Long-term intended and unintended experiences after Advanced Life Support training

Maria Birkvad Rasmussen, Peter Dieckmann, S. Barry Issenberg, Doris Østergaard, Eldar Søreide, Charlotte Vibeke Ringsted

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Aim: Highly structured simulation-based training (SBT) on managing emergency situations can have a significant effect on immediate satisfaction and learning. However, there are some indications of problems when applying learned skills to practice. The aim of this study was to identify long-term intended and unintended learner reactions, experiences and reflections after attending a simulation based Advanced Life Support (ALS) course. Method: Semi-structured interviews were conducted by telephone with a purposive sample of prior ALS-course participants. A constructivist grounded theory approach was used to analyze the data. Results: Seventeen former participants were interviewed. The main themes related to context adaptation, communities of practice and to transfer of skills. Interviewees described challenges in adapting to the structured simulation setting and going back to the uncertain and unstructured clinical world. In part, a result of the several conflicting communities of practice - one being the ALS-community and the others relating to professional roles. Despite reporting transferring a more systematic approach to managing patients in emergency situations and during ward rounds, surgery, and in their teaching, participants also reported poor transfer in emergency situations where not all team members had the same ALS-structured approach. Conclusion: The result from this study indicates that the efficiency dimension of ALS competence is taught well in ALS courses, but that the form and content of these highly structured/model courses are insufficient in training the innovative dimension of competence that is needed for transfer of skills in unstructured, emergency situations.

Original languageEnglish (US)
Pages (from-to)373-377
Number of pages5
JournalResuscitation
Volume84
Issue number3
DOIs
StatePublished - Mar 1 2013

Keywords

  • ALS
  • Cardiac arrest
  • Communities of practice
  • Context adaptation
  • Emergency situations
  • Prejudice
  • Simulation based training
  • Transfer

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

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