Table 7.
Respondents’ preferred method for maintaining procedural skills and frequency of simulation
| Repeated clinical practice | Clinical observation | Peer advice | Reading | Video review | Formal assessment | Practice in simulation | Simulation, 1–3 months | Simulation, 6–12 months | Simulation, >12 months | Correlation: last performed and simulation | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Doctors | |||||||||||
| Endotracheal intubation | 16 (25%) | 16 (25%) | 12 (19%) | 7 (11%) | 10 (16%) | 5 (8%) | 29 (46%) | 14 (30%) | 17 (36%) | 14 (30%) | −0.228 |
| Taking of 12-lead ECG | 34 (54%) | 18 (29%) | 11 (18%) | 8 (13%) | 3 (5%) | 5 (8%) | 5 (8%) | 6 (10%) | 16 (34%) | 23 (49%) | 0.161 |
| Bier’s Block | 12 (19%) | 12 (19%) | 7 (11%) | 6 (10%) | 5 (8%) | 1 (2%) | 2 (3%) | 4 (9%) | 19 (40%) | 18 (38%) | 0.252 |
| Lumbar puncture | 24 (38%) | 17 (27%) | 10 (16%) | 4 (6%) | 2 (3%) | 1 (2%) | 7 (11%) | 6 (13%) | 16 (34%) | 21 (45%) | 0.125 |
| Speculum examination | 41 (65%) | 13 (21%) | 9 (14%) | 3 (5%) | 3 (5%) | 3 (5%) | 4 (6%) | 4 (8%) | 14 (29%) | 23 (48%) | 0.136 |
| Nurses | |||||||||||
| Intercostal catheter management | 23 (25%) | 20 (21%) | 18 (19%) | 17 (18%) | 1 (1%) | 7 (7%) | 12 (13%) | 6 (8%) | 22 (29%) | 27 (36%) | 0.022 |
| Blood transfusions | 56 (60%) | 18 (19%) | 18 (19%) | 22 (23%) | 1 (1%) | 20 (21%) | 4 (4%) | 4 (5%) | 16 (21%) | 40 (52%) | −0.115 |
| Urinary catheter management | 70 (75%) | 22 (23%) | 21 (22%) | 22 (23%) | 1 (1%) | 8 (9%) | 4 (4%) | 4 (5%) | 16 (21%) | 38 (49%) | −0.062 |
| Splinting, plastering, bandaging | 48 (51%) | 23 (25%) | 18 (19%) | 18 (19%) | 0 (0%) | 10 (11%) | 7 (7%) | 3 (4%) | 13 (17%) | 32 (42%) | −0.408 |
| MET call | 33 (35%) | 17 (18%) | 15 (16%) | 13 (14%) | 1 (1%) | 13 (14%) | 18 (19%) | 8 (11%) | 15 (20%) | 31 (42%) | −0.064 |
| Midwives | |||||||||||
| Noninvasive BP management | 35 (71%) | 10 (20%) | 4 (8%) | 3 (6%) | 0 (0%) | 0 (0%) | 1 (2%) | 1 (3%) | 3 (9%) | 18 (53%) | 0.140 |
| Peripheral venous cannulation | 26 (53%) | 12 (25%) | 9 (18%) | 5 (10%) | 2 (4%) | 15 (31%) | 13 (27%) | 5 (14%) | 9 (26%) | 17 (50%) | 0.317 |
| Vaginal examinations | 38 (78%) | 11 (22%) | 11 (22%) | 6 (12%) | 0 (0%) | 1 (2%) | 4 (8%) | 3 (9%) | 8 (24%) | 18 (53%) | 0.170 |
| Fetal scalp electrode application | 19 (39%) | 16 (33%) | 7 (14%) | 11 (22%) | 4 (8%) | 7 (14%) | 10 (20%) | 3 (9%) | 13 (37%) | 13 (37%) | 0.226 |
| Pediatric resuscitation | 9 (18%) | 8 (16%) | 4 (8%) | 8 (16%) | 5 (10%) | 15 (31%) | 22 (45%) | 1 (3%) | 10 (29%) | 18 (51%) | 0.350 |
| Paramedics | |||||||||||
| Cervical spine management | 27 (84%) | 14 (44%) | 9 (28%) | 6 (19%) | 0 (0%) | 6 (19%) | 8 (25%) | 6 (23%) | 10 (39%) | 8 (31%) | 0.369 |
| Oropharyngeal suctioning | 22 (69%) | 13 (41%) | 9 (28%) | 4 (13%) | 0 (0%) | 7 (22%) | 8 (25%) | 9 (35%) | 8 (31%) | 8 (31%) | 0.205 |
| Splinting/immobilizing | 26 (81%) | 10 (31%) | 9 (28%) | 4 (13%) | 0 (0%) | 4 (13%) | 7 (22%) | 5 (20%) | 10 (40%) | 9 (36%) | 0.029 |
| Rapid sequence induction | 5 (16%) | 9 (28%) | 8 (25%) | 8 (25%) | 1 (3%) | 8 (25%) | 9 (28%) | 6 (26%) | 4 (17%) | 0 (0%) | 0.516 |
| Advanced analgesia | 3 (9%) | 3 (9%) | 4 (13%) | 3 (9%) | 1 (3%) | 3 (9%) | 4 (13%) | 4 (17%) | 4 (17%) | 1 (4%) | 0.866 |
Abbreviations: ECG, electrocardiograph; BP, blood pressure.