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Intensive Care Medicine

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01-01-2012 | Pediatric Original

Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study

Authors: Martin Stocker, Meredith Allen, Natasha Pool, Kumi De Costa, Julie Combes, Neil West, Margarita Burmester

Published in: Intensive Care Medicine | Issue 1/2012

Abstract

Purpose

To evaluate the impact of an embedded simulation-based team training programme on perceived performance and to compare the effect over different phases of the programme.

Methods

This was a prospective, single-centre, longitudinal study over the first 2 years of the programme. A total of 219 multidisciplinary health-care professionals participated in simulation sessions, followed by anonymous evaluation questionnaires. The programme was divided into three different phases: introductory (first 6 months), intermediate (second 6 months) and established phase (second year).

Results

A total of 88.7% of participants evaluated the impact on overall practice as effective, 56.5% reported a highly effective impact. A total of 90.9% (391/430) of questions on non-technical skills (communication and teamwork) showed an effective impact, 55.6% a highly effective impact, whereas only 70.2% (262/373) of questions on technical skills showed an effective impact. There was a significant (p < 0.001) increased score for effective impact in all categories between the introductory and intermediate phase, which was maintained throughout the established phase. Overall, 72.7% of the participants felt more confident to attend a future critical event, 32.5% were highly confident. In the longitudinal analysis there was a stepwise significant (p < 0.05) increase of confidence of participants. In a subgroup analysis (n = 143) there was a significant (p < 0.001) higher confidence in participants who had attended at least 3 sessions (90.7 vs. 61%).

Conclusion

There is a 6- to 12-month learning curve in the implementation of an embedded multidisciplinary team training programme. Repeated exposure to simulation is most beneficial to crisis resource management training and single, isolated exposure may not be sufficient.

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Title: Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study
Authors: Martin Stocker
Meredith Allen
Natasha Pool
Kumi De Costa
Julie Combes
Neil West
Margarita Burmester
Publication date: 01-01-2012
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 1/2012
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-011-2371-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of an embedded simulation team training programme in a paediatric intensive care unit: a prospective, single-centre, longitudinal study

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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