Procedural simulation
hematomas
HEMATOMAS, COMPLICATIONS
The term Simulation in Health refers to the use of hardware (such as a mannequin or procedural simulator), virtual reality, or a standardized patient, to replicate care situations or environments, for the purpose of teaching diagnostic and therapeutic procedures and rehearsing processes, medical concepts, or decision-making by a health care professional or team of professionals. According to the French Health Authority, health care simulation is intended for all health care professionals and allows training in procedures, the management of situations, acquiring and updating technical and nontechnical knowledge and skills, and analyzing professional practices with debriefings [Simulation-based teaching allows students to learn from experience, develop individual skills [The notion of performance implies the concept of evaluation in simulation. This can be based on the performance of the trainee but also on the evaluation of the training itself, according to the Kirkpatrick model [Studies have been carried out on the impact of simulation training on performance or on the reduction of iatrogeny, particularly during the continuing education of professionals. In the study by Mac Master et al. [The review of the literature does not show a consensus on how to approach AVF or how to teach the procedure. Thus, we conducted a feasibility, monocentric, prospective, observational, before/after simulation training pilot study, SIMFAV (NCT03680209), at the University Hospital of Caen (unpublished data). We proposed a program with the help of nephrology nurses from a hemodialysis unit, nephrologists, a medical hypnosis practitioner, an ultrasound paramedic, and health simulation educators. We contend that the technical nature of the AVF puncture procedure must not overshadow health care providers’ relationship with the patient. Communication must be an integral part of technical care for the global care of the patient. Thus, the training program proposed in this study includes training in therapeutic communication with a hybrid simulation workshop (AVF puncture with a simulated patient). The results showed a decrease in complications (Kirkpatrick 4), such as a reduction in observed hematomas (Therefore, we propose the SIMFAV2 study, a multicenter, randomized, comparative study between a group of providers that received only theoretical training and a group that received theoretical training and procedural simulation training.