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Evaluating multisite multiprofessional simulation training for a hyperacute stroke service using the Behaviour Change

A J Ross1, G B Reedy2, A Roots3

  • 1Glasgow Dental School, University of Glasgow, 378 Sauchiehall Street, Glasgow, G2 3JZ, UK. alastair.ross@glasgow.ac.uk.

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Summary
This summary is machine-generated.

Multisite simulation training for Hyper Acute Stroke Units (HASUs) improved staff skills and confidence. These positive effects persisted in practice, enhancing patient care through standardized training.

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Stroke Medicine

Background:

  • Stroke management requires timely specialist intervention.
  • London's stroke strategy (2010) established Hyper Acute Stroke Units (HASUs).
  • Multisite simulation training was implemented to upskill HASU staff.

Purpose of the Study:

  • Evaluate the HASU simulation training program's behavior change mechanisms.
  • Assess the training's impact on learners and clinical transferability.

Main Methods:

  • Utilized the Behavior Change Wheel framework for evaluation.
  • Included course material analysis, observations, pre-post surveys, and interviews.
  • Employed thematic analysis of qualitative data.

Main Results:

  • Reported increases in patient management skills and trainee confidence (P < .001).
  • Facilitated 'debrief' emerged as crucial for skill development.
  • Sustained effects included enhanced situational awareness and prioritization.

Conclusions:

  • Pan-London simulation training positively impacted skills and motivation.
  • Learnings were transferable to clinical practice, supporting patient care.
  • Multi-center simulation programs can offer valuable, standardized training.