Simulation of healthcare professional teams in infection prevention and control: A scoping review

Abstract

Background

Healthcare-associated infections (HAIs) are a major public health concern. Although interprofessional education (IPE) is recognized as a promising strategy, there is limited robust evidence demonstrating its effectiveness in reducing infection rates in healthcare settings.

Aim/objective

To identify studies on interprofessional simulation for healthcare teams focused on infection prevention and control (IPC).

Methods

This scoping review followed the PRISMA-ScR checklist and was registered on the OSF platform (https://osf.io/bj6uc/). Six databases (MEDLINE, Embase, Web of Science, CINAHL, ERIC, Scopus) were searched, yielding 632 citations. After screening and applying exclusion criteria, 11 studies were included.

Finding/results

Among the selected studies, four (36.4%) originated from the United States. Five studies (45.5%) employed simulation practices based on evidence or expert consensus. Seven studies (63.6%) involved teams comprising three or more professional categories. All studies addressed infectious diseases requiring rapid response, mainly COVID-19 (55%) and Ebola (45%). Most (81.8%) used patient simulators. The most frequently addressed IPE competencies were teamwork (90.9%), roles and responsibilities (81.8%), and interprofessional communication (72.7%).

Discussion

Findings indicate a reliance on expert-driven simulation practices and a concentration on emergency contexts. There is a lack of studies evaluating interprofessional simulation in routine care environments, such as primary health care and long-term care. Additionally, the absence of medium- and long-term outcome assessments limits our understanding of the sustained impact of interprofessional simulation on IPC. Further research is needed to support evidence-based implementation in diverse healthcare settings.

Keywords

Interprofessional simulation infection prevention and control healthcare professionals scoping review

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References

Aljahany

Alassaf

Alibrahim

, et al. (2021) Use of in situ simulation to improve emergency department readiness for the COVID-19 pandemic. Prehospital and Disaster Medicine 36(1): 6–13. Available at: https://doi.org/10.1017/S1049023X2000134X

Arksey

O’Malley

(2005) Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8(1): 19–32. https://doi.org/10.1080/1364557032000119616

Barker

Bond

Vincent

, et al. (2020) A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model. Advances in Simulation 5(25): 25. https://doi.org/10.1186/s41077-020-00145-x

Boivin-Proulx

Doherty

Rousseau-Saine

Doucet

Lavoie

Thibodeau-Jarry

(2021) Use of simulation-based medical education for advanced resuscitation of in-hospital cardiac arrest patients with suspected or confirmed COVID-19. Canadian Journal of Cardiology 37(8): 1267–1270. Available at: https://doi.org/10.1016/j.cjca.2021.03.012

Centre for the Advancement of Interprofessional Education (2024) Centre for the Advancement of Interprofessional Education. Available at: https://www.caipe.org/ (accessed 20 April 2024).

Delaney

Lucero

Maves

, et al. (2016) Ebola virus disease simulation case series: patient with Ebola virus disease in the prodromal phase of illness (scenario 1), the “wet” gastrointestinal phase of illness (scenario 2), and the late, critically Ill phase of disease (scenario 3). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 11(2): 106–116. Available at: https://doi.org/10.1097/SIH.0000000000000115

Gordon

Fell

Box

, et al. (2017) Learning health safety within nontechnical skills interprofessional simulation education: a qualitative study. Medical Education Online 22(1): 1272838. https://doi.org/10.1080/10872981.2017.1272838

International Nursing Association of Clinical Simulation and Learning (2016) Standards of best practice: simulation-enhanced interprofessional education (Sim-IPE). Clinical Simulation in Nursing 12(S): S34–S38. https://doi.org/10.1016/j.ecns.2016.09.011

Johnston

Coyer

Nash

(2018) Kirkpatrick's evaluation of simulation and debriefing in health care education: a systematic review. Journal of Nursing Education 57(8): 469–476. https://doi.org/10.3928/01484834-20180618-03

10.

Kennedy

Doyle

Pedigo

Toy

Stoner

(2022) A novel approach to operating room readiness for airborne precautions using simulation-based clinical systems testing. Pediatric Anesthesia 32(3): 462–470. Available at: https://doi.org/10.1111/pan.14386.

11.

Kogutt

Sheffield

Whyne

, et al. (2019) Simulation of a spontaneous vaginal delivery and neonatal resuscitation in a biocontainment unit. Health Security 17(1): 18–26. Available at: https://doi.org/10.1089/hs.2018.0090.

12.

Langlois

(2020) Collective competence: moving from individual to collaborative expertise. Perspectives on Medical Education 9(2): 71–73. https://doi.org/10.1007/s40037-020-00575-3

13.

Maestre

Rojo

RNE

Piedra

, et al. (2019) El experto en contenidos como instructor colaborador en el debriefing. Simulación Clínica 1(1): 37–44. https://doi.org/10.35366/RSC191G

14.

