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Simulation-Based Training for New-Onset Symptomatic Rapid Atrial Fibrillation Among Prehospital Health Care Providers
Emily R Cyr1, Michele L Kuszajewski2, Jessica D Szydlowski1
1Duke University School of Nursing, Durham, NC.
Simulation-based training (SBT) enhanced prehospital provider compliance with new-onset symptomatic rapid atrial fibrillation (NOSRAF) protocols. However, provider confidence did not change, indicating a need for further research.
Area of Science:
- Emergency medicine
- Medical simulation
- Cardiac arrhythmias
Background:
- Atrial fibrillation is a common arrhythmia requiring proficient diagnosis and treatment.
- Increased incidence of new-onset symptomatic rapid atrial fibrillation (NOSRAF) necessitates consistent provider training.
- Prehospital healthcare providers require effective training for managing NOSRAF.
Purpose of the Study:
- To develop and evaluate a simulation-based training (SBT) program for prehospital healthcare providers.
- To assess the impact of SBT on the management of NOSRAF.
- To improve patient outcomes through enhanced provider preparedness.
Main Methods:
- A pre/post design was employed to evaluate the SBT program.
- Data collected using a protocol-based checklist and knowledge questionnaire.
- Simulation effectiveness assessed using the Simulation Effectiveness Tool-Modified (SET-M).
Main Results:
- SBT significantly improved NOSRAF protocol compliance among prehospital providers.
- No significant change in provider confidence was observed based on SET-M data.
- Further investigation into SBT for prehospital settings is warranted.
Conclusions:
- Simulation-based training can enhance prehospital provider preparedness for managing NOSRAF.
- Additional research is needed to fully understand the impact of simulation-based learning in prehospital care.
- Future studies should identify knowledge decay timelines and optimize SBT for this population.
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