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01-12-2018 | Original Article

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

Authors: 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

Published in: Pediatric Surgery International | Issue 12/2018

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.

Available only for authorised users

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Title: Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation
Authors: 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
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 12/2018
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-018-4361-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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