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Erschienen in:

15.10.2018 | Original Article

Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation

verfasst von: Cory M. McLaughlin, MD, Minna M. Wieck, Erica N. Barin, Alyssa Rake, Rita V. Burke, Heather B. Roesly, L. Caulette Young, Todd P. Chang, Elizabeth A. Cleek, Inge Morton, Catherine J. Goodhue, Randall S. Burd, Henri R. Ford, Jeffrey S. Upperman, Aaron R. Jensen

Erschienen in: Pediatric Surgery International | Ausgabe 12/2018

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Abstract

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.

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Titel: Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation
verfasst von: Cory M. McLaughlin, MD
Minna M. Wieck
Erica N. Barin
Alyssa Rake
Rita V. Burke
Heather B. Roesly
L. Caulette Young
Todd P. Chang
Elizabeth A. Cleek
Inge Morton
Catherine J. Goodhue
Randall S. Burd
Henri R. Ford
Jeffrey S. Upperman
Aaron R. Jensen
Publikationsdatum: 15.10.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 12/2018
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-018-4361-y

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Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation