Impact of an Embedded Simulation Team Training Programme in a Paediatric Intensive Care Unit: a Prospective, Single-centre, Longitudinal Study

Overview

Journal Intensive Care Med

Specialty Critical Care

Date 2011 Oct 4

PMID 21965101

Citations 21

Authors

Martin Stocker

Meredith Allen

Natasha Pool

Kumi De Costa

Julie Combes

Neil West

Margarita Burmester

Affiliations

Soon will be listed here.

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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