1887
Volume 2017, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

Abstract

The utilization of extracorporeal membrane oxygenation (ECMO) to support patients with respiratory and/or cardiac failure continues to increase annually, with growth primarily in the adult population.1 The life-saving therapy requires a multidisciplinary team to deliver the highly technical treatment with clinical competency in three areas: cognitive knowledge, technical skills, and behavioral skills. The use of traditional methods of education in which knowledge is transmitted through lectures and reading materials results in limited retention and ability to apply learned information in the clinical setting.2 Adult education theory promotes alternative methods of learning, which organizes abstract information through association with previous experiences and leads to mastery of knowledge through functional application.3 The educational tool which supports this approach to learning is simulation.

Multiple forms of simulation have been used to enhance ECMO education. These include task trainers, virtual patients, standardized patients, human patient simulator, and a combination of these models. High-fidelity ECMO simulation (fidelity on the ECMO circuit versus patient manikin) has been successfully implemented in many clinical centers and reported to have a greater impact on education in the three areas of required competency in ECMO care.4,5 Using simulation in ECMO training, the technical aspects of routine and emergent care can be rehearsed and mastered. Scenarios can be designed with various objectives and can promote the critical thinking aspects of bedside management of these medically complex patients. Incorporating the lessons learned from the airline industry for effective teamwork in a crisis situation, Crew/Crisis Resource Management (CRM) proficiencies embedded in a scenario, also assists in the development of behavioral skills required for effective communication across multiple disciplines.6

The use of ECMO simulation incorporates all elements of adult learning theory and improves the learning experience of the clinical staff. The goal of this improved educational experience is to improve quality and safety in care, and ultimately, improve clinical outcomes.

Loading

Article metrics loading...

/content/journals/10.5339/qmj.2017.swacelso.75
2017-02-14
2019-10-22
Loading full text...

Full text loading...

References

  1. [1]. Extracorporeal Life Support Organization . International Summary [Internet] . ELSO: Ann Arbor MI: : 2015 [cited 20 January 2017]. Available from: http://www.elso.org/Registry/Statistics/InternationalSummary.aspx .
    [Google Scholar]
  2. [2]. Brown   CP., , Roedinger HL III ., , McDaniel   MA. . Make it Stick. The Science of Successful Learning . Cambridge: : Belknap;   2014; ; : 1– 21 .
    [Google Scholar]
  3. [3]. Knowles   MS., , Holton EF III., , Swanson   RA. . The Adult Learner. The Definitive Classic in Adult Education and Human Resource Development . , 8th ed..   Milton Park: : Routledge;   2015; :p. 73 .
    [Google Scholar]
  4. [4]. Anderson   JM., , Murphy   AA., , Boyle   KB., , Yaeger   KA., , Halamek   LP. . Simulating extracorporeal membrane oxygenation emergencies to improve human performance. Part II: Assessment of technical and behavioral skills. . Simul Healthc.   2006; ;1: : 228– 232 .
    [Google Scholar]
  5. [5]. Chan   SY., , Figueroa   M., , Spentzas   T., , Powell   A., , Holloway   R., , Shah   S. . Prospective assessment of novice learners in a simulation-based extracorporeal membrane oxygenation (ECMO) education program. . Pediatr Cardiol.   2013 Mar; ;34: 3 : 543– 552 .
    [Google Scholar]
  6. [6]. Fanning   RM., , Goldhaber-Fiebert   SA., , Udani   AD., , Gaba   DM. . Crisis resource management. . In: Levine   AI., DeMaria S Jr., Schwartz   AD., Sim   AJ. , eds. The Comprehensive Textbook of Healthcare Simulation . New York: : Springer;   2013; ; : 95– 109 .
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.5339/qmj.2017.swacelso.75
Loading
  • Article Type: Research Article
Keyword(s): crisis resource management , ECMO , education , simulation and training
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error