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Peer-reviewedCC BY-NC-NDOpen respiratory archives

Simulation-based Training for Respiratory Teams in an Intermediate Respiratory Care Unit: From Evidence to Local Implementation.

  • Miguel Jiménez-Gómez1,2
  • Marta Corral-Blanco1,2
  • Miriam Morales-Cifuentes2
  • Leticia Peláez-Rodríguez2
  • Francisco Javier Sánchez-Chillón3
  • José Luis Flordelis-Lasierra3,4
  • Javier Sayas-Catalán1
4 affiliations
  1. 1Pulmonology Department, 12 de Octubre University Hospital, Madrid, Spain.
  2. 2Intermediate Respiratory Care Unit, 12 de Octubre University Hospital, Madrid, Spain.
  3. 3Advanced Training and Simulation Center, 12 de Octubre University Hospital, Madrid, Spain.
  4. 4Intensive Care Department, 12 de Octubre University Hospital, Madrid, Spain.
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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.

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Cite

BibTeXRIS
BibTeX
@article{jimenezgomez2026simulationbased,
  title = {{Simulation-based Training for Respiratory Teams in an Intermediate Respiratory Care Unit: From Evidence to Local Implementation.}},
  author = {Miguel Jiménez-Gómez and Marta Corral-Blanco and Miriam Morales-Cifuentes and Leticia Peláez-Rodríguez and Francisco Javier Sánchez-Chillón and José Luis Flordelis-Lasierra and Javier Sayas-Catalán},
  journal = {Open respiratory archives},
  year = {2026},
  month = sep,
  doi = {10.1016/j.opresp.2026.100682},
  url = {https://europepmc.org/article/MED/42898238},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Simulation-based Training for Respiratory Teams in an Intermediate Respiratory Care Unit: From Evidence to Local Implementation.
AU  - Miguel Jiménez-Gómez
AU  - Marta Corral-Blanco
AU  - Miriam Morales-Cifuentes
AU  - Leticia Peláez-Rodríguez
AU  - Francisco Javier Sánchez-Chillón
AU  - José Luis Flordelis-Lasierra
AU  - Javier Sayas-Catalán
PY  - 2026
DA  - 2026/09/19
JO  - Open respiratory archives
DO  - 10.1016/j.opresp.2026.100682
UR  - https://europepmc.org/article/MED/42898238
AB  - 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.
SN  - 2659-6636
ER  -