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A competency framework for simulation facilitation in low-resource settings: a modified Delphi study.

Adam I Mossenson1,2, Patricia Livingston3, Janie A Brown4,4

  • 1School of Medicine, Curtin University, Perth, Australia.

Anaesthesia
|October 5, 2024
PubMed
Summary
This summary is machine-generated.

A new framework identifies 32 core competencies for effective healthcare simulation facilitation in low-resource settings. This tool emphasizes cultural sensitivity, humility, and adaptability for improved patient safety training.

Keywords:
assessmentcompetenciesfacilitationlow‐resource settingssimulation

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Area of Science:

  • Healthcare Simulation
  • Medical Education
  • Health Systems Strengthening

Background:

  • Skilled facilitators are crucial for effective healthcare simulation training.
  • Existing competency frameworks lack focus on low-resource settings.
  • Practitioner input is vital for context-sensitive training development.

Purpose of the Study:

  • To develop a core competency framework for healthcare simulation facilitation tailored to low-resource settings.
  • To identify context-specific priorities for simulation facilitators in resource-limited environments.

Main Methods:

  • A modified Delphi process involving 54 practitioners was used.
  • Competencies were co-created, ranked by relevance and importance over four survey rounds.
  • A steering group guided the process and collated results.

Main Results:

  • A 32-item core competency framework was developed with 98% participant agreement.
  • The framework includes standard competencies plus new concepts like cultural sensitivity, humility, and language barrier management.
  • Facilitation team collaboration, logistics awareness, and contingency planning are highlighted.

Conclusions:

  • The developed framework outlines essential practices for simulation facilitation in low-resource settings.
  • Further validation and refinement are needed to create a training tool for facilitators.
  • Effective facilitation training can contribute to improved patient safety.