Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation. Pediatr Surg Int 2018 Dec;34(12):1353-1362
Date
10/17/2018Pubmed ID
30324569Pubmed Central ID
PMC6353611DOI
10.1007/s00383-018-4361-yScopus ID
2-s2.0-85056355961 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
PURPOSE: Simulation-based training has the potential to improve team-based care. We hypothesized that implementation of an in situ multidisciplinary simulation-based training program would improve provider confidence in team-based management of severely injured pediatric trauma patients.
METHODS: An in situ multidisciplinary pediatric trauma simulation-based training program with structured debriefing was implemented at a free-standing children's hospital. Trauma providers were anonymously surveyed 1 month before (pre-), 1 month after (post-), and 2 years after implementation.
RESULTS: Survey response rate was 49% (n = 93/190) pre-simulation, 22% (n = 42/190) post-simulation, and 79% (n = 150/190) at 2-year follow-up. These providers reported more anxiety (p = 0.01) and less confidence (p = 0.02) 1-month post-simulation. At 2-year follow-up, trained providers reported less anxiety (p = 0.02) and greater confidence (p = 0.01), compared to untrained providers.
CONCLUSIONS: Implementation of an in situ multidisciplinary pediatric trauma simulation-based training program may initially lead to increased anxiety, but long-term exposure may lead to greater confidence.
LEVEL OF EVIDENCE: II, Prospective cohort.
Author List
McLaughlin CM, Wieck MM, Barin EN, Rake A, Burke RV, Roesly HB, Young LC, Chang TP, Cleek EA, Morton I, Goodhue CJ, Burd RS, Ford HR, Upperman JS, Jensen ARAuthors
Elizabeth Cleek in the CTSI department at Medical College of Wisconsin - CTSIElizabeth Cleek PhD Assistant Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
ChildClinical Competence
Educational Measurement
Female
Humans
Los Angeles
Male
Patient Care Team
Prospective Studies
Resuscitation
Simulation Training
Wounds and Injuries