Utilizing Competence-Based Simulation to Improve Orientation Outcomes
| Autor: | Honey L, Pezzimenti, Patricia A, Achuff, Roberta L, Hales, Maureen E, Ginda, Cheryl L, Dominick, Akira, Nishisaki, Natalie, Napolitano |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Respiratory Care. 67:1527-1533 |
| ISSN: | 1943-3654 0020-1324 |
| Popis: | New graduate respiratory therapists (RTs), regardless of the degree program, receive limited preparation in neonatal/pediatric diseases and management. Experienced RTs typically have adult knowledge but limited exposure to pediatrics. We developed a program that included competence-based simulation to improve orientation success.A 9-week orientation program curriculum with simulation-based competence assessment was developed to ensure all new hires gained knowledge and skills to perform pediatric clinical tasks. Each new hire individually completed the same simulation scenarios during the first week and last week of orientation. Curriculum changes were made over time based on performance in simulations and on-the-job knowledge and skills during and after orientation. Paired and unpairedFrom January 2017-February 2020, the program had 3 updates. Noninvasive ventilation and decompensating patient scenarios were completed for all periods. Ninety-two new staff were oriented in period 1 = 29 (new graduate RTs 20, experienced RTs 9); period 2 = 17 (new graduate RTs 10, experienced RTs 7); period 3 = 24 (new graduate RTs 21, experienced RTs 3), and period 4 = 22 (new graduate RTs = 22). Remediation during orientation occurred in 15% of the staff. Seventy-one percent successfully advanced to ICU orientation after completion of the program. All staff improved scores between pre- versus post-simulations in all periods: mean difference ± SD period 1: new graduate RTs 32.0 ± 17.0,The use of a competence-based orientation program showed educational advancements and helped determine successful orientation completion. |
| Databáze: | OpenAIRE |
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