High-Fidelity Simulation of Critical Deterioration Events in Pediatric Patients: A Learning Needs Assessment

2020 ◽  
Author(s):  
Jung Lee ◽  
Jainn Jim Lin ◽  
Shao Hsuan Hsia ◽  
Jing Long Huang ◽  
Cheng Hsun Chiu ◽  
...  
Keyword(s):  
Needs Assessment ◽  
Pediatric Patients ◽  
Medical Center ◽  
Learning Needs ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Real Patient ◽  
Resident Attitudes ◽  
Pediatric Residents ◽  
Main Barrier

Abstract BackgroundWe introduced high-fidelity simulation (HFS) using mannequins to teach pediatric residents about critical deterioration events (CDE; respiratory failure, circulatory shock, or both) in pediatric patients over a 1-year period. For an effective HFS program, a learning needs assessment is required. We assessed pediatric residents’ knowledge, attitudes, and perceptions of the new learning tool.MethodsA 20-item paper-based questionnaire survey was completed by pediatric residents of a tertiary medical center who participated in the HFS program.ResultsThirty-four (85%) of 40 pediatric residents responded to the survey. Their mean age was 29.35 ± 1.25 years, and 10 (29.4%) were male. The primary learning objective was the acquisition of technical skill. However, the residents considered HFS helpful for the acquisition of both technical and non-technical skills. A questionnaire with a seven-point Likert scale (1–7) was used to assess resident attitudes toward the HFS. The residents scored highly for active engagement with the HFS (mean score, 5.32 ± 1.45) and reported moderate stress levels (mean score, 4.35 ± 1.27). The residents (n = 34) considered HFS training before encountering a real patient with a similar presentation helpful (mean score, 6.32 ± 0.58), and also considered its future use for improving the management of CDE in pediatric patients important (mean score, 6.41 ± 0.7). The main barrier to HFS session attendance was lack of time (76.5%, n = 26).ConclusionsHFS is helpful for residents learning about CDE in pediatric patients, and should be integrated into their training curriculum. Sufficient time is needed for effective HFS learning.

scholarly journals Utilizing High-Fidelity Simulation to Teach Pediatric Residents Clinical Nutrition

2015 ◽  
Vol 7 (6) ◽  
pp. 367-374
Author(s):  
Susan Teske ◽  
Dawn Taylor Peterson ◽  
Amy Morse ◽  
Leigh Hardy ◽  
Amber Q. Youngblood ◽  
...  
Keyword(s):  
Clinical Nutrition ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Pediatric Residents

scholarly journals Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kevin A. Padrez ◽  
John Brown ◽  
Andy Zanoff ◽  
Carol C. Chen ◽  
Nicolaus Glomb
Keyword(s):  
Mixed Methods ◽  
Focus Groups ◽  
Critically Ill ◽  
Pediatric Patients ◽  
Comfort Level ◽  
Hospital Environment ◽  
Critically Ill Children ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Simulation Based

Abstract Background The assessment and treatment of pediatric patients in the out-of-hospital environment often presents unique difficulties and stress for EMS practitioners. Objective Use a mixed-methods approach to assess the current experience of EMS practitioners caring for critically ill and injured children, and the potential role of a simulation-based curriculum to improve pediatric prehospital skills. Methods Data were obtained from three sources in a single, urban EMS system: a retrospective review of local pediatric EMS encounters over one year; survey data of EMS practitioners’ comfort with pediatric skills using a 7-point Likert scale; and qualitative data from focus groups with EMS practitioners assessing their experiences with pediatric patients and their preferred training modalities. Results 2.1% of pediatric prehospital encounters were considered “critical,” the highest acuity level. A total of 136 of approximately 858 prehospital providers responded to the quantitative survey; 34.4% of all respondents either somewhat disagree (16.4%), disagree (10.2%), or strongly disagree (7.8%) with the statement: “I feel comfortable taking care of a critically ill pediatric patient.” Forty-seven providers participated in focus groups that resulted in twelve major themes under three domains. Specific themes included challenges in medication dosing, communication, and airway management. Participants expressed a desire for more repetition and reinforcement of these skills, and they were receptive to the use of high-fidelity simulation as a training modality. Conclusions Critically ill pediatric prehospital encounters are rare. Over one third of EMS practitioners expressed a low comfort level in managing critically ill children. High-fidelity simulation may be an effective means to improve the comfort and skills of prehospital providers.

scholarly journals High-Fidelity Simulation of Pediatric Emergency Care: An Eye-Opening Experience for Baccalaureate Nursing Students

2018 ◽  
Vol 50 (3) ◽  
pp. 145-154 ◽  
Author(s):  
Sandra P. Small ◽  
Peggy A. Colbourne ◽  
Cynthia L. Murray
Keyword(s):  
Nursing Students ◽  
Baccalaureate Nursing ◽  
Cardiopulmonary Arrest ◽  
Learning Experience ◽  
Pediatric Emergency ◽  
Baccalaureate Nursing Students ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Real Patient ◽  
Eye Opening

