Open AccessEducational Interventions to Enhance Situation Awareness
Author(s) -
Nuala Walshe,
Clare Crowley,
Sarah O’Brien,
John Browne,
Josephine Hegarty
Publication year - 2019
Publication title -
simulation in healthcare
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.685
H-Index - 49
eISSN - 1559-713X
pISSN - 1559-2332
DOI - 10.1097/sih.0000000000000376
Subject(s) - psychological intervention , psychology , medical education , medicine , psychiatry
We conducted a systematic review to evaluate the comparative effectiveness of educational interventions on health care professionals' situation awareness (SA). We searched MEDLINE, CINAHL, HW Wilson, ERIC, Scopus, EMBASE, PsycINFO, psycARTICLES, Psychology and Behavioural Science Collection and the Cochrane library. Articles that reported a targeted SA intervention or a broader intervention incorporating SA, and an objective outcome measure of SA were included. Thirty-nine articles were eligible for inclusion, of these 4 reported targeted SA interventions. Simulation-based education (SBE) was the most prevalent educational modality (31 articles). Meta-analysis of trial designs (19 articles) yielded a pooled moderate effect size of 0.61 (95% confidence interval = 0.17 to 1.06, P = 0.007, I = 42%) in favor of SBE as compared with other modalities and a nonsignificant moderate effect in favor of additional nontechnical skills training (effect size = 0.54, 95% confidence interval = 0.18 to 1.26, P = 0.14, I = 63%). Though constrained by the number of articles eligible for inclusion, our results suggest that in comparison with other modalities, SBE yields better SA outcomes.