Publications by authors named "Gilles Chiniara"

Article Synopsis
  • Simulation-based education in healthcare utilizes realistic clinical scenarios for effective learning, and the SoFraSimS has created guidelines to enhance scenario design for various simulation types.
  • A literature review and expert input led to the identification of key criteria for creating effective simulation scenarios across modalities.
  • The resulting templates consist of five sections that structure scenario context, learning objectives, preparation needs, simulation analysis, and post-simulation improvements to maximize educational outcomes.*
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Introduction: Retention of healthcare workers (HCWs) in the healthcare system during the COVID-19 pandemic could become a challenge. It is therefore important to better understand what are the motivational elements that could explain a greater or lesser motivation to care for infected patients.

Objectives: To evaluate factors modulating HCWs' willingness to treat COVID-19 infected patients.

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Background: The coronavirus disease 2019 (COVID-19) pandemic may cause significant anxiety among healthcare professionals (HCPs). COVID-19-related psychological impacts on HCPs in Western countries have received relatively little attention.

Objective: This study aims to assess the levels of anxiety in HCPs working in the province of Quebec (Canada) during the first wave of the COVID-19 pandemic and identify factors associated with changes in anxiety scores.

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Introduction: In a CICO (cannot intubate, cannot oxygenate) situation, anesthesiologists and acute care physicians must be able to perform an emergency surgical cricothyrotomy (front-of-neck airway procedure). CICOs are high-acuity situations with rare opportunities for safe practice. In COVID-19 airway management guidelines, bougie-assisted surgical cricothyrotomy is the recommended emergency strategy for CICO situations.

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Article Synopsis
  • The study focuses on using simulation to enhance therapeutic patient education (S-TPE) for individuals with chronic diseases, aiming to develop relevant skills.
  • Experts from three groups—patients/caregivers, health professionals, and simulation specialists—collaborated through questionnaires to establish 34 initial recommendations, later refined into 26 specific guidelines.
  • The findings highlight the potential benefits of simulation in TPE while emphasizing the need to tailor approaches to individual patient needs and to consider ethical implications in patient care.
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Background: Simulation is being increasingly used worldwide in healthcare education. However, it is costly both in terms of finances and human resources. As a consequence, several institutions have designed programs offering several short immersive simulation sessions, each followed by short debriefings.

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The advent of simulation-based education has caused a renewed interest in feedback and debriefing. However, little attention has been given to the issue of transfer of learning from the simulation environment to real-life and novel situations. In this article, the authors discuss the importance of context in learning, based on the frameworks of analogical transfer and situated cognition, and the limitations that context imposes on transfer.

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Procedural simulation (PS) is increasingly being used worldwide in healthcare for training caregivers in psychomotor competencies. It has been demonstrated to improve learners' confidence and competence in technical procedures, with consequent positive impacts on patient outcomes and safety. Several frameworks can guide healthcare educators in using PS as an educational tool.

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Increased blood pressure (BP) during orthognathic surgery may result in excessive blood loss, poor surgical field visualization, and longer surgical time and require blood transfusion. When uncontrollable high BP is encountered in an otherwise healthy patient during orthognathic surgery, the diagnosis of pheochromocytoma should be considered. Pheochromocytomas are rare neuroendocrine tumors of the chromaffin cells of the adrenal medulla or extra-adrenal paraganglia (sympathetic ganglia) that secrete catecholamine.

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Background: Simulation in healthcare lacks a dedicated framework and supporting taxonomy for instructional design (ID) to assist educators in creating appropriate simulation learning experiences.

Aims: This article aims to fill the identified gap. It provides a conceptual framework for ID of healthcare simulation.

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