Proposing 'the burns suite' as a novel simulation tool for advancing the delivery of burns education.
Educational theory highlights the importance of contextualized simulation for effective learning. We explored this concept in a burns in a novel, low-cost, high-fidelity, portable, immersive simulation environment (referred to as distributed simulation). This contextualized simulation/distributed simulation combination was named 'The Burns Suite' (TBS). A pediatric burn resuscitation was selected after high trainee demand. It was designed on Advanced Trauma and Life Support and Management of Severe Burns principles and refined using expert opinion through cognitive task analysis. TBS contained 'realism' props, briefed nurses, and a simulated patient. Novices and experts were recruited. Five-point Likert-type questionnaires were developed for face and content validity. Cronbach's [alpha] was calculated for scale reliability. Semistructured interviews captured responses for qualitative thematic analysis allowing for data triangulation. Twelve participants completed TBS scenario. Mean face and content validity ratings were high (4.6 and 4.5, respectively; range, 4-5). The internal consistency of questions was high. Qualitative data analysis revealed that participants felt 1) the experience was 'real' and they were 'able to behave as if in a real resuscitation environment,' and 2) TBS 'addressed what Advanced Trauma and Life Support and Management of Severe Burns didn't' (including the efficacy of incorporating nontechnical skills). TBS provides a novel, effective simulation to significantly advance the delivery of burns education. Recreating clinical challenge is crucial to optimize simulation . This low-cost approach also has major implications for surgical education, particularly during increasing financial austerity. Alternative scenarios and/or procedures can be recreated within TBS, providing a diverse educational immersive simulation experience.
Questionnaire scores were cumulated as means, and parametrical analysis was used (unpaired t-test) to compare experts’ and novices’ ratings
Simulation and questionaire
Realism of the simulationTeam realismEnvironmental realismcontent validity applicability as a
initial survey was distributed to 10 trainees to identify whether they had a preference for a “pediatric” or an “adult” resuscitation scenarioA preliminary was designed using a real patient’s case history and discussed with a consultant burns surgeonrefined to suit the DS environment using cognitive task analysis until saturation was reached
Sixteen participants were recruited to participate (eight novices and eight experts).careful instruction and of the operating room,10 under the supervision of the senior author.These included background images, an iPad to display a heart tracing and monitoring “beeps,” a real fluid stand and equipment trolley (Figure 2), and provision of a realistic clinical via a set of real case notesParticipants evaluated the realism of TBS using Likert- style questionnaires, specifically developed for this simulation
Examine face and content validity of burns in a novel, low-cost, high-fidelity, portable, immersive simulation environment
TBS provides a novel, effective simulation to significantly advance the delivery of burns education. Recreating clinical challenge is crucial to optimize simulation . This low-cost approach also has major implications for surgical education, particularly during increasing financial austerity. Alternative scenarios and/or procedures can be recreated within TBS, providing a diverse educational immersive simulation experience
This study had approval from the research and ethics committee
We explored this concept in a burns in a novel, low-cost, high-fidelity, portable, immersive simulation environment (referred to as distributed simulation). This contextualized simulation/distributed simulation combination was named “The Burns Suite” (TBS)A pediatric burn resuscitation was selected after high trainee demand.
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