{
  "abstract": "Intermediate respiratory care units (IRCU) require rapid clinical judgement, advanced respiratory skills and effective multiprofessional teamwork. Because traditional workplace-based training is variable and exposure to critical events is unpredictable, simulation can provide a safe, structured environment for practising technical and non-technical competencies. We developed a simulation-based training programme for IRCU professionals from three hospitals, including nurses, pulmonology residents and consultant pulmonologists. The programme followed the SimZones framework, progressing from online preparatory material and hands-on workshops to increasingly complex team-based scenarios in a simulation centre. Activities addressed non-invasive ventilation, patient-ventilator asynchronies, mechanical insufflation/exsufflation, tracheostomy care, bronchoscopy during non-invasive ventilation, communication errors and exploration of patients' values and preferences regarding life-sustaining treatment. Baseline perceptions of interprofessional learning were assessed using SPICE-R2. This type of initiative has the potential to support patient safety culture.",
  "abstract_shown": true,
  "affiliations": [
    "Pulmonology Department, 12 de Octubre University Hospital, Madrid, Spain.",
    "Intermediate Respiratory Care Unit, 12 de Octubre University Hospital, Madrid, Spain.",
    "Advanced Training and Simulation Center, 12 de Octubre University Hospital, Madrid, Spain.",
    "Intensive Care Department, 12 de Octubre University Hospital, Madrid, Spain."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Miguel Jiménez-Gómez"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Marta Corral-Blanco"
    },
    {
      "affs": [
        1
      ],
      "name": "Miriam Morales-Cifuentes"
    },
    {
      "affs": [
        1
      ],
      "name": "Leticia Peláez-Rodríguez"
    },
    {
      "affs": [
        2
      ],
      "name": "Francisco Javier Sánchez-Chillón"
    },
    {
      "affs": [
        2,
        3
      ],
      "name": "José Luis Flordelis-Lasierra"
    },
    {
      "affs": [
        0
      ],
      "name": "Javier Sayas-Catalán",
      "orcid": "0000-0003-2399-4370"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a6rdca4zz8gx8.bib",
  "cited_by": 0,
  "doi": "10.1016/j.opresp.2026.100682",
  "fulltext_url": "https://europepmc.org/articles/PMC13677569",
  "id": "a6rdca4zz8gx8",
  "issns": [
    "2659-6636"
  ],
  "landing_url": "https://europepmc.org/article/MED/42898238",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2737|Simulation-Based Education in Healthcare"
    ]
  ],
  "openalex": "W7213629056",
  "pdf_url": "https://europepmc.org/articles/PMC13677569?pdf=render",
  "pmcid": "PMC13677569",
  "pmid": "42898238",
  "published": "2026-09-19",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/a6rdca4zz8gx8.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:41Z",
      "native_id": "MED:42898238",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42898238"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2737|Simulation-Based Education in Healthcare",
      "subfield": "physiology"
    }
  ],
  "title": "Simulation-based Training for Respiratory Teams in an Intermediate Respiratory Care Unit: From Evidence to Local Implementation.",
  "title_text": "Simulation-based Training for Respiratory Teams in an Intermediate Respiratory Care Unit: From Evidence to Local Implementation.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:41Z",
  "url": "https://research.draconitic.com/paper/a6rdca4zz8gx8",
  "venue": "Open respiratory archives",
  "versions": []
}