Marrs

Horsley

Hackbarth

Landon

(2020) High consequence infectious diseases training using interprofessional simulation and TeamSTEPPS. American Journal of Infection Control 48(6): 615–620. Available at: https://doi.org/10.1016/j.ajic.2019.10.007

15.

McLaney

Morassaei

Hughes

, et al. (2022) A framework for interprofessional team collaboration in a hospital setting: advancing team competencies and behaviours. Healthcare Management Forum 35(2): 112–117. https://doi.org/10.1177/08404704211063584

16.

Montauban

Balakumar

Rait

, et al. (2020) The important role of in situ simulation in preparing surgeons for the COVID-19 pandemic. Surgeon 19(5): 279–286. Available at: https://doi.org/10.1016/j.surge.2020.08.013

17.

National Center for Interprofessional Practice and Education (2024) National Center for Interprofessional Practice and Education. University of Minnesota. Available at: https://nexusipe.org/ (accessed 20 April 2024).

18.

Oates

Davidson

(2015) A critical appraisal of instruments to measure outcomes of interprofessional education. Medical Education 49(9): 933–944. https://doi.org/10.1111/medu.12681

19.

Padoveze

Fortaleza

CMCB

(2014) Healthcare-associated infections: challenges to public health in Brazil. Revista de Saúde Pública 48(2): 229–236. https://doi.org/10.1590/S0034-8910.2014048004825

20.

Palaganas

Epps

Raemer

(2014) A history of simulation-enhanced interprofessional education. Journal of Interprofessional Care 28(2): 110–115. https://doi.org/10.3109/13561820.2013.869198

21.

Pfäfflin

Stegemann

Heim

, et al. (2022) Preparing for patients with high-consequence infectious diseases: Example of a high-level isolation unit. PloS One 17(3): e0264644. Available at: https://doi.org/10.1371/journal.pone.0264644

22.

Putz

Kattan

Maestre

(2022) Use of clinical simulation to train healthcare teams in conflict management: a scoping review. Enfermería Clínica 32(1): 21–32. Available at: https://doi.org/10.1016/j.enfcle.2021.03.001

23.

Rojo

Oruña

Sierra

García

Del Moral

Maestre

(2016) Simulation as a tool to facilitate practice changes in teams taking care of patients under investigation for Ebola virus disease in Spain. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 11(2): 89–93. Available at: https://doi.org/10.1097/SIH.0000000000000139

24.

Rojo-Rojo

Soto-Castellón

García-Méndez

, et al. (2021) Training with high fidelity simulation in the care of patients with coronavirus - a learning experience in native health care multi-professional teams. Healthcare 9(10): 1–19. Available at: https://doi.org/10.3390/healthcare9101260

25.

Saragih

Suarilah

Hsiao

Fann

Lee

(2024) Interdisciplinary simulation-based teaching and learning for healthcare professionals: A systematic review and meta-analysis of randomised controlled trials. Nurse Education in Practice 76: 103920. Available at: https://doi.org/10.1016/j.nepr.2024.103920

26.

Saraswathy

Nalliah

Rosliza

, et al. (2021) Applying interprofessional simulation to improve knowledge, attitude and practice in hospital-acquired infection control among health professionals. BMC Medical Education 21(1): 482. https://doi.org/10.1186/s12909-021-02907-1

27.

Sharara-Chami

Sabouneh

Zeineddine

, et al. (2020) In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 15(5): 303–309. Available at: https://doi.org/10.1097/SIH.0000000000000504

28.

Smith

Fowler-Davis

Nancarrow

, et al. (2018) Leadership in interprofessional health and social care teams: a literature review. Leadership in Health Services 31(4): 452–467. https://doi.org/10.1108/LHS-06-2016-0026

29.

Tricco

Lillie

Zarin

, et al. (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine 169(7): 467–473. https://doi.org/10.7326/M18-0850

30.

Van Ittersum

Estephan

(2021) Using rapid cycle deliberate practice to up-train pediatric providers for adult COVID-19 patients. Cureus 13(9): e18283. https://doi.org/10.7759/cureus.18283

31.

World Health Organization (2010) Framework for Action on Interprofessional Education and Collaborative Practice. WHO Press. Available at: https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice (accessed 29 October 2025).

32.

World Health Organization (2016) Guidelines on Core Components for Infection Prevention and Control Programmes at the National and Acute Health Care Facility Level. WHO Press. Available at: https://www.who.int/publications/i/item/9789241549929 (accessed 29 October 2025).

33.

World Health Organization (2023) Core Components for Infection Prevention and Control Programmes. WHO Press. Available at: https://www.who.int/teams/integrated-health-services/infection-prevention-control/core-components (accessed 20 November 2024).

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