Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis
Abstract IntroductionExtracorporeal membrane oxygenation (ECMO) is a critical tool in the care of severe cardiorespiratory dysfunction. Simulation training for ECMO has become standard practice. Therefore, Keck Medicine of the University of California (USC) holds simulation-tr...
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JMIR Publications
2025-01-01
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| Series: | JMIR Medical Education |
| Online Access: | https://mededu.jmir.org/2025/1/e57424 |
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| author | Joan Brown Sophia De-Oliveira Christopher Mitchell Rachel Carmen Cesar Li Ding Melissa Fix Daniel Stemen Krisda Yacharn Se Fum Wong Anahat Dhillon |
| author_facet | Joan Brown Sophia De-Oliveira Christopher Mitchell Rachel Carmen Cesar Li Ding Melissa Fix Daniel Stemen Krisda Yacharn Se Fum Wong Anahat Dhillon |
| author_sort | Joan Brown |
| collection | DOAJ |
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Abstract
IntroductionExtracorporeal membrane oxygenation (ECMO) is a critical tool in the care of severe cardiorespiratory dysfunction. Simulation training for ECMO has become standard practice. Therefore, Keck Medicine of the University of California (USC) holds simulation-training sessions to reinforce and improve providers knowledge.
ObjectiveThis study aimed to understand the impact of simulation training approaches on interprofessional collaboration. We believed simulation-based ECMO training would improve interprofessional collaboration through increased communication and enhance teamwork.
MethodsThis was a single-center, mixed methods study of the Cardiac and Vascular Institute Intensive Care Unit at Keck Medicine of USC conducted from September 2021 to April 2023. Simulation training was offered for 1 hour monthly to the clinical team focused on the collaboration and decision-making needed to evaluate the initiation of ECMO therapy. Electronic surveys were distributed before, after, and 3 months post training. The survey evaluated teamwork and the effectiveness of training, and focus groups were held to understand social environment factors. Additionally, trainee and peer evaluation focus groups were held to understand socioenvironmental factors.
ResultsIn total, 37 trainees attended the training simulation from August 2021 to August 2022. Using 27 records for exploratory factor analysis, the standardized Cronbach α was 0.717. The survey results descriptively demonstrated a positive shift in teamwork ability. Qualitative themes identified improved confidence and decision-making.
ConclusionsThe study design was flawed, indicating improvement opportunities for future research on simulation training in the clinical setting. The paper outlines what to avoid when designing and implementing studies that assess an educational intervention in a complex clinical setting. The hypothesis deserves further exploration and is supported by the results of this study. |
| format | Article |
| id | doaj-art-fc7995634f124efe8b1488d7f0e5ccb8 |
| institution | Kabale University |
| issn | 2369-3762 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Medical Education |
| spelling | doaj-art-fc7995634f124efe8b1488d7f0e5ccb82025-01-31T21:36:04ZengJMIR PublicationsJMIR Medical Education2369-37622025-01-0111e57424e5742410.2196/57424Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory AnalysisJoan Brownhttp://orcid.org/0000-0003-3492-2858Sophia De-Oliveirahttp://orcid.org/0009-0001-8521-8986Christopher Mitchellhttp://orcid.org/0009-0009-8774-5083Rachel Carmen Cesarhttp://orcid.org/0000-0002-9205-9514Li Dinghttp://orcid.org/0000-0001-8565-430XMelissa Fixhttp://orcid.org/0009-0006-2635-8643Daniel Stemenhttp://orcid.org/0009-0006-9430-4938Krisda Yacharnhttp://orcid.org/0009-0005-0054-0087Se Fum Wonghttp://orcid.org/0009-0003-7594-1438Anahat Dhillonhttp://orcid.org/0009-0009-2753-441X Abstract IntroductionExtracorporeal membrane oxygenation (ECMO) is a critical tool in the care of severe cardiorespiratory dysfunction. Simulation training for ECMO has become standard practice. Therefore, Keck Medicine of the University of California (USC) holds simulation-training sessions to reinforce and improve providers knowledge. ObjectiveThis study aimed to understand the impact of simulation training approaches on interprofessional collaboration. We believed simulation-based ECMO training would improve interprofessional collaboration through increased communication and enhance teamwork. MethodsThis was a single-center, mixed methods study of the Cardiac and Vascular Institute Intensive Care Unit at Keck Medicine of USC conducted from September 2021 to April 2023. Simulation training was offered for 1 hour monthly to the clinical team focused on the collaboration and decision-making needed to evaluate the initiation of ECMO therapy. Electronic surveys were distributed before, after, and 3 months post training. The survey evaluated teamwork and the effectiveness of training, and focus groups were held to understand social environment factors. Additionally, trainee and peer evaluation focus groups were held to understand socioenvironmental factors. ResultsIn total, 37 trainees attended the training simulation from August 2021 to August 2022. Using 27 records for exploratory factor analysis, the standardized Cronbach α was 0.717. The survey results descriptively demonstrated a positive shift in teamwork ability. Qualitative themes identified improved confidence and decision-making. ConclusionsThe study design was flawed, indicating improvement opportunities for future research on simulation training in the clinical setting. The paper outlines what to avoid when designing and implementing studies that assess an educational intervention in a complex clinical setting. The hypothesis deserves further exploration and is supported by the results of this study.https://mededu.jmir.org/2025/1/e57424 |
| spellingShingle | Joan Brown Sophia De-Oliveira Christopher Mitchell Rachel Carmen Cesar Li Ding Melissa Fix Daniel Stemen Krisda Yacharn Se Fum Wong Anahat Dhillon Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis JMIR Medical Education |
| title | Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis |
| title_full | Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis |
| title_fullStr | Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis |
| title_full_unstemmed | Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis |
| title_short | Barriers to and Facilitators of Implementing Team-Based Extracorporeal Membrane Oxygenation Simulation Study: Exploratory Analysis |
| title_sort | barriers to and facilitators of implementing team based extracorporeal membrane oxygenation simulation study exploratory analysis |
| url | https://mededu.jmir.org/2025/1/e57424 |
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