use of Human Patient Simulators, Best Practices with Novice Nursing Students. Nurse Educator, 31, 170-174. https://doi.org/10.1097/00006223-200607000-00011
Haskvitz, L. and Koop, E. (2004) Students Struggling in Clinical? A New Role for the Patient Simulator. Journal of Nursing Education, 43, 181-184.
https://doi.org/10.3928/01484834-20040401-06
Jeffries, P.R. (2005) A Framework for Designing Implementing and Evaluating Simulations Used as Teaching Strategies in Nursing. Nursing Education Perspectives, 26, 96-103.
O’Donnell, J.M., et al. (2014) NLN/Jeffries Simulation Framework State of the Science Project: Simulation Learning Outcomes. Clinical Simulation in Nursing, 10, 373-382. https://doi.org/10.1016/j.ecns.2014.06.004
Leonard, B., Shuhaibar, E.L. and Chen, R. (2010) Nursing Student Perceptions of Intraprofessional Team Education Using High-Fidelity Simulation. Journal of Nursing Education, 49, 628-631. https://doi.org/10.3928/01484834-20100730-06
Wotton, K., Davis, J., Button, D. and Kelton, M. (2010) Third-Year Undergraduate Nursing Students’ Perceptions of High-Fidelity Simulation. Journal of Nursing Education, 49, 632-639. https://doi.org/10.3928/01484834-20100831-01
Jeffries, P.R. and Rizzolo, M.A. (2006) Designing and Implementing Models for the Innovativeuse of Simulation to Teach Nursing Care of Ill Adults and Children: A National Multi-Site, Multi-Method Study. National League of Nursing, New York, 632-639.
Franklin, A.E., Burns, P. and Lee, C.S. (2014) Psychometric Testing on the NLN Student Satisfaction and Self-Confidence in Learning, Simulation Design Scale, and Educational Practices Questionnaire Using a Sample of Pre-Licensure Novice Nurses. Nurse Education Today, 34, 1298-1304. https://doi.org/10.1016/j.nedt.2014.06.011
Maran, N.J. and Glavin, R.J. (2003) Low- to High-Fidelity Simulation—A Continuum of Medical Education? Medical Education, 37, 22-28.
https://doi.org/10.1046/j.1365-2923.37.s1.9.x
Weller, J., Wilson, L. and Robinson, B. (2003) Survey of Change in Practice Following Simulation-Based Training in Crisis Management. Anaesthesia, 58, 471-473.
https://doi.org/10.1046/j.1365-2044.2003.03078_1.x
Gordon, J.A. and Vozenilek, J.A. (2008) 2008 Academic Emergency Medicine Consensus Conference. Academic Emergency Medicine, 15, 971-977.
https://doi.org/10.1111/j.1553-2712.2008.00252.x
Dobbs, C., Sweitzer, V. and Jeffries, P. (2006) Testing a Simulation Framework Using a Simulation in Insulin Management. Clinical Simulation in Nursing, 2, e17-e22.
https://doi.org/10.1016/j.ecns.2009.05.012
Bearnson, C. and Wiker, K. (2005) Human Patient Simulators: A New Face in Baccalaureate Nursing Education at Brigham Young University. Journal of Nursing Education, 44, 421-425. https://doi.org/10.3928/01484834-20050901-07
McCausland, L., Curran, C. and Cataldi, P. (2004) Use of a Human Simulator for Undergraduate Nurse Education. International Journal of Nursing Education Scholarship, 1, Article 23. https://doi.org/10.2202/1548-923X.1035
Murphy, S., Hartigan, I., Walshe, N., Flynn, A.V. and O’Brien, S. (2011) Merging Problem-Based Learning and Simulation as an Innovative Pedagogy in Nurse Education. Clinical Simulation in Nursing, 7, e141-e148.
https://doi.org/10.1016/j.ecns.2010.01.003
Wang, A.L., Fitzpatrick, J.J. and Petrini, M.A. (2013) Use of Simulation among Chinese Nursing Students. Clinical Simulation in Nursing, 9, e311-e317.
https://doi.org/10.1016/j.ecns.2012.03.004
Marinopoulos, S.S., Dorman, T., Ratanawongsa, N., et al. (2007) Effectiveness of Continuing Medical Education. Evidence Report/Technology Assessment No. 149 (Prepared by the Johns Hopkins Evidence-Based Practice Center, under Contract No. 290-02-0018.) AHRQ Publication No. 07-E006. Agency for Healthcare Research and Quality, Rockville.
