Simulation-based training delivered directly to the pediatric cardiac intensive care unit engenders preparedness, comfort, and decreased anxiety among multidisciplinary resuscitation teams

Autor: Catherine K. Allan, Alexander L. Garden, Dorothy M. Beke, Annette Imprescia, Emile A. Bacha, Gavin Hayes, Liana J. Kappus, Ravi R. Thiagarajan, Peter Weinstock, Peter C. Laussen
Jazyk: angličtina
Předmět:
Program evaluation
Pulmonary and Respiratory Medicine
Resuscitation
Health Knowledge
Attitudes
Practice
Inservice Training
Attitude of Health Personnel
medicine.medical_treatment
media_common.quotation_subject
education
Video Recording
Anxiety
Intensive Care Units
Pediatric
Manikins
law.invention
Multidisciplinary approach
law
Surveys and Questionnaires
Task Performance and Analysis
medicine
Humans
Cardiopulmonary resuscitation
Program Development
media_common
Patient Care Team
Teamwork
business.industry
Debriefing
medicine.disease
Intensive care unit
Cardiopulmonary Resuscitation
Group Processes
Patient Simulation
Coronary care unit
Education
Medical
Continuing
Surgery
Medical emergency
Cardiology Service
Hospital
Clinical Competence
Curriculum
business
Cardiology and Cardiovascular Medicine
Boston
Program Evaluation
Zdroj: The Journal of Thoracic and Cardiovascular Surgery. (3):646-652
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2010.04.027
Popis: ObjectivesResuscitation of pediatric cardiac patients involves unique and complex physiology, requiring multidisciplinary collaboration and teamwork. To optimize team performance, we created a multidisciplinary Crisis Resource Management training course that addressed both teamwork and technical skill needs for the pediatric cardiac intensive care unit. We sought to determine whether participation improved caregiver comfort and confidence levels regarding future resuscitation events.MethodsWe developed a simulation-based, in situ Crisis Resource Management curriculum using pediatric cardiac intensive care unit scenarios and unit-specific resuscitation equipment, including an extracorporeal membrane oxygenation circuit. Participants replicated the composition of a clinical team. Extensive video-based debriefing followed each scenario, focusing on teamwork principles and technical resuscitation skills. Pre- and postparticipation questionnaires were used to determine the effects on participants' comfort and confidence regarding participation in future resuscitations.ResultsA total of 182 providers (127 nurses, 50 physicians, 2 respiratory therapists, 3 nurse practitioners) participated in the course. All participants scored the usefulness of the program and scenarios as 4 of 5 or higher (5 = most useful). There was significant improvement in participants' perceived ability to function as a code team member and confidence in a code (P
Databáze: OpenAIRE
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