https://www.johs.org.uk Default RSS Feed en-us https://www.johs.org.uk/book/isbn/10.54531/JGPF2091 The importance of, and resource requirements for, healthcare simulation (HS) demand that best practice in its design, delivery and assessment are established and adhered to in order to ensure optimal outcomes for learners, systems and the patients they serve. Establishing what constitutes best practice in the implementation of HS is therefore crucial. Systematic reviews (SRs) are a form of evidence synthesis that use rigorous methods to identify and combine all relevant literature on a research topic or question to offer reliable, considered guidance that informs understanding, day-to-day practice, future research and policy. Conducting a SR can be a challenging and resource-intensive endeavour. This article offers a step-by-step guide, contextualised for the field of HS, which will support researchers throughout all stages of the SR process, from articulating an appropriate review question, through identifying and selecting relevant research studies, to preparing a manuscript and overcoming common challenges.

]]> https://www.johs.org.uk/book/isbn/10.54531/QMJP1895 Teamwork is vital for patient safety and clinical performance, yet measuring it reliably in healthcare simulation remains challenging. This article offers a practical overview of three common approaches to assess teamwork: survey measures, systematic behavioural observation (SBO) and Behaviourally Anchored Rating Scales (BARS). Surveys capture how team members perceive their teamwork and are best suited for shared psychological states such as trust or cohesion. SBO records what teams actually do in real time, allowing detailed analysis of interaction patterns. BARS combine observation with evaluative judgement, providing structured and feedback-oriented assessments of teamwork quality. The article also highlights key issues in measurement quality, including reliability, validity, rater training and level of analysis. No single method captures teamwork fully; the choice depends on purpose and resources. Combining methods often yields the most complete understanding and supports targeted debriefing, improved training and ultimately, better patient care.

]]> https://www.johs.org.uk/book/isbn/10.54531/ODUY7546 The process of learning how to perform a clinical procedure in health care has been described as diffuse and uneven, and based on available opportunity. This ad-hoc approach to learning can lead to variability in task performance and negatively impact patient safety and quality of care. Hierarchical Task Analysis (HTA) is a method that can be used to establish a standard for completing a clinical procedure, which can be used for simulation-based education and assessment purposes. HTA provides a systematic and structured approach to deconstructing a clinical procedure into what the learner needs to do, in what order and the conditions that are required at each step. HTA is not commonly used in health care. However, it has great potential as a method to allow for the standardization of clinical procedures. The outputs of HTA can be used in simulation-based education for assessment and the validation of training and assessment.

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