A comprehensive description of the competencies required for the performance of an ultrasound-guided axillary brachial plexus blockade

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dc.contributor.advisor Shorten, George D. en
dc.contributor.advisor Iohom, Gabriella en
dc.contributor.advisor O'Donnell, Brian D. en
dc.contributor.author O'Sullivan, Owen
dc.date.accessioned 2015-08-14T08:33:51Z
dc.date.available 2015-08-14T08:33:51Z
dc.date.issued 2014
dc.date.submitted 2014
dc.identifier.citation O'Sullivan, O. 2014. A comprehensive description of the competencies required for the performance of an ultrasound-guided axillary brachial plexus blockade. PhD Thesis, University College Cork. en
dc.identifier.endpage 220
dc.identifier.uri http://hdl.handle.net/10468/1906
dc.description.abstract We addressed four research questions, each relating to the training and assessment of the competencies associated with the performance of ultrasound-guided axillary brachial plexus blockade (USgABPB). These were: (i) What are the most important determinants of learning of USgABPB? (ii) What is USgABPB? What are the errors most likely to occur when trainees learn to perform this procedure? (iii) How should end-user input be applied to the development of a novel USgABPB simulator? (iv) Does structured simulation based training influence novice learning of the procedure positively? We demonstrated that the most important determinants of learning USgABPB are: (a) Access to a formal structured training programme. (b) Frequent exposure to clinical learning opportunity in an appropriate setting (c) A clinical learning opporunity requires an appropriate patient, trainee and teacher being present at the same time, in an appropriate environment. We carried out a comprehensive description of the procedure. We performed a formal task analysis of USgABPB, identifying (i) 256 specific tasks associated with the safe and effective performance of the procedure, and (ii) the 20 most critical errors likely to occur in this setting. We described a methodology for this and collected data based on detailed, sequential evaluation of prototypes by trainees in anaesthesia. We carried out a pilot randomised control trial assessing the effectiveness of a USgABPB simulator during its development. Our data did not enable us to draw a reliable conclusion to this question; the trail did provide important new learning (as a pilot) to inform future investigation of this question. We believe that the ultimate goal of designing effective simulation-based training and assessment of ultrasound-guided regional anaesthesia is closer to realisation as a result of this work. It remains to be proven if this approach will have a positive impact on procedural performance, and more importantly improve patient outcomes. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2014, Owen O'Sullivan. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Anaesthesia en
dc.subject Technology enhanced learning en
dc.title A comprehensive description of the competencies required for the performance of an ultrasound-guided axillary brachial plexus blockade en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD (Medicine and Health) en
dc.internal.availability Full text available en
dc.check.info No embargo required en
dc.description.version Accepted Version
dc.contributor.funder National Digital Research Centre, Ireland en
dc.description.status Not peer reviewed en
dc.internal.school Medicine en
dc.check.type No Embargo Required
dc.check.reason No embargo required en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Not applicable en
ucc.workflow.supervisor g.shorten@ucc.ie
dc.internal.conferring Autumn Conferring 2014


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© 2014, Owen O'Sullivan. Except where otherwise noted, this item's license is described as © 2014, Owen O'Sullivan.
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