Journal Club November 2020 – Activity Theory Within In Situ Simulation


Simulcast Journal Club : November 2020 

Introduction :  

Simulcast Journal Club is a monthly series that aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education.  Each month we publish a case and link a paper with associated questions for discussion.  Inspired by the ALiEM MEdIC series, we moderate and summarise the discussion at the end of the month, including exploring the opinions of experts from the field. 

The journal club relies heavily on your participation and comments and while it can be confronting to post your opinions on an article online, we hope we can generate a sense of “online psychological safety” enough to empower you to post!  Your thoughts are highly valued and appreciated, however in depth or whatever your level of experience.  We look forward to hearing from you. 

The Article : 

Gormley, G.J., Kajamaa, A., Conn, R.L. et al.Making the invisible visible: a place for utilizing activity theory within in situ simulation to drive healthcare organizational development?. Adv Simul5, 29 (2020). https://doi.org/10.1186/s41077-020-00148-8 

Discussion :  

In Situ Simulation has been lauded as a fantastic opportunity to build culture within health care teams and identify latent safety threats, but have you ever had an In Situ debrief that felt unproductive?  Helping teams get better can sometimes require alternative debriefing structures or a deeper understanding of the way healthcare teams interact and engage in their environment. 

In this month’s paper, Gormley et al explore the “Cultural-Historical Activity Theory” in order to promote deeper understanding of the way we engage with healthcare systems and how to facilitate your team’s understanding of how to improve it. 

It’s a complex new idea, but one we hope you’ll enjoy engaging with! 

Let us know what you think! 


About Ben Symon

Ben is a Paediatric Emergency Physician at The Prince Charles Hospital in Brisbane and a Simulation Educator at Lady Cilento Children's Hospital. He currently teaches on a variety of paediatric simulation based courses on paediatric resuscitation, trauma and CRM principles. Ben has a growing interest in encouraging clinical educators to be more familiar with simulation research.

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