Barriers and Facilitators to Implementing Simulation-Based Translational Research: A Qualitative Study.

Lisa A Paganotti, Ron Shope, Aaron Calhoun, Paige L McDonald
Author Information
  1. Lisa A Paganotti: From the Department of Health, Human Function, and Rehabilitation Science, PhD in Translational Health Sciences (L.A.P., R.S., P.M.), The George Washington University, Washington, DC; and University of Louisville (A.C.), Louisville, KY.

Abstract

INTRODUCTION: Translational research has been identified as a research priority for the National Institutes of Health (NIH) and the Society for Simulation in Healthcare (SSH). Despite a larger focus on translational research in recent years, the overall amount of simulation-based translational research remains low. Greater understanding of how to approach translational simulation is required to inform novice simulation and translational researchers. This study sought to answer the following research questions: How do simulation experts describe the barriers and facilitators to implementing translational simulation programs? How do simulation experts describe their various approaches to implementing translational simulation programs? What recommendations do simulation experts describe for overcoming barriers to implementing translational simulation programs?
METHODS: A qualitative instrumental case study was used to elicit multiple instances of translational simulation research to gather an in-depth description from study participants. Three data sources were used: documents, semistructured interviews, and a focus group.
RESULTS: Data analyses revealed 5 major themes: clarifying goals and definitions, special considerations, social networking, research, and factors external to the simulation program.
CONCLUSIONS: Key findings include a lack of a standardized definitions for translational simulation and simulation-based translational research, the challenge of demonstrating the value of translational simulation, and the need for translational simulation programs to be integrated into departmental quality, patient safety, and risk management work. The findings and advice from the experts in this research can assist new researchers or those encountering challenges in implementing translational simulations.

References

  1. Brazil V, Purdy EI, Bajaj K. Connecting simulation and quality improvement: how can healthcare simulation really improve patient care? BMJ Qual Saf 2019;28:862���865.
  2. Scerbo MW, Calhoun AW, Paige JT, Sanko J, Sokolowski J. The Second Society for Simulation in Healthcare Research Summit: Beyond our Boundaries. Simul Healthc 2018;13:1���6.
  3. Sollid SJM, Dieckman P, Aase K, S��reide E, Ringsted C, ��stergaard D. Five topics health care simulation can address to improve patient safety: results from a consensus process. J Patient Saf 2019;15:111���120.
  4. Bilotta FF, Werner SM, Bergese SD, Rosa G. Impact and implementation of simulation-based training for safety. Sci World J 2013;2013:1���6.
  5. Cheng A, Calhoun A, Topps D, Adler MD, Ellaway R. Using the METRICS model for defining routes to scholarship in healthcare simulation. Med Teach 2018;40:652���660.
  6. Ross AJ, Kodate N, Anderson JE, Thomas L, Jaye P. Review of simulation studies in anaesthesia journals, 2001���2010: mapping and content analysis. Br J Anaesth 2012;109:99���109.
  7. Brazil V. Translational simulation: not ���where?��� But ���why?��� A functional view of in situ simulation. Adv Simul (Lond) 2017;2:20.
  8. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Translational educational research: a necessity for effective health-care improvement. Chest 2012;142:1097���1103.
  9. Creswell JW, Pooth CN. Qualitative Inquiry & Research Design: Choosing Among Five Approaches . 4th ed. Los Angeles, CA: Sage Publications; 2018.
  10. Cisco. WebEx. 2021. Available at: https://www.webex.com/ . Accessed October 20, 2021.
  11. INACSL Standards Committee. INACSL Standards of Best Practice: Simulation Design. Clin Simul Nurs 2016;12:S5���S12.
  12. Atlas.ti. Qualitative data analysis. Available at: https://atlasti.com/ . Published 2020. Accessed September 5, 2020.
  13. LaDonna KA, Artino AR Jr., Balmer DF. Beyond the guise of saturation: rigor and qualitative interview data. J Grad Med Educ 2021;13:607���611.
  14. Terrell SR. Writing a Proposal for Your Dissertation: Guidelines and Examples . 1st ed. New York, NY: The Guilford Press; 2016.
  15. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 2009;4:50.
  16. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349���357.
  17. Drolet BC, Lorenzi NM. Translational research: understanding the continuum from bench to bedside. Transl Res 2011;157:1���5.
  18. Committee for Accreditation of Healthcare Simulation Programs. Systems Integration Accreditation Standards. Society for Simulation in Healthcare. Available at: https://www.ssih.org/Portals/48/2021 SSH SYSTEMS INTEGRATION STANDARDS COMPANION DOCUMENT.pdf . Published 2021. Accessed October 20, 2021.
  19. Griswold-Theodorson S, Ponnuru S, Dong C, Szyld D, Reed T, McGaghie WC. Beyond the simulation laboratory: a realist synthesis review of clinical outcomes of simulation-based mastery learning. Acad Med 2015;90:1553���1560.
  20. McGaghie WC. Implementation science: addressing complexity in medical education. Med Teach 2011;33:97���98.
  21. Rosenman ED, Fernandez R, Wong AH, et al. Changing systems through effective teams: a role for simulation. Acad Emerg Med 2018;25:128���143.
  22. Nickson CP, Petrosoniak A, Barwick S, Brazil V. Translational simulation: from description to action. Adv Simul 2021;6:1���11.

MeSH Term

Humans
Translational Research, Biomedical
Qualitative Research
Simulation Training
Focus Groups
Interviews as Topic

Word Cloud

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