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

Simple item page
dc.check.embargoformatNot applicableen
dc.check.infoNo embargo requireden
dc.check.opt-outNot applicableen
dc.check.reasonNo embargo requireden
dc.check.typeNo Embargo Required
dc.contributor.advisorShorten, George D.en
dc.contributor.advisorIohom, Gabriellaen
dc.contributor.advisorO'Donnell, Brian D.en
dc.contributor.authorO'Sullivan, Owen
dc.contributor.funderNational Digital Research Centre, Irelanden
dc.date.accessioned2015-08-14T08:33:51Z
dc.date.available2015-08-14T08:33:51Z
dc.date.issued2014
dc.date.submitted2014
dc.description.abstractWe 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.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationO'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.endpage220
dc.identifier.urihttps://hdl.handle.net/10468/1906
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2014, Owen O'Sullivan.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectAnaesthesiaen
dc.subjectTechnology enhanced learningen
dc.thesis.opt-outfalse
dc.titleA comprehensive description of the competencies required for the performance of an ultrasound-guided axillary brachial plexus blockadeen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhD (Medicine and Health)en
ucc.workflow.supervisorg.shorten@ucc.ie
Files
Original bundle
Now showing 1 - 2 of 2
Thumbnail Image
Name:
CORA Abstract.pdf
Size:
71.03 KB
Format:
Adobe Portable Document Format
Description:
Abstract
Thumbnail Image
Name:
Final Thesis - corrections.pdf
Size:
1.77 MB
Format:
Adobe Portable Document Format
Description:
Full Text E-thesis
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
5.62 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Doctoral Theses
College of Medicine and Health - Doctoral Theses
Medicine - Doctoral Theses