Skip to main content

Main menu

  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us

Future Healthcare Journal

  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

User menu

  • Log in

Search

  • Advanced search
RCP Journals
Home
  • Log in
  • Home
  • Our journals
    • Clinical Medicine
    • Future Healthcare Journal
  • Subject collections
  • About the RCP
  • Contact us
Advanced

Future Healthcare Journal

futurehosp Logo
  • FHJ Home
  • Content
    • Current
    • Ahead of print
    • Archive
  • Author guidance
    • Instructions for authors
    • Submit online
  • About FHJ
    • Scope
    • Editorial board
    • Policies
    • Information for reviewers
    • Advertising

Peer-to-peer simulation-based education for non-invasive ventilation: bridging the knowledge gap

Prasheena Naran, Nikesh Devani, James Murray and Swapna Mandal
Download PDF
DOI: https://doi.org/10.7861/fhj.9-2-s35
Future Healthc J July 2022
Prasheena Naran
ARoyal Free London NHS Foundation Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nikesh Devani
ARoyal Free London NHS Foundation Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
James Murray
ARoyal Free London NHS Foundation Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Swapna Mandal
ARoyal Free London NHS Foundation Trust, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
Loading

Introduction

Current national standards recommend that all staff involved in the delivery of acute non-invasive ventilation (NIV) are adequately trained with defined competencies.1 However, evidence suggests that junior doctors feel inadequately prepared in this task.2 Simulation-based training has been noted to improve confidence in delivering NIV,3 but is often limited by time constraints and the availability of trained faculty to deliver sessions.

Peer-to-peer simulation-based teaching offers an alternative training approach to supporting education directed at NIV delivery. It is a pedagogical approach in which colleagues at similar levels of training can support each other's learning process. This is an attractive method of postgraduate training, given the increasing numbers of learners but smaller faculty available to teach. In addition, peer tutors can explain complex topics in an approachable and less intimidating learning environment. Currently, there is a paucity of research on the impact of peer-to-peer simulation-based teaching in improving NIV based competencies.

Materials and methods

Introduction of a peer-to-peer interactive simulation session was delivered by a respiratory senior clinical fellow at a tertiary London teaching hospital, specifically aimed at ST3+ level doctors, not currently enrolled in respiratory higher specialty training. Scenarios were created by respiratory specialist trainees based on real-life cases, with participants acting in their usual roles as the medical registrar. A debrief followed each scenario, covering both initial set up and troubleshooting of the ventilator, circuit and interface, as well as clinical/communication skills to support patient adherence. Participants were asked to complete pre and post session questionnaires (Numerical analogue ‘Likert’ scale 1–5).

Results and discussion

Likert scale assessment of confidence in managing NIV interface problems, ventilator alarms, and optimising NIV settings improved after undertaking the session (Table 1). Confidence in discussing the use of NIV with patients and their families, and also with other healthcare professionals, also improved. All participants felt better equipped to teach other healthcare professionals about NIV care and management. 100% of participants would recommend peer-to-peer teaching on NIV implementation and practical delivery.

View this table:
  • View inline
  • View popup
  • Download powerpoint
Table 1.

Summary of Likert scale mean values pre- vs post-peer-to-peer simulation-based training course

Conclusion

Development of peer-to-peer simulation-based teaching programme improves trainee confidence and competency when initiating, titrating and troubleshooting the implementation and practical delivery of NIV. A simulation-based approach enabled participants to become accustomed with the different modes of acute NIV utilised across the trust, through ‘hands-on’ exposure to device set-up and adjustment of settings. This was felt especially useful by the participants, as many were unfamiliar with the various devices available. A peer-to-peer approach provides a flexible collaborative approach to learning and is an effective way of utilising resources while decreasing demands on an already stretched service. In addition, the peer-to-peer approach could help to potentiate further peer-to-peer training as a future sustainable approach to addressing learning gaps.

We aim to plan further sessions, to improve learning gaps and competencies across the most senior medical doctors on site, out of hours. Future data collection will assess the impact this training has upon patient outcomes and support extending the course to emergency and intensive care trainees.

  • © Royal College of Physicians 2022. All rights reserved.

References

  1. ↵
    1. National Confidential Enquiry into Patient Outcome and Death
    . Inspiring Change. London: NCEPOD, 2017. www.ncepod.org.uk/2017niv.html
  2. ↵
    1. Naveed MJ
    , Mathioudakis A, Bongers T. Are junior doctors struggling to gain non-invasive ventilation (NIV) experience? Eur Respir J 2013;42:1856.
    OpenUrl
  3. ↵
    1. Hare A
    , Spurr L, Field D, et al. Late Breaking Abstract - Simulation-based training (SBT) in non-invasive ventilation (NIV) for multiprofessional teams improves confidence in NIV practice. Eur Respir J 2017.
Back to top
Previous articleNext article

Article Tools

Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Peer-to-peer simulation-based education for non-invasive ventilation: bridging the knowledge gap
Prasheena Naran, Nikesh Devani, James Murray, Swapna Mandal
Future Healthc J Jul 2022, 9 (Suppl 2) 35; DOI: 10.7861/fhj.9-2-s35

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Peer-to-peer simulation-based education for non-invasive ventilation: bridging the knowledge gap
Prasheena Naran, Nikesh Devani, James Murray, Swapna Mandal
Future Healthc J Jul 2022, 9 (Suppl 2) 35; DOI: 10.7861/fhj.9-2-s35
del.icio.us logo Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Introduction
    • Materials and methods
    • Results and discussion
    • Conclusion
    • References
  • Figures & Data
  • Info & Metrics

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Are foundation taster weeks an underutilised resource?
  • Healthcare professionals lack confidence and training in approaching advanced care planning discussions during renal inpatient admissions
  • GeNotes: a new online ‘just in time’ genomics resource for healthcare professionals
Show more Education, training and professionalism

Similar Articles

FAQs

  • Difficulty logging in.

There is currently no login required to access the journals. Please go to the home page and simply click on the edition that you wish to read. If you are still unable to access the content you require, please let us know through the 'Contact us' page.

  • Can't find the CME questionnaire.

The read-only self-assessment questionnaire (SAQ) can be found after the CME section in each edition of Clinical Medicine. RCP members and fellows (using their login details for the main RCP website) are able to access the full SAQ with answers and are awarded 2 CPD points upon successful (8/10) completion from:  https://cme.rcplondon.ac.uk

Navigate this Journal

  • Journal Home
  • Current Issue
  • Ahead of Print
  • Archive

Related Links

  • ClinMed - Home
  • FHJ - Home

Other Services

  • Advertising
futurehosp Footer Logo
  • Home
  • Journals
  • Contact us
  • Advertise
HighWire Press, Inc.

Follow Us:

  • Follow HighWire Origins on Twitter
  • Visit HighWire Origins on Facebook

Copyright © 2021 by the Royal College of Physicians