Facilitating in-situ simulations in an acute care environment: A qualitative study

Abstract

Background and objective: Clinical Educators frequently use in-situ simulation-based experiences (SBE) to improve the skill and competency of healthcare professionals. The aim of the experience is to improve the quality of patient care and, ultimately, patient outcomes. The facilitator plays a key role in the in-situ SBE as they provide structure, guidance, and support, to help learners achieve the educational outcomes. However, they often face barriers concerning preparation for their role, time release from clinical duties, time to facilitate an effective debrief, and space constraints. The aim of this research was to gain insights into the opportunities and barriers educators face when facilitating in-situ simulations.

Methods: A qualitative descriptive design utilising semi-structured interviews with twelve clinical educators who had facilitated in-situ SBE's in the acute care environment within a hospital facility. Interview data was analysed utilising a general inductive approach to determine themes.

Results: The facilitators valued in-situ SBE as a teaching and learning strategy however they faced challenges related to time constraints, resourcing, ‘buy in’ and competing priorities for themselves and the learners.

Conclusions: Sustaining an in-situ SBE programme long term requires a departmental culture that normalises SBE as routine practice, a simulation design appropriate to the in-situ environment, and opportunities to engage in a community of practice.