Context Matters: Factors Affecting Implementation of Simulation Training in Nursing and Midwifery Schools in North America, Africa and Asia.
Jami Baayd, Zo�� Heins, Dilys Walker, Patience Afulani, Mona Sterling, Jessica N Sanders, Susanna Cohen
Author Information
Jami Baayd: ASCENT Center for Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Zo�� Heins: Global Medical Affairs Scientist, bioMerieux, Salt Lake City, UT, USA.
Dilys Walker: School of Medicine, Institute for Global Health Sciences, University of California, San Francisco, CA, USA.
Patience Afulani: Department of Epidemiology and Biostatistics and Institute for Global Health Sciences, University of California, San Francisco, CA, USA.
Mona Sterling: Lumina Alliance, San Luis Obispo, CA, USA.
Jessica N Sanders: ASCENT Center for Sexual and Reproductive Health, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Susanna Cohen: ASCENT Center for Sexual and Reproductive Health and LIFT Simulation Design Lab, Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, UT, USA.
Background: Robust evidence supports the effectiveness of simulation training in nursing and midwifery education. Simulation allows trainees to apply newly-learned skills in a supportive environment. Method: This study was conducted using the Consolidated Framework for Implementation Research (CFIR). We conducted in-depth individual interviews with simulation experts around the world. Results: Findings from this study highlight best-practices in facilitating simulation implementation across resources settings. Universal accelerators included: (1) adaptability of simulation (2) "simulation champions" (3) involving key stakeholders and (4) culturally-informed, pre-implementation planning. Conclusions: Shared constructs reported in diverse settings provide lessons to implementing evidence-based, flexible simulation trainings in pre-service curriculum.
