Pediatric End-of-Life Simulation Workshop to Clinical Care: Lasting Implications on Clinical Practice.

Autor:	Solstad K; Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA., Kamrath H; Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.; Neonatology, Children's Minnesota, Saint Paul, Minnesota, USA., Meiers S; Department of Nursing, University of Wisconsin-Eau Claire, Eau Claire, Wisconsin, USA., Goloff N; Department of Pediatrics, McGill University, Montreal, Quebec, Canada.; Department of Pediatrics, Faculty of Medicine and Health Sciences, Institute of Health Sciences Education, McGill University, Montreal, Quebec, Canada., Scheurer JM; Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Jazyk:	angličtina
Zdroj:	Palliative medicine reports [Palliat Med Rep] 2024 Mar 28; Vol. 5 (1), pp. 136-141. Date of Electronic Publication: 2024 Mar 28 (Print Publication: 2024).
DOI:	10.1089/pmr.2023.0065
Abstrakt:	Background: Simulations are an important modality for practicing high-acuity, low-frequency events. We implemented a deliberate practice simulation-based workshop to improve pediatric end-of-life care skills (PECS) competence. Purpose: To understand pediatric subspecialty fellows' perceptions about influences of a simulation-based workshop on PECS provided at the bedside several months following participation. Methods: Pediatric subspecialty fellows were recruited to voluntary focus groups during regular educational sessions six months following PECS workshop participation with aims to identify perceptions about their workshop participation and any implication on their clinical practice. Inductive qualitative content analysis of focus group interview data was performed adhering to the Standards for Reporting Qualitative Research. Results: Ten fellows participated in one of three focus groups. Researchers identified three major themes of fellow experience: burden, safe practice space, and self-efficacy. Fellows described practice implications from workshop participation, including incorporation of specific practices, improved anticipatory guidance, and increased team leader confidence. Conclusions: Targeted, deliberate simulation-based practice of PECS can help close the gap from learning to practice, contributing to provider self-efficacy and potentially improving clinical care for pediatric patients and families at end of life. Competing Interests: No competing financial interests exist. (© Kayla Solstad et al., 2024; Published by Mary Ann Liebert, Inc.)
Databáze:	MEDLINE
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