Interprofessional Team Training in Pediatric Resuscitation: A Low-Cost,In Situ Simulation Program That Enhances Self-Efficacy Among Participants

Abstract

Introduction. Simulation-based interprofessional team training is important to ensure high-quality, safe patient care, but several barriers exist, including diverging learning needs and schedules as well as limited available resources. Methods. The authors developed an in situ, simulation-based interprofessional team training program around pediatric emergencies for physicians, nurses, respiratory therapists, and pharmacists at their institution and performed an analysis of the program’s impact on self-efficacy in resuscitation skills among pediatric residents and nurses. Results. The results showed that with a design based in best principles of team training and simulation education, interprofessional team training is feasible and sustainable. The program had a beneficial effect on self-efficacy in resuscitation skills among both residents and nurses at the authors’ institution and received widespread acceptance. Conclusions. A collaborative approach to design and implementation of interprofessional team training can lead to a sustainable program that serves both patient safety and training requirements set forth by professional organizations.

Keywords

interprofessional education mock code resuscitation simulation team training

Get full access to this article

View all access options for this article.

References

Kohn LT , Corrigan J , Donaldson MS , eds. To Err Is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000.

Hunt EA , Fiedor-Hamilton M. , Eppich WJ Resuscitation education: narrowing the gap between evidence-based resuscitation guidelines and performance using best educational practices. Pediatr Clin North Am. 2008;55: 1025-1050.

Baker DP , Gustafson S. , Beaubien J. , Salas E. , Barach P. Medical Teamwork and Patient Safety : The Evidence-Based Relation. Literature Review. AHRQ Publication No. 05-0053. Rockville, MD: Agency for Healthcare Research and Quality.

Issenberg SB , McGaghie WC , Petrusa ER , Lee Gordon D. , Scalese RJ Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review. Med Teach. 2005;27:10-28.

Beaubien JM , Baker DP The use of simulation for training teamwork skills in health care: how low can you go? Qual Saf Health Care. 2004;13(suppl 1):i51-i56.

Patterson, M. , Blike, G. , Nadkarni V. In situ simulation: challenges and results . In: Henriksen K, Battles JB, Keyes MA, Grady ML, eds. Advances in Patient Safety: New Directions and Alternative Approaches. Vol. 3. Performance and Tools. AHRQ Publication No. 08-0034-3. Rockville, MD: Agency for Healthcare Research and Quality ; 2008:ii.

Kern D. , Thomas P. , Howard D. , Bass E. Curriculum Development for Medical Education: A Six-Step Approach. Baltimore, MD: Johns Hopkins University Press; 1998.

van Schaik SM , Von Kohorn I. , O’Sullivan P. Pediatric resident confidence in resuscitation skills relates to mock code experience. Clin Pediatr (Phila). 2008;47: 777-783.

Fletcher G. , Flin R. , McGeorge P. , Glavin R. , Maran N. , Patey R. Anaesthetists’ Non-Technical Skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth. 2003;90:580-588.

10.

Kim J. , Neilipovitz D. , Cardinal P. , Chiu M. , Clinch J. A pilot study using high-fidelity simulation to formally evaluate performance in the resuscitation of critically ill patients: The University of Ottawa Critical Care Medicine, High-Fidelity Simulation, and Crisis Resource Management I Study. Crit Care Med. 2006;34:2167-2174.

11.

Ralston M. Pediatric Advanced Life Support Provider Manual. Dallas, TX: American Heart Association; 2006.

12.

Hamman WR , Beaudin-Seiler BM , Beaubien JM , et al. Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward . J Patient Saf. 2009;5: 184-187.

13.

Frankel A. , Gardner R. , Maynard L. , Kelly A. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual Patient Saf. 2007;33:549-558.

14.

Malec JF , Torsher LC , Dunn WF , et al. The Mayo High Performance Teamwork scale: reliability and validity for evaluating key crew resource management skills. Simul Healthc. 2007;2:4-10.

15.

Thomas EJ , Sexton JB , Helmreich RL Translating teamwork behaviours from aviation to healthcare: development of behavioural markers for neonatal resuscitation. Qual Saf Health Care. 2004;13(suppl 1):i57-i64.

16.

Thomas EJ , Williams AL , Reichman EF , Lasky RE , Crandell S. , Taggart WR Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations. Pediatrics. 2010;125:539-546.

17.

Davis DA , Mazmanian PE , Fordis M. , Van Harrison R. , Thorpe KE , Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094-1102.

18.

Maibach EW , Schieber RA , Carroll MF Self-efficacy in pediatric resuscitation: implications for education and performance . Pediatrics. 1996;97:94-99.

19.

Plant JL , van Schaik SM , Sliwka DC , Boscardin CK , O’Sullivan PS Validation of a self-efficacy instrument and its relationship to performance of crisis resource management skills [published online ahead of print January 25, 2011]. Adv Health Sci Educ Theory Pract. doi:10.1007/ s10459-011-9274-7.

20.

ACGME Outcome Project. http://www.acgme.org/outcome/ . Accessed March 21, 2010.