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Developing medical simulations for opioid overdose response training: A qualitative analysis of narratives from responders to overdoses

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dc.contributor.authorEdwards, G. Franklinen
dc.contributor.authorMierisch, Cassandraen
dc.contributor.authorMutcheson, Brocken
dc.contributor.authorColeman, Keelen
dc.contributor.authorHorn, Kimberlyen
dc.contributor.authorParker, Sarah Henricksonen
dc.date.accessioned2024-07-30T15:02:39Zen
dc.date.available2024-07-30T15:02:39Zen
dc.date.issued2024-03-28en
dc.description.abstractMedical simulation offers a controlled environment for studying challenging clinical care situations that are difficult to observe directly. Overdose education and naloxone distribution (OEND) programs aim to train potential rescuers in responding to opioid overdoses, but assessing rescuer performance in real-life situations before emergency medical services arrive is exceedingly complex. There is an opportunity to incorporate individuals with firsthand experience in treating out-of-hospital overdoses into the development of simulation scenarios. Realistic overdose simulations could provide OEND programs with valuable tools to effectively teach hands-on skills and support context-sensitive training regimens. In this research, semi-structured interviews were conducted with 17 individuals experienced in responding to opioid overdoses including emergency department physicians, first responders, OEND program instructors, and peer recovery specialists. Two coders conducted qualitative content analysis using open and axial thematic coding to identify nuances associated with illicit and prescription opioid overdoses. The results are presented as narrative findings complemented by summaries of the frequency of themes across the interviews. Over 20 hours of audio recording were transcribed verbatim and then coded. During the open and axial thematic coding process several primary themes, along with subthemes, were identified, highlighting the distinctions between illicit and prescription opioid overdoses. Distinct contextual details, such as locations, clinical presentations, the environment surrounding the patient, and bystanders’ behavior, were used to create four example simulations of outof- hospital overdoses. The narrative findings in this qualitative study offer context-sensitive information for developing out-of-hospital overdose scenarios applicable to simulation training. These insights can serve as a valuable resource, aiding instructors and researchers in systematically creating evidence-based scenarios for both training and research purposes.en
dc.description.sponsorshipA Carilion Clinic and Fralin Biomedical Research Institute Center for Transformative Research on Health Behaviors pilot feasibility grant supported this work (Mierisch, Mutcheson, Horn and Henrickson Parker, PIs).en
dc.format.extent16 pagesen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationEdwards GF, Mierisch C, Mutcheson B, Strauss A, Coleman K, Horn K, et al. (2024) Developing medical simulations for opioid overdose response training: A qualitative analysis of narratives from responders to overdoses. PLoS ONE 19(3): e0294626. https://doi.org/10.1371/ journal.pone.0294626en
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0294626en
dc.identifier.issue3en
dc.identifier.urihttps://hdl.handle.net/10919/120756en
dc.identifier.volume19en
dc.language.isoenen
dc.publisherPLOSen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titleDeveloping medical simulations for opioid overdose response training: A qualitative analysis of narratives from responders to overdosesen
dc.title.serialPLOS ONEen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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Open Access Subvention Fund Articles
Scholarly Works, Fralin Biomedical Research Institute at VTC
Scholarly Works, Population Health Sciences
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)