In situ Clinical Simulations in Primary Care applied to emergency training: advanced results of a mixed methods study.

Abstract

[EN] This study explores the effectiveness of in situ simulation (SIM) methodologies in Primary Care, focusing on knowledge retention, professional satisfaction, and confidence. It aims to assess SIM’s impact on non-clinical skills, such as communication, leadership, and teamwork, and its applicability across various professional profiles. The research utilizes the Kirkpatrick Evaluation Model to evaluate SIM’s effectiveness and feasibility within Primary Care settings, particularly in Acute Myocardial Infarction (AMI) and Stroke Code training. Results indicate significant improvements in technical and interpersonal skills, with 88.4% of participants reporting enhanced expertise and 83.5% noting better leadership abilities. Qualitative findings highlight increased team coordination, confidence, and improved clinical practice transferability. Despite some resistance to workplace observations, participants viewed in situ simulations positively, advocating for their extension beyond emergency scenarios. These findings support SIM’s integration into Primary Care continuing education, suggesting its potential in optimizing both technical and non-technical competencies.