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Qualitative evaluation of just-in-time simulation-based learning: the learners' perspective.
Gunjan Kamdar1, David O Kessler, Lindsey Tilt
1Department of Pediatrics (Emergency Medicine), Yale University School of Medicine, New Haven, CT 06518, USA.
Just-in-time training (JITT) for infant lumbar puncture (LP) improved intern confidence. However, time constraints and instructor factors presented barriers, highlighting the need for improved training fidelity and support.
Area of Science:
- Medical Education
- Pediatric Procedures
- Simulation-Based Training
Background:
- Just-in-time training (JITT) is an educational strategy delivering training immediately before a clinical task.
- A multicenter study assessed simulation-based JITT for infant lumbar puncture (LP) success rates.
- This study qualitatively explored learner perceptions of JITT for infant LP skills.
Purpose of the Study:
- To describe learner perceptions of simulation-based just-in-time training (JITT) for infant lumbar puncture (LP).
- To identify benefits, deficits, and barriers associated with JITT for infant LP from the learner's perspective.
Main Methods:
- A qualitative evaluation involving semistructured interviews with 11 interns at one institution.
- Interviews were transcribed, coded, and categorized by investigators.
- Focus groups at a second institution were used for data triangulation.
Main Results:
- Perceived benefits included procedural rehearsal, anatomical review, and question opportunities, enhancing confidence in infant LP.
- Deficits involved low mannequin fidelity and unrealistic training context.
- Barriers included time limitations in busy clinical settings and instructor-related factors.
Conclusions:
- Just-in-time training (JITT) enhances procedural confidence for infant LP but faces barriers like workplace busyness and instructor support.
- Improved contextual fidelity and addressing instructor factors are crucial for optimal JITT.
- Further research is needed to optimize training strategies for learner effectiveness and patient outcomes.
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