Endocrine Abstracts

JOINT2297

Background: The JOINT consensus by the American Diabetes Association and the European Association for the Study of Diabetes emphasises the importance of practical and up-to-date training in acute diabetes care. Simulation via Instant Messaging for Bedside Application (SIMBA) is a Simulation-Based Learning (SBL) model that provides healthcare professionals hands-on learning for various medical conditions, including acute diabetes.

Objectives: • Measure the change in participants’ confidence in managing acute diabetes post-SBL.

• Evaluate participants’ satisfaction and the relevance of the intervention to clinical practice.

Methods: This mixed-methods study took place in the UK between July and October 2024. Clinical experts were interviewed to assess general needs in acute diabetes care, while students and resident doctors were interviewed to assess specific needs for focused simulation sessions. The team employed the SIMBA model to deliver SBL on nine acute diabetes-related conditions. Healthcare professionals interested in acute diabetes care were invited to participate in the session. After the session, participants were invited to post-simulation interviews to discuss their satisfaction with and perceptions of the case’s relevance to clinical practice. Those who completed both pre- and post-SIMBA surveys were included in the analysis. Two independent authors performed inductive thematic analysis on the interviews.

Results: 17 participants completed both pre- and post-session surveys and were included in the analysis. Confidence in managing acute diabetes scenarios improved significantly (pre- vs post-session: 33. 3% vs. 78. 4%, P < 0. 001). All participants rated the SIMBA session as excellent or good. 94. 1% strongly agreed that the cases were relevant to their practice, and 82. 3% preferred this teaching method over traditional approaches. Post-session interviews and surveys revealed that experts and residents appreciated the benefits of simulation in promoting safer learning environments and enhancing guideline implementation. Future sessions desired by participants included antenatal and perinatal diabetic care, diabetes remission, hypoglycaemia, and perioperative diabetes care.

Conclusion: SIMBA significantly improved participants’ confidence in managing acute diabetes conditions. Participants highly rated the model, which they found relevant to their clinical practice. This model shows great promise in enhancing training and education for healthcare professionals involved in acute diabetes management. Future sessions should include a broader range of acute diabetes scenarios, incorporating the wider multi-disciplinary team, to enhance holistic care for people with diabetes in the acute setting and better prepare healthcare professionals.