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Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels

BACKGROUND: The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance. METHODS: A skill-training was prepared for chest tube i...

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Autores principales: Zante, Bjoern, Schefold, Joerg C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726897/
https://www.ncbi.nlm.nih.gov/pubmed/33298042
http://dx.doi.org/10.1186/s12909-020-02419-4
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author Zante, Bjoern
Schefold, Joerg C.
author_facet Zante, Bjoern
Schefold, Joerg C.
author_sort Zante, Bjoern
collection PubMed
description BACKGROUND: The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance. METHODS: A skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting. RESULTS: Comparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving. CONCLUSIONS: Emergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods.
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spelling pubmed-77268972020-12-10 Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels Zante, Bjoern Schefold, Joerg C. BMC Med Educ Research Article BACKGROUND: The application of manual emergency skills is essential in intensive care medicine. Simulation training on cadavers may be beneficial. The aim of this study was to analyze a skill-training aiming to enhance ICU-fellows´ performance. METHODS: A skill-training was prepared for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Supervision levels (SL) for entrustable professional activities (EPA) were applied to evaluate skill performance. Pre- and post-training, SL and fellows´ self- versus consultants´ external assessment was compared. Time on skill training was compared to conventional training in the ICU-setting. RESULTS: Comparison of pre/post external assessment showed reduced required SL for chest tube insertion, pericardiocentesis, and cricothyroidotomy. Self- and external assessed SL did not significantly correlate for pre-training/post-training pericardiocentesis and post-training cricothyroidotomy. Correlations were observed for self- and external assessment SL for chest tube insertion and pre-assessment for cricothyroidotomy. Compared to conventional training in the ICU-setting, chest tube insertion training may further be time-saving. CONCLUSIONS: Emergency skill training separated from a daily clinical ICU-setting appeared feasible and useful to enhance skill performance in ICU fellows and may reduce respective SL. We observed that in dedicated skill-training sessions, required time resources would be somewhat reduced compared to conventional training methods. BioMed Central 2020-12-09 /pmc/articles/PMC7726897/ /pubmed/33298042 http://dx.doi.org/10.1186/s12909-020-02419-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zante, Bjoern
Schefold, Joerg C.
Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title_full Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title_fullStr Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title_full_unstemmed Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title_short Simulation training for emergency skills: effects on ICU fellows’ performance and supervision levels
title_sort simulation training for emergency skills: effects on icu fellows’ performance and supervision levels
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726897/
https://www.ncbi.nlm.nih.gov/pubmed/33298042
http://dx.doi.org/10.1186/s12909-020-02419-4
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