Utilizing High-fidelity Simulators in Improving Trainee Confidence and Competency in Code Management.
| Autor: | Tufts LM, Hensley CA, Frazier MD, Hossino D, Domanico RS, Harris JK, Flesher SL |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric quality & safety [Pediatr Qual Saf] 2021 Dec 15; Vol. 6 (6), pp. e496. Date of Electronic Publication: 2021 Dec 15 (Print Publication: 2021). |
| DOI: | 10.1097/pq9.0000000000000496 |
| Abstrakt: | Simulation training is central in preparing practitioners for code management that is free from patient harm. 1 The purpose of this study was to determine if using a high-fidelity simulator in pediatric code education would improve trainee confidence and competency compared with the use of a traditional mannequin in the same setting. Methods: Fifty-third-year medical students participated in Pediatric Advanced Life Support code training, including a mock code scenario. Students were randomized into two groups and assigned to a simulator group: high-fidelity simulator (Group 1) or traditional mannequin (Group 2). To assess competency, trainees were evaluated using a checklist of required verbalized items or performed during the mock code scenario. To assess confidence, trainees completed pre- and postintervention confidence surveys, which were collected and compared. Results: Both Group 1 and Group 2 reported increased overall confidence in code management upon completion of their training. Although confidence increased universally, Group 1 reported increased confidence over that of Group 2 in three specific areas: ability to treat respiratory arrest, ability to run a code, and knowledge of the Pediatric Advanced Life Support algorithm. Group 1 also demonstrated increased competency in code management compared with Group 2 in four key code components: checking airway, checking breathing, checking pulses, and checking capillary refill. Conclusions: Trainee confidence increases after completion of Pediatric Advanced Life Support code training, regardless of simulator type utilized. However, trainees were more competent in code management when trained using a high-fidelity simulator compared with a traditional mannequin. (Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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