Advancing outbreak simulation training: a collaborative pilot study for dual-specialty medical trainees and infection prevention and control professionals

A King; S Cairns; L Shepherd; J Barrett; T Inkster

doi:10.1016/j.jhin.2024.02.014

Advancing outbreak simulation training: a collaborative pilot study for dual-specialty medical trainees and infection prevention and control professionals

J Hosp Infect. 2024 Mar 1:147:68-76. doi: 10.1016/j.jhin.2024.02.014. Online ahead of print.

Authors

A King¹, S Cairns², L Shepherd¹, J Barrett², T Inkster³

Affiliations

¹ NHS Education for Scotland, Glasgow, UK.
² Antimicrobial Resistance and Healthcare Associated Infection (ARHAI), Delta House, Glasgow, UK.
³ Antimicrobial Resistance and Healthcare Associated Infection (ARHAI), Delta House, Glasgow, UK. Electronic address: Teresa.Inkster2@nhs.scot.

PMID: 38432585
DOI: 10.1016/j.jhin.2024.02.014

Abstract

Background: In response to identified gaps in infection prevention and control (IPC) training within Scotland, a Short Life Working Group initiated an innovative outbreak simulation training programme.

Aim: To enhance the knowledge and confidence of medical microbiology and infectious diseases trainees and IPC professionals in managing healthcare-associated infection (HAI) outbreaks, employing the National Infection Prevention and Control Manual guidelines.

Methods: Participants completed prerequisite online training in epidemiology and surveillance before engaging in a meticulously crafted vancomycin-resistant enterococci outbreak simulation, which mirrored a real-life incident and adhered to the standards set by the Association for Simulated Practice in Healthcare. The programme incorporated Kolb's experiential learning cycle, fostering an authentic and engaging learning environment. A total of 41 individuals participated in the synchronous online training phase, with eight individuals involved in the pilot outbreak simulation. Evaluation of the training's efficacy followed Kirkpatrick's model, combining quantitative (five-point Likert scales) and qualitative (open-ended questions and participant reflections) data collection methods.

Findings: Results demonstrated significant improvements in participants' knowledge, skills, and confidence in outbreak management. Feedback highlighted the realism and educational value of the simulation, with 100% agreement on its efficacy in enhancing outbreak management capabilities.

Conclusion: The success of this pilot study underscores the potential of simulation training in IPC and paves the way for broader implementation. It emphasizes the effectiveness of structured, experiential learning in equipping healthcare professionals with practical skills and confidence for managing complex HAI outbreaks, contributing to a more competent and prepared workforce.

Keywords: Experiential learning; Healthcare simulation; Infection control simulation training; Medical education; Outbreak simulation training; Simulation-based learning.