Evidence map›Paper›PMID 27421905›Full record

Trial reportBMC medical education2016

A simulated night shift in the emergency room increases students' self-efficacy independent of role taking over during simulation.

Fabian Stroben, Therese Schröder, Katja A Dannenberg, Anke Thomas, Aristomenis Exadaktylos, Wolf E Hautz

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 44 citations in OpenAlex.

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  19. Interprofessional Emergency Training Leads to Changes in the Workplace.The western journal of emergency medicine · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Fabian StrobenLernzentrum (Skills Lab), Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany. fabian.stroben@charite.de.
Therese SchröderLernzentrum (Skills Lab), Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Katja A DannenbergLernzentrum (Skills Lab), Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Anke ThomasDepartment of Gynecology and Obstretics CCM & CVK, Charité-Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Aristomenis ExadaktylosUniversitäres Notfallzentrum, Inselspital Bern, 3010, Bern, Switzerland.
Wolf E HautzUniversitäres Notfallzentrum, Inselspital Bern, 3010, Bern, Switzerland.
Charité - Universitätsmedizin Berlin · DEUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJunior doctors do not feel well prepared when they start into postgraduate training. High self-efficacy however is linked to better clinical performance and may thus improve patient care. What factors affect self-efficacy is currently unknown. We conducted a simulated night shift in an emergency room (ER) with final-year medical students to identify factors contributing to their self-efficacy and thus inform simulation training in the ER.

methodsWe simulated a night in the ER using best educational practice including multi-source feedback, simulated patients and vicarious learning with 30 participants. Students underwent 7 prototypic cases in groups of 5 in different roles (leader, member and observer). Feeling of preparedness was measured at baseline and 5 days after the event. After every case students recorded their confidence dependent of their role during simulation and evaluated the case.

resultsThirty students participated, 18 (60 %) completed all surveys. At baseline students feel unconfident (Mean -0.34). Feeling of preparedness increases significantly at follow up (Mean 0.66, p = 0.001, d = 1.86). Confidence after simulation is independent of the role during simulation (F(2,52) = 0.123, p = 0.884). Observers in a simulation can estimate leader's confidence independent of their own (r = 0.188, p = 0.32) while team members cannot (r = 0.61, p < 0.001).

conclusionsSimulation improves self-efficacy. The improvement of self-efficacy is independent of the role taken during simulation. As a consequence, groups can include observers as participants without impairing their increase in self-efficacy, providing a convenient way for educators to increase simulation efficiency. Different roles can furthermore be included into multi-source peer-feedback.

Indexed as

Clinical CompetenceEmergency Service, HospitalPatient SimulationRole PlayingSelf EfficacyAttitude of Health PersonnelBenchmarkingComputer SimulationEducation, Medical, UndergraduateFemaleFormative FeedbackGermanyHumansInterprofessional RelationsLeadershipLearningEmergency medicineHigh-fidelity simulationMedical educationSelf-assessmentSelf-efficacySimulation-based educationUndergraduate education

Identifiers

PMID27421905
PMCPMC4946185
OpenAlexW2471538779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.