Abstract

VAN WYK, R; LABUSCHAGNE, M  and  JOUBERT, G. The operational approach to and challenges of high-technology clinical simulation in South Africa. Afr. J. Health Prof. Educ. (Online) [online]. 2023, vol.15, n.2, pp.2-6. ISSN 2078-5127.  http://dx.doi.org/10.7196/AJHPE.2023.v15i2.1683.

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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