A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model
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A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model Lisa T. Barker1,2, William F. Bond1,2, Andrew L. Vincent2, Kimberly L. Cooley1* , Jeremy S. McGarvey1, John A. Vozenilek1,2 and Emilie S. Powell3
Abstract Background: New technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple other factors as described by the Consolidated Framework in Implementation Research (CFIR). A simulation-based introduction to new technologies provides opportunity to intentionally address specific factors that influence adoption. Methods: The new technology proposed for adoption was a telehealth cart that provided direct video communication with electronic intensive care unit (eICU) staff for a rural Emergency Department (ED). A novel 3-Act-3Debrief in situ simulation structure was created to target predictive constructs from the CFIR and connect debriefing to specific workflows. The structure and content of the simulation in relation to the framework is described. Participants completed surveys pre-simulation/post-simulation to measure change in their readiness to adopt the new technology. Results: The scenario was designed and pilot tested before implementation at two rural EDs. There were 60 interprofessional participants across the 2 sites, with 58 pre-simulation and 59 post-simulation surveys completed. The post-simulation mean ratings for each readiness measure (feasibility, quality, resource availability, role clarity, staff receptiveness, and tech usability) increased significantly as a result of the simulation experience. Conclusions: A novel 3-stage simulation-debriefing structure positively targets factors influencing the adoption of new healthcare technologies. Keywords: Healthcare simulation, Telehealth, Debriefing, Sepsis, Interprofessional simulations, Health information technology, Implementation research
* Correspondence: [email protected] This was a collaborative effort between verbiage to Jump Simulation (an OSF Healthcare and University of Illinois College of Medicine at Peoria Collaboration), OSF ConstantCare eICU, and Northwestern University Feinberg School of Medicine. 1 Jump Simulation (an OSF Healthcare and University of Illinois College of Medicine at Peoria Collaboration), OSF HealthCare and University of Illinois College of Medicine, 1306 N. Berkeley Avenue, Peoria, IL, USA Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are
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