Table 4.
Perspectives around benefits and/or concerns with ORBBSIM
| Themes | Total | APP | MDs | RNS | Other | Example statements |
|---|---|---|---|---|---|---|
| Benefit(s) of ORBB integration into simulation | ||||||
| Quality improvement | 18 | 3 | 13 | 2 | 0 | “Improved communications. Close call identification of good practice and habits for exhibition.” |
| Objective scenarios | 13 | 2 | 10 | 1 | 0 | “Gives real scenarios to increase the fidelity of the simulation.” |
| Education | 9 | 0 | 7 | 2 | 0 | “Provides learning opportunities to see examples of both correct and incorrect behaviors and provide meaningful debriefing sessions after simulations.” |
| Metacognition | 5 | 1 | 4 | 0 | 0 | |
| Metrics | 4 | 0 | 4 | 0 | 0 | |
| Real-time data | 4 | 0 | 3 | 1 | 0 | |
| Teamwork | 4 | 1 | 2 | 1 | 0 | |
| Debriefing | 3 | 0 | 3 | 0 | 0 | |
| Increased fidelity | 3 | 0 | 3 | 0 | 0 | |
| Patient safety | 3 | 0 | 3 | 0 | 0 | |
| Buy in | 2 | 0 | 2 | 0 | 0 | |
| Communication | 2 | 0 | 1 | 1 | 0 | |
| Evaluation | 2 | 0 | 1 | 1 | 0 | |
| Psychologically safety | 2 | 1 | 1 | 0 | 0 | |
| Crisis resource management | 1 | 0 | 1 | 0 | 0 | |
| Controlled environment | 1 | 1 | 0 | 0 | 0 | |
| Hawthorne effect | 1 | 0 | 1 | 0 | 0 | |
| Low-frequency, high-acuity events | 1 | 0 | 1 | 0 | 0 | |
| Research | 1 | 1 | 0 | 0 | 0 | |
| Unclear Value Added | 1 | 0 | 1 | 0 | 0 | |
| Concern(s) of ORBB integration into simulation | ||||||
| Psychological safety | 7 | 2 | 5 | 0 | 0 | “Potential violation of a safe space of learning if learners are not aware of the black box recordings taking place.” |
| Resources | 6 | 3 | 2 | 1 | 0 | “Limited resources to properly simulate the complex environment in the OR.” |
| Timing | 6 | 3 | 2 | 1 | 0 | “My concern would be that it may be hard to find time for the surgical team to participate in simulation activities.” |
| Privacy | 5 | 1 | 4 | 0 | 0 | |
| Fidelity | 2 | 0 | 2 | 0 | 0 | |
| Legal | 2 | 0 | 2 | 0 | 0 | |
| Location | 2 | 0 | 1 | 1 | 0 | |
| Cost | 1 | 0 | 1 | 0 | 0 | |
| Culture | 1 | 1 | 0 | 0 | 0 | |
| Data security | 1 | 0 | 1 | 0 | 0 | |
| Hawthorne effect | 1 | 0 | 1 | 0 | 0 | |
| Lack of inclusivity | 1 | 0 | 1 | 0 | 0 | |
| Lack of understanding | 1 | 0 | 1 | 0 | 0 | |
| Mistrust | 1 | 1 | 0 | 0 | 0 | |
| Schedule coordination | 1 | 1 | 0 | 0 | 0 | |
Themes are in order by frequency, with the most frequent responses listed first. Subsequently, for frequencies that appear more than once, themes are arranged alphabetically to provide a clearer presentation of the data. Bold text in row highlights the top three most common themes across all professions. Respondents’ statements provided on the most common themes