ArticleBMJ open2023
Exploring barriers and enablers to simulation-based training in emergency departments: an international qualitative study (BEST-ED Study).
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Head-mounted camera as a debriefing tool for surgical simulation-based training: a randomized controlled study in Senegal.BMC medical education · 2025Trial
- A survey of healthcare simulation activities in the Republic of Ireland.Irish journal of medical science · 2026Article
- Article
- A Novel Screen-Based Virtual Reality Tool for Teaching Brain Death Determination: A Pilot Study of the Virtual Reality Brain Death Determination Tool.Critical care explorations · 2026Article
- Impact of a Blended-Learning Rapid Sequence Intubation Training Program on Emergency Physician Confidence: A Single-Center Program Evaluation.Open access emergency medicine : OAEM · 2026Article
- Simulation Resources in Emergency Medicine Residencies: A National Survey.AEM education and training · 2025Article
- Uncovering success stories: how to resuscitate in situ simulation initiatives in Canadian emergency departments.Advances in simulation (London, England) · 2025Article
- Simulation-based training significantly improved confidence and clinical skills of resident doctors in acute diabetes management.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Augmenting intensive care unit nursing practice with generative AI: A formative study of diagnostic synergies using simulation-based clinical cases.Journal of clinical nursing · 2025Article
- What can simulation educators learn from the reluctant participant? An exploration of the factors influencing engagement amongst adult learners participating in paediatric simulation training.Advances in simulation (London, England) · 2025Article
- Insights into simulation-based learning: student and faculty experiences in a PharmD program in Saudi Arabia.BMC medical education · 2025Article
- Development of a pain management competency assessment for physiotherapy students: Integrating simulation and written assessments.Canadian journal of pain = Revue canadienne de la douleur · 2025Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSimulation-based training (SBT) has gained significant traction within emergency medicine. The growing body of evidence describes the benefits that SBT can bring. However, identifying barriers and enablers when establishing successful SBT programmes in busy emergency departments (EDs), and ensuring longevity of such programmes, can be difficult.
objectiveWe aim to identify barriers and enablers to SBT in busy EDs.
methodsWe explored and analysed the thoughts, experience and opinions of professionals involved in SBT and organisational support. 32 participants across 15 international sites were invited to a semistructured interview process. We included participants from a variety of backgrounds, from clinical staff to management staff. Transcribed interview data was classified and coded based on capability, opportunity and motivation behaviour (COM-B) domains and analysed based on theoretical domains framework. Frequency of the most mentioned thematic domain among participants is reported.
resultsThe interview data revealed several common themes, including the following: knowledge and skills (90%), support and leadership (96%), mental barriers (87.5%), local culture (96.6%), dedicated space (65.2%), time constraints (46.8%), social influence (87.5%), education (90.6%), professional development (68.75%), exams (59.3%) and personal goals (93.75%). Management staff was observed to prioritise resource, staffing and flow, while the clinical cohort tended to focus on specialty and personal development when it came to simulation training in the ED.
conclusionPotential barriers and enablers to SBT and in situ simulation for EDs were identified through interviews conducted in this study. The central themes in terms of barriers and enablers were local culture, leadership, individual needs, resources and optimisation. A tailored approach is vital for establishing a successful SBT and in situ simulation programme.
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