Mechanical Ventilation Boot Camp: A Simulation-Based Pilot Study

Autor: Charles Fuenning, Diane K Dunn, Jennifer Yee, Richard L. George, Rana Hejal, M. David Gothard, Nhi Y Haines, Rami A. Ahmed
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Critical Care Research and Practice, Vol 2016 (2016)
Critical Care Research and Practice
ISSN: 2090-1313
2090-1305
Popis: Objectives. Management of mechanically ventilated patients may pose a challenge to novice residents, many of which may not have received formal dedicated critical care instruction prior to starting their residency training. There is a paucity of data regarding simulation and mechanical ventilation training in the medical education literature. The purpose of this study was to develop a curriculum to educate first-year residents on addressing and troubleshooting ventilator alarms.Methods. Prospective evaluation was conducted of seventeen residents undergoing a twelve-hour three-day curriculum. Residents were assessed using a predetermined critical action checklist for each case, as well as pre- and postcurriculum multiple-choice cognitive knowledge questionnaires and confidence surveys.Results. Significant improvements in cognitive knowledge, critical actions, and self-reported confidence were demonstrated. The mean change in test score from before to after intervention was +26.8%, and a median score increase of 25% was noted. The ARDS and the mucus plugging cases had statistically significant improvements in critical actions,p<0.001. A mean increase in self-reported confidence was realized (1.55 to 3.64),p=0.049.Conclusions. A three-day simulation curriculum for residents was effective in increasing competency, knowledge, and confidence with ventilator management.
Databáze: OpenAIRE
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