Background Little attention has been given to in-depth examination of what high-fidelity simulation is like for nursing students within the context of a pediatric emergency, such as a cardiopulmonary arrest. It is possible that such high-fidelity simulation could provoke in nursing students intense psychological reactions. Purpose The purpose of this study was to learn about baccalaureate nursing students’ lived experience of high-fidelity simulation of pediatric cardiopulmonary arrest. Method Phenomenological methods were used. Twenty-four interviews were conducted with 12 students and were analyzed for themes. Results The essence of the experience is that it was eye-opening. The students found the simulation to be a surprisingly realistic nursing experience as reflected in their perceiving the manikin as a real patient, thinking that they were saving their patient’s life, feeling like a real nurse, and feeling relief after mounting stress. It was a surprisingly valuable learning experience in that the students had an increased awareness of the art and science of nursing and increased understanding of the importance of teamwork and were feeling more prepared for clinical practice and wanting more simulation experiences. Conclusion Educators should capitalize on the benefits of high-fidelity simulation as a pedagogy, while endeavoring to provide psychologically safe learning.

High-Fidelity Simulation Effect on Nurses' Identification of Deteriorating Pediatric Patients

2016 ◽  
Vol 12 (6) ◽  
pp. 228-239 ◽  
Author(s):  
Melanie G. Martin ◽  
Leah A. Keller ◽  
Terri L. Long ◽  
Nancy A. Ryan-Wenger
Keyword(s):  
Pediatric Patients ◽  
High Fidelity ◽  
High Fidelity Simulation

scholarly journals P70 ‘Code red’: piloting a high-fidelity simulation workshop to address learning needs and raise awareness of resource management

2019 ◽  
Author(s):  
Bronwyn Reid-McDermott ◽  
Áine de Bhulbh ◽  
Ruth Gilmore ◽  
Tom O’Gorman ◽  
Margeret Coohill ◽  
...  
Keyword(s):  
Resource Management ◽  
Learning Needs ◽  
High Fidelity ◽  
High Fidelity Simulation

Attitudinal Changes Resulting from Repetitive Training of Operating Room Personnel Using High-Fidelity Simulation at the Point of Care

2009 ◽  
Vol 75 (7) ◽  
pp. 584-591 ◽  
Author(s):  
John T. Paige ◽  
Valeriy Kozmenkq ◽  
Tong Yang ◽  
Ramnarayan Paragi Gururaja ◽  
Charles W. Hilton ◽  
...  
Keyword(s):  
Operating Room ◽  
Medical Center ◽  
Point Of Care ◽  
Academic Medical Center ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Operating Room Personnel ◽  
Bonferroni Adjustment ◽  
Attitudinal Changes ◽  
The Impact

We investigated the impact of repetitive training using high-fidelity simulation (HFS) at the point of care on the teamwork attitudes of operating room (OR) personnel. Members of the general surgical OR teams at an academic medical center participated in two half-day point-of-care HFS team training sessions. Module 1 targeted teamwork competencies; Module 2 included a preoperative briefing strategy. Modules were separated by 1 month. For each training, participants completed pre- and postsession questionnaires that included a 15-item self-efficacy tool targeting teamwork competencies using a 6-point Likert-type scale. Pre- and postsession mean scores were compared with a t test. Matched pre- and postsessions questionnaires were collected from 38 and 39 participants for Module 1 and Module 2, respectively. Mean item improvement from pre- to posttraining was 0.43 units (range, 0.23 to 0.69 units) for Module 1 and 0.42 units (range, 0.15 to 0.53 units) for Module 2. After Bonferroni adjustment, statistically significant improvement in scores from pre- to posttraining increased from four items after Module 1 to nine items after Module 2. Repetitive training of interdisciplinary OR teams through HFS at the point of care increases the effectiveness of promoting attitudinal change toward team-based competencies among participants.

The Perceptions of Nurse Educators regarding the use of High Fidelity Simulation in Nursing Education

2018 ◽  
Vol 20 (1) ◽  
Author(s):  
Viola Janse van Vuuren ◽  
Eunice Seekoe ◽  
Daniel Ter Goon
Keyword(s):  
Nursing Education ◽  
South African ◽  
Clinical Training ◽  
Nurse Educators ◽  
Teaching Staff ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Simulation Based ◽  
Nursing College ◽  
Faculty Shortages

Although nurse educators are aware of the advantages of simulation-based training, some still feel uncomfortable to use technology or lack the motivation to learn how to use the technology. The aging population of nurse educators causes frustration and anxiety. They struggle with how to include these tools particularly in the light of faculty shortages. Nursing education programmes are increasingly adopting simulation in both undergraduate and graduate curricula. The aim of this study was to determine the perceptions of nurse educators regarding the use of high fidelity simulation (HFS) in nursing education at a South African private nursing college. A national survey of nurse educators and clinical training specialists was completed with 118 participants; however, only 79 completed the survey. The findings indicate that everyone is at the same level as far as technology readiness is concerned, however, it does not play a significant role in the use of HFS. These findings support the educators’ need for training to adequately prepare them to use simulation equipment. There is a need for further research to determine what other factors play a role in the use of HFS; and if the benefits of HFS are superior to other teaching strategies warranting the time and financial commitment. The findings of this study can be used as guidelines for other institutions to prepare their teaching staff in the use of HFS.

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