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Table 3 Mean average of Likert points by every item of quality self-perception instrument (ASPIRE and SSH criteria) (n = 149)

From: Characterization of simulation centers and programs in Latin America according to the ASPIRE and SSH quality criteria

Items

Likert Average

Aspire-based criteria

3.8

1. Your simulation center has clear objectives aligned with the priorities and objectives of your institution and/or manages to influence the culture of your organization.

4.2

2. Your simulation center has a policy or definitions to guarantee that the development of its programs is carried out using a systematic approach to curriculum design, considering learning theories that support its programs.

4.1

3. Your simulation center has a policy or definitions to evaluate the implemented programs and thus promote continuous improvement in its practices.

3.8

4. At your simulation center, a systematic process is used to align simulation technologies and methodologies with your defined training needs.

3.8

5. In your simulation center, the development of educational programs is carried out using the evidence of simulation effectiveness for teaching and training as a guide.

4.0

6. In your simulation center, a rigorous and standardized process is used to develop and implement validated performance evaluation instruments (considering their use for training and summative purposes).

3.7

7. Your simulation center incorporates evidence-based feedback and debriefing methods for training purposes.

4.3

8. Your simulation center uses a continuous and systematic process of quality assurance and continuous improvement of its simulation programs.

3.9

9. Your simulation center expects its teaching, administrative and technical staff to have experience in simulation-based education and supports its development by providing the resources necessary to achieve its objectives and maintain its activities.

4.1

10. The institution’s simulation program has faculty experienced in conducting simulation-based educational research and supports its development by providing the resources necessary to achieve its objectives and maintain its activity.

3.3

11. At your center, innovation in simulation-based education is promoted.

4.0

12. The faculty of the institution (or its students) conducts research related to simulation-based education.

3.0

13. The centre’s teachers promote simulation-based education nationally and internationally.

3.5

Core criteria SSH

3.8

14. There is a clear and publicly stated mission that specifically addresses the intent and functions of the simulation program, and how the program is linked to the larger organization, if it exists.

3.8

15. There is an organizational framework that provides adequate resources (fiscal, human and material) to support the mission of the program.

3.9

16. There is a strategic plan designed to accomplish the mission of the program.

3.7

17. There are written policies and procedures to ensure that the program provides high quality services, and that it meets its obligations and commitments.

3.7

18. The program has a process to determine which simulation modalities and relevant technologies are selected for use in various education, evaluation, research and / or systems improvement activities.

3.5

19. The program has a method of evaluating its general areas of programs and services, as well as educational, evaluation, and / or research activities so that they provide feedback for continuous improvement.

3.4

20. All activities, communications and relationships demonstrate a commitment to the highest ethical standards.

4.4

21. Adequate documentation and organizational policies and mechanisms are in place to ensure that data / evidence security and student confidentiality are maintained.

3.9

22. The program demonstrates a commitment to advocating for health simulation and contributes to the field of simulation.

4.2

Teaching/learning criteria SSH

4.1

23. The program offers comprehensive learning activities using simulation.

4.3

24. The program provides expert guidance for simulation education for instructors / educators and students.

3.8

25. Educational methods are reliable, valid, attractive and, when possible, based on evidence.

4.1

26. Appropriate simulation modalities are used to support learning objectives and design.

4.2

27. There is access to qualified educators for the educational activities provided. *

4.2

28. Curriculum design follows a rational process based on the theory of education currently understood.

4.0

29. Simulation activities are carried out in a suitable environment to optimize the achievement of learning objectives.

4.4

30. The program continually updates and improves its courses.

4.1

31. The program has a demonstrated ability to offer continuing education credits.

3.4

Assessment criteria SSH

3.8

32. The facilities, technology and simulation modalities, as well as standardized patients, and equipment are appropriate for the summative assessment of individual and team knowledge and / or skills.

4.1

33. There are qualified consultants and staff to carry out the evaluation activities.

3.9

34. There is a systematic process for selecting the appropriate assessment tools.

3.7

35. There is adequate support for data analysis.

3.5

Research criteria SSH

3.3

36. The mission statement includes a specific and credible commitment to investigative activities.

3.4

37. Instructors/educators/researchers demonstrate ability to conduct research.

3.5

38. There is a designated individual who is responsible for administering the research programs.

3.0

39. The program emphasizes and supports the application of academic approaches to evaluate teaching, evaluation and / or systems integration programs and to carry out validation studies of systems, approaches or simulation modules.

3.1

40. Research protocols are in accordance with accepted research standards.

3.3

Systems integration criteria SSH

3.5

41. The program works as an integrated institutional resource for Safety, Quality and Risk Management that uses the principles of Systems Engineering, Human Factors, Quality, Safety, and/or Risk Management and engages in two-way feedback to achieve business-level objectives and improve the quality of care.

3.4

42. The program has an established and committed role in the institutional processes of Quality and Safety Assessment.

3.5