A novel blended and interprofessional approach to pediatric emergency training: self-assessment, perception, and perceived long-term effects.

Autor: Lehmann R; Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany. ronny.lehmann@med.uni-heidelberg.de., Klinke Petrowsky M; UMM Klinik für Kinderchirurgie, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany., Seitz A; Kinder- und Jugendarztpraxis Dr. Seitz, Werderstraße 3, 88348, Bad Saulgau, Germany., Meyburg J; Klinik für Kinder- und Jugendmedizin, Klinikum Ludwigsburg, Posilipostr. 4, 71640, Ludwigsburg, Germany., Eppich W; RCSI SIM Centre for Simulation Education and Research, RCSI University of Medicine and Health Sciences, Dublin, Ireland., Hoffmann GF; Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany., Tönshoff B; Department of Pediatrics I, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 430, 69120, Heidelberg, Germany., Huwendiek S; Institute for Medical Education, Department for Assessment and Evaluation, Mittelstrasse 43, Bern, 3012, Switzerland.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2024 Nov 28; Vol. 24 (1), pp. 1389. Date of Electronic Publication: 2024 Nov 28.
DOI: 10.1186/s12909-024-06381-3
Abstrakt: Background: We developed a blended training program at a tertiary pediatric center based on hospital-specific emergency guidelines, profession-specific Virtual Patients (VPs), and interprofessional team training. Using this novel approach, we addressed differing educational needs of medical and nursing staff and intrinsic cognitive overload among participants, aiming for harmonization of in-house emergency proceedings.
Methods: Self-assessments of pediatric emergency knowledge and skills were conducted before (T1) and after (T2) preparation using VPs, as well as after the team training day (T3). At T3, participants completed questionnaires on the training approach, its components, and learning impact. Ten months after the training, a follow-up survey (T4) queried perceived benefits within and beyond emergency situations.
Results: A total of 56 medical staff and 56 nursing staff members participated in the pilot phase. Of these, N = 55 (98%) and N = 48 (85%), respectively, returned self-assessments; questionnaires were completed by N = 55 (98%) and N = 51 (91%), respectively. In both groups, 57 participants (50.9%) completed the follow-up survey. After team training (T3), both groups had statistically significant increased knowledge and skill scores compared with those at T1. Regarding the blended approach and its components, medical and nursing staff alike rated the entire course and its guidelines, the preparatory VPs, and the team training very highly. Participants felt being better prepared for pediatric emergencies. Perceived strengths of the training approach were in the triangulation of teaching methods and its interprofessionalism. More training scenarios were requested, as well as recurrent training. In the follow-up, participants reported improved confidence and calmness, as well as improved communication and collaboration when involved in an emergency. Beyond emergencies, benefits were reported in daily routines.
Conclusions: Our blended approach was perceived as being effective in improving preparedness among medical and nursing house staff. This approach permits customization of content and deliberate practice to improve pediatric critical care.
Competing Interests: Declarations. Ethics approval and consent to participate: The need for ethics approval for this study was waived by ethics committee of the Medical Faculty of the University of Heidelberg. As the study measures concerned staff members, approval was granted by the Staff Council of University Hospital, Heidelberg, Germany. Participation in the study was voluntary and anonymous. Informed consent was obtained from study participants. All methods were conducted in accordance with the ethical standards and regulations of the declaration of Helsinki. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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