Teamwork in Pediatric Resuscitation: Training Medical Students on High-Fidelity Simulation.

Autor:	Gonçalves BAR; Department of Pediatrics, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., de Melo MDCB; Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Ferri Liu PM; Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Valente BCHG; Department of Pediatrics, Faculdade de Minas-BH, Belo Horizonte, Minas Gerais, Brazil., Ribeiro VP; Faculdade de Minas-Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil., Vilaça E Silva PH; Faculdade de Minas-Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil.
Jazyk:	angličtina
Zdroj:	Advances in medical education and practice [Adv Med Educ Pract] 2022 Jul 11; Vol. 13, pp. 697-708. Date of Electronic Publication: 2022 Jul 11 (Print Publication: 2022).
DOI:	10.2147/AMEP.S365976
Abstrakt:	Background: Simulation training and teamwork for medical students are essential to improve performance in pediatric cardiopulmonary resuscitation. Purpose: To evaluate if a specific approach to teamwork improves technical and nontechnical performance. Methods: We performed quasiexperimental, prospective, pre- and postinterventional, and nonrandomized research with 65 students in the fourth year of their medicine course. This was a case-control study in which teams used a customized TeamSTEPPS protocol (n=34) or not (n=31) for cardiopulmonary arrest training in children using high-fidelity simulation. All participants answered a sociodemographic and satisfaction questionnaire and underwent theory and practice pre- and posttesting. The survey data were collected in 2019 and analyzed using χ 2 , Mann-Whitney, κ, and Wilcoxon tests. p <0.05 was considered significant. Results: Intervention and control groups achieved better scores in theory posttesting ( p <0.001 and p =0.049), but there was no difference between them in pre- (p=0.291) and posttesting (p=0.397). In the checklist of the practice test, all groups obtained their best outcomes in posttesting and the intervention group achieved higher scores ( p <0.001). All groups increased the number of teamwork events and reduced the time span to perform resuscitation first steps ( p <0.001) in posttesting. Conclusion: The use of teamwork training based on a customized TeamSTEPPS protocol improved performance in team behavior and group technical achievement. The evaluation of the students about the training was positive. Competing Interests: The authors report no conflicts of interest in this work. (© 2022 Gonçalves et al.)
Databáze:	MEDLINE
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