{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,18]],"date-time":"2022-11-18T05:24:50Z","timestamp":1668749090175},"reference-count":13,"publisher":"BMJ","issue":"3","funder":[{"name":"Halyard Sales, LLC (HYH) Alpharetta, Georgia"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ STEL"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>A task trainer is defined <jats:italic>as a model that represents a part or region of the human body such as an arm and an abdomen\u2026 generally used to support procedural skills training<\/jats:italic>. Concepts for consideration when selecting a task trainer include fidelity and cognitive load. Insertion of small - bore FTs in acutely ill patients continues to be a high - risk skill. The most frequent complication is insertion of the F T into the pulmonary system, which can lead to pneumothorax, pneumonitis and death. Training consists of placing the FT under electromagnetic visual assistance in a task trainer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study describes assessment of two task trainers that are used to simulate assisted feeding tube (FT) insertion. Simulation is an excellent approach to close the learning gap and ensure competency. Study selection: This study used a prospective observational design. Participants (n=20) were registered nurses considered to be superusers. They were randomly assigned to order of the task trainer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings and conclusions<\/jats:title><jats:p>The findings suggest the learners preferred the low-fidelity task trainer. The clear Anatomical Box scored higher overall (18.35\/21) when compared with the human-like task trainer (16.5\/21). A higher fidelity task trainer may seem attractive; however, with a lens to cognitive load theory, it may hinder the early learning process. Fidelity requirements vary depending on the training task. Recommendations from this study include: initial instruction should focus on the psychomotor steps for the FT insertion process. The high-fidelity human torso is recommended for performance, final competency and ongoing competency maintenance.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjstel-2017-000265","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T01:50:20Z","timestamp":1517536220000},"page":"141-145","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Varying levels of fidelity on psychomotor skill attainment: a CORTRAK product assessment"],"prefix":"10.1136","volume":"4","author":[{"given":"Laura","family":"Gonzalez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annette M","family":"Bourgault","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian","family":"Aguirre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,1]]},"reference":[{"key":"2020100511414614000_4.3.141.1","unstructured":"Lopreiato JO . 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The effect of task complexity on novices\u2019 simulation-based learning","volume":"50","author":"Haji","year":"2016","journal-title":"Med Educ"},{"key":"2020100511414614000_4.3.141.5","doi-asserted-by":"crossref","first-page":"278","DOI":"10.3928\/00220124-20160518-10","article-title":"Framework for teaching psychomotor and procedural skills in nursing","volume":"47","author":"Oermann","year":"2016","journal-title":"J Contin Educ Nurs"},{"key":"2020100511414614000_4.3.141.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2007.02799.x"},{"key":"2020100511414614000_4.3.141.7","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1038\/jp.2015.161","article-title":"Neonatal airway simulators, how good are they? A comparative study of physical and functional fidelity","volume":"36","author":"Sawyer","year":"2016","journal-title":"J Perinatol"},{"key":"2020100511414614000_4.3.141.8","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1007\/s10648-014-9262-6","article-title":"Effects of the physical environment on cognitive load and learning: towards a new model of cognitive load","volume":"26","author":"Choi","year":"2014","journal-title":"Educ Psychol Rev"},{"key":"2020100511414614000_4.3.141.9","unstructured":"Zuzelo PR . The clinical nurse specialist handbook. 2nd ed. Burlington, MA: Jones & Bartlett Learning, 2010."},{"key":"2020100511414614000_4.3.141.10","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000130"},{"key":"2020100511414614000_4.3.141.11","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/medu.12653","article-title":"Evaluating the impact of high- and low-fidelity instruction in the development of auscultation skills","volume":"49","author":"Chen","year":"2015","journal-title":"Med Educ"},{"key":"2020100511414614000_4.3.141.12","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4187"},{"key":"2020100511414614000_4.3.141.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejor.2005.04.006"}],"container-title":["BMJ Simulation and Technology Enhanced Learning"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjstel-2017-000265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T18:46:43Z","timestamp":1668710803000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8936811\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,1]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,7,10]]},"published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1136\/bmjstel-2017-000265"],"URL":"https:\/\/doi.org\/10.1136\/bmjstel-2017-000265","relation":{},"ISSN":["2056-6697"],"issn-type":[{"value":"2056-6697","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,1]]}}}