This will allow for assessment of maintenance of skills and more powerful analyses that better assess the pragmatic effect of the intervention over time.
If further studies confirmed the availability of multiple devices in each ICU, a national program for teaching, maintenance of skills and regular evaluation of knowledge could be implemented to optimise the resources needed and maintain a high quality of use of these specific techniques.
Production accuracy for the acquired word(s) will be probed at the start of each goal every second session to ensure maintenance of skill.
Research (e.g., Binder, 1996; Wolf, 2001) suggests that fluency is instrumental for critical learning, as it serves as a catalyst for retention and maintenance of skills and knowledge long after formal learning has ended, endurance to undistractedly maintain what has been learned for extended periods of time, and application of knowledge and skills in novel contexts.
Moreover, operators were specifically trained for the use of alternative devices, and their performance may differ in a real-world setting because the use of such devices requires training for acquisition and maintenance of skills.
When the need for continuous improvement and maintenance of skills is identified, the time and resources available will be decisive for the possibility to implement further training activities.
Moreover, these findings suggest the need for further training into bus drivers' hazard recognition skills and infrastructural solutions to forgive possible driving errors, as well for maintenance of road surfaces and management of traffic and shifts across the day.
These elements may contribute for maintenance of the trainee activity along the procedure practices, and to motivate and stimulate the student learning and skill improvement.
When assessing how well skills are retained following the course we demonstrated that teaching of this type is most beneficial when it is part of longer-term refresher training for maintenance of knowledge and confidence.
In addition, it may also suggest a significant decay of skills if the technique is not practiced regularly and could suggest the need for retraining after a prolonged period of inactivity or regular maintenance of skills through simulation.
