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

Cory M. McLaughlin, 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

Research output: Contribution to journalArticle

4 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1353-1362
Number of pages10
JournalPediatric Surgery International
Volume34
Issue number12
DOIs
StatePublished - Dec 1 2018

Keywords

  • Communication
  • Confidence
  • Pediatric trauma
  • Simulation
  • Teamwork

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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    McLaughlin, C. M., Wieck, M. M., Barin, E. N., Rake, A., Burke, R. V., Roesly, H. B., Young, L. C., Chang, T. P., Cleek, E. A., Morton, I., Goodhue, C. J., Burd, R. S., Ford, H. R., Upperman, J. S., & Jensen, A. R. (2018). Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation. Pediatric Surgery International, 34(12), 1353-1362. https://doi.org/10.1007/s00383-018-4361-y