Three contradictions emerged in the SimLab process — individualised emergency response, excluded non-clinical staff, and outdated CPR training — and their collaborative resolution drove organisational change¶
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Evidence · 1 study · qualitativer2·q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person
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q2 i? Three main tensions manifested as contradictions: an individualised approach to emergency care, challenges facing non-clinical staff, and a need to change interprofessional CPR and emergency care training delivery. → O'Hare 2025
Evidence¶
O'Hare 2025¶
O'Hare, S., Kajamaa, A., Conn, R., & Gormley, G. (2025). SimLab: an intervention to promote expansive learning and organisational change in team-based emergency care simulation. Instructional Science. https://doi.org/10.1007/s11251-025-09734-7
q2 · i? · qualitative · r2
Analysis of group discussion transcripts using Engeström and Sannino's contradiction framework identified three tensions in the activity system of paediatric emergency care, including the "individualised approach" contradiction.
"Three main tensions, interpreted here as manifestations of contradictions helped to exemplify the process of expansive learning, namely (1) Recognising challenges in their emergency care response using an individualised approach."
Discussion¶
Related Claims¶
- Participants reported increased confidence, readiness and teamwork after completing the SimLab programme — related
- After implementing collaboratively designed changes (emergency trolley, grab bags, orientation rules), the second in-situ simulation showed smoother, faster emergency care delivery — related
- In a theory-guided in-situ simulation programme, an interprofessional primary care team progressed through the expansive learning cycle from questioning current practice to consolidating new practices — related
- A real-life paediatric emergency occurring after the intervention was managed well by staff who had not participated in SimLab, suggesting cascade of the transformed practices — related
Page metadata
| Field | Value |
|---|---|
type |
claim |
id |
simlab-three-contradictions-catalysts |
title |
Three contradictions emerged in the SimLab process — individualised emergency response, excluded non-clinical staff, and outdated CPR training — and their collaborative resolution drove organisational change |
description |
Three contradictions emerged in the SimLab process — individualised emergency response, excluded non-clinical staff, and outdated CPR training — and their collaborative resolution drove organisational change |
status |
review |
evidence_strength |
moderate |
newest_evidence |
2025 |
generated |
by process:wiki-ingest on 2026-10-18 |
trust |
unverified — no one has confirmed this page's content |
sources |
1 — ohare-2025 |
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