Does Immersive Medical Emergency Treatment Response Simulation Improve Self Efficacy?

The Royal Perth Bentley Group established the Clinical Skills Simulation Suite to provide staff with the opportunity to be exposed to high risk clinical scenarios in a low risk environment.  Inter-professional staff are immersed in two real life clinical scenarios followed by indepth debrief sessions conducted in a safe learning environment.

The debriefing sessions enabled reflection and provided an opportunity to discuss actions and performance before a second simulation scenario and debriefing was undertaken.


At the WA Simulation in Healthcare Alliance Symposium held at Notre Dame on the 30 May 2019, Kylie Fawcett, Staff Development Educator at Royal Perth Bentley Group presented a research paper on medical emergency training (MET) simulation and self-efficacy.


Enhanced learning through simulation training has been used successfully to improve both technical and non-technical skills of clinical staff responding to medical emergency response scenarios.

The aim of this project was to evaluate the self-efficacy of inter-professional clinical staff who participated in a high fidelity simulation based MET response session.


Three hundred and twenty six clinical staff participated in MET crisis resource management (CRM) training using immersive simulation in 2018.

The sample consisted of 58% (n=189) medical officers and 42% (n=137) nurses.

Fifty percent (n=164) participants stated they had previously attended a MET simulation session. Findings showed that 88% (n=144) had been involved in a MET call after attending the simulation session, with 81% (n=133) stating that the MET simulation training improved their MET team performance.

The MET CRM simulation outcomes showed strong significant associations with improvements in confidence with regard to:

  • Managing deteriorating patients
  • Staffs’ role in a MET response
  • Knowledge of CRM
  • Applying clinical technical skills
  • Applying non-technical skills.

Nurses were associated with higher confidence levels in managing deteriorating patients than doctors (OR: 1.81; 95%CI: 1.18, 2.79).  This finding is encouraging as it shows that the MET simulation experience had a positive impact on nurses’ confidence.

The findings from this study provide evidence that MET CRM simulation training greatly enhanced the self efficacy of clinical staff who participated in simulation training. In particular, strong positive effects were observed for participants’ self efficacy with regard to their MET role responsibilities and knowledge of crisis resource management principles.