ArticleAdvances in simulation (London, England)2022
Taking simulation out of its "safe container"-exploring the bidirectional impacts of psychological safety and simulation in an emergency department.
Article in Advances in simulation (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- High-Fidelity Simulation for Medical Students: Does Psychological Safety Increase During the Prebriefing Phase?Cureus · 2026Article
- Education that Empowers: A critical realist evaluation of a novel incivility-focused immersive simulation.Advances in simulation (London, England) · 2026Article
- Simulosophists: evolving the professional identity of simulation practitioners.Advances in simulation (London, England) · 2026Article
- Rapid cycle deliberate practice: a complement to clinical exposure in critical care education.ATS scholar · 2026Observational
- Silent teachers: Narratives from the simulation lab.Medical education · 2026Article
- Education Research: Simulation-Based Interventions in Acute Stroke Care From Symptom Onset to Acute Treatment: A Scoping Review.Neurology. Education · 2025Article
- Integrating non-technical skills into undergraduate medical simulation: a scoping review and thematic analysis of current practices.Advances in simulation (London, England) · 2025Article
- Universal Design for Learning (UDL) in simulation-based health professions education.Advances in simulation (London, England) · 2025Article
- Exploring the Meta-debrief: Developing a Toolbox for Debriefing the Debrief.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2025Article
- Bridging the gap: Leveraging simulation expertise to improve active learning environments.AEM education and training · 2025Review
- Hybrid simulation and immersive, lived-experience perspectives to shape medical student attitudes towards patients experiencing emotional distress, suicidality, and self-harm.Advances in simulation (London, England) · 2025Article
- More than a feeling: emotional regulation strategies for simulation-based education.Advances in simulation (London, England) · 2024Article
- Training as imagined? A critical realist analysis of Scotland's internal medicine simulation programme.Advances in simulation (London, England) · 2024Article
- Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety.Advances in simulation (London, England) · 2024Article
- Evaluating the effects of simulation training on stroke thrombolysis: a systematic review and meta-analysis.Advances in simulation (London, England) · 2024Article
- Exploring in-person self-led debriefings for groups of learners in simulation-based education: an integrative review.Advances in simulation (London, England) · 2024Article
- Article
- Sepsis and Clinical Simulation: What Is New? (and Old).Journal of personalized medicine · 2023Review
- Training for managing impacted fetal head at caesarean birth: multimethod evaluation of a pilot.BMJ open quality · 2023Article
- Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine.AEM education and training · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundSimulation facilitators strive to ensure the psychological safety of participants during simulation events; however, we have limited understanding of how antecedent levels of psychological safety impact the simulation experience or how the simulation experience impacts real-world psychological safety.
methodsWe explored the experience of participants in an embedded, interprofessional simulation program at a large tertiary emergency department (ED) in Australia. We engaged in theoretical thematic analysis of sequential narrative surveys and semi-structured interviews using a previously derived framework of enablers of psychological safety in healthcare. We sought to understand (1) how real-world psychological safety impacts the simulation experience and (2) how the simulation experience influences real-world psychological safety.
resultsWe received 74 narrative responses and conducted 19 interviews. Simulation experience was both influenced by and impacted psychological safety experienced at the individual, team, and organizational levels of ED practice. Most strikingly, simulation seemed to be an incubator of team familiarity with direct impact on real-world practice. We present a model of the bidirectional impact of psychological safety and simulation within healthcare environments.
conclusionOur model represents both opportunity and risk for facilitators and organizations engaging in simulation. It should inform objectives, design, delivery, debriefing, and faculty development and firmly support the situation of simulation programs within the broader cultural ethos and goals of the departments and organizations.
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