The operational approach to and challenges of high-technology clinical simulation in South Africa
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Abstract
Background. Research has been published on the application of high-technology clinical simulation as a training tool in South Africa (SA). However, little
has been published on the operational approach taken and challenges faced when establishing and running a high-technology clinical simulation facility.
Objective. To ascertain the current operational approach taken and challenges faced regarding high-technology clinical simulation by SA simulation facilities.
Methods. A quantitative descriptive study with an online questionnaire survey was conducted with representatives of simulation facilities at SA public
health professions training institutions where high-technology simulation is used. The questionnaire consisted of sections dealing with the characteristics of
and challenges faced by the facilities and the following operational aspects: management, funding, staffing and staff development, curriculum integration,
physical environment and research.
Results. Forty-two institutions were approached and 23 (54.8%) participated. Simulation was used at 16 (69.6%) of these institutions, representing
17 facilities, with 14 (82.4%) using high-technology simulation. Nine (64.3%) of the 14 simulation facilities were custom built. Four (28.6%) facilities
had dedicated technical staff. The participating simulation facilities acquired their funding mainly through institutional budget allocations (78.6%) and
government education grants (78.6%). The number of students using high-technology simulation facilities was the highest among the fifth-year (median
195) and sixth-year (median 21) students.
Conclusion. Large student groups and a lack of trained simulation staff are some of the challenges being faced by high-technology simulation facilities in SA.
Recommendations and guidelines should be established to ensure effective integration and alleviation of all operational aspects and challenges
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