Mobile Simulation Training for Rural Health Providers

Unified Nursing Research, Midwifery & Women’s Health Journal

Unified Nursing Research, Midwifery & Women’s Health Journal
Volume 1, Issue 1, June 2020, Pages: 53-61
Received: Mar. 17, 2020; Accepted: Apr. 17, 2020; Published: Apr. 27, 2020

Authors: U.Zafošnik and D. Markovic, Zdravstveni dom Ljubljana, Simulacijski center, Metelkova ulica, Ljubljana



The team in family practice often meets life-risk patients. Simulation is an excellent way for health care worker to train their skills in a safe environment. But sadly, learning with simulations in healthcare is usually not available to professionals.

We have developed a mobile simulation unit (SIM mobile) that will enable all medical teams in primary healthcare access to modern simulation equipment.

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Keywords: Healthcare, Mobile Education, Medical, Primary Care, Rural Health Providers.

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To citation of this article: U.Zafošnik and D. Markovic, Zdravstveni dom Ljubljana, Simulacijski center, Metelkova ulica, Ljubljana, Mobile Simulation Training for Rural Health Providers, Unified Nursing Research, Midwifery & Women’s Health Journal

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[2] Dowson, A., Russ, S., Sevdalis, N., Cooper, M. & De Munter, C., 2013. How in situ simulation affects paediatrics nurses clinical confidence. British journal of nursing, 22(11), pp. 610, 612- 617.

[3] Kalisch, B. J. Aebersold, M. McLaughlin, M. Tschannen, D. in Lane, S. (2015). An intervention to improve nursing teamwork using virtual simulation. Western journal of nursing research, 37(2), 164-179.

[4] Kren, A., Benkovič, R., Zafošnik, U. (2017). Treatment of emergency medical conditions – Simulation-based learning in healthcare. Fakulteta za zdravstvene cede Novo mesto.

[5] Pena, G. Altree, M. Babidge, W. Field, J. Hewett, P. Meddern, G. (2014). Mobile Simulation Unit: taking simulation to the surgical trainee. General surgery, 85, 339-243.

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[8] Zafošnik, U. Benkovič, R. Marković, D. (2018) Simulacije – sodobna metoda učenja za dvig kakovosti v zdravstvu. 27. letna konferenca Slovenskega združenja za kakovost in odličnost, november 2018, Portorož.

We have used SIM mobile to conduct simulations in over 20 different locations in Slovenia (Community health centers, prehospital units). At the end of the training, the participants filled out a question form about their previous experiences with the use of simulations in healthcare, their need for this kind of education and the availability of this kind of education. In the beginning and in the end, we have measured the intake and outtake theoretical knowledge of every individual.

SIM mobile is a mobile education unit which brings state of the art, hands-on training, using high fidelity human patient simulators, to prehospital and hospital professionals. A mobile simulation experience that can be brought to healthcare professionals in rural and frontier communities, thus reducing the need for providers to travel for training.

All of the participants have said that the physical environment of SIM mobile was very comfortable and appropriate for learning and training. 10% of the participants have said that they have access to simulation-based learning in their workplace, but the equipment is too old and not realistic enough. All of the participants have agreed that the SIM mobile is a great program for the renewal of knowledge for experienced doctors and nurses.


Pre- and post-evaluation experiment of a qualification indicates that the level of knowledge in simulation is higher for 48 %.
This study has shown that the use of SIM mobile can be practical and efficient for maintaining proper medical team education available. SIM mobile was successfully used in this study across all of Slovenia to ensure proper education for medical teams in primary healthcare for 20 CHC.

The main advantage of SIM mobile is that it can make simulation equipment available to a broad specter of medical teams in primary healthcare and is not limited by geographical position.

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