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Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment
BACKGROUND: The assessment and treatment of pediatric patients in the out-of-hospital environment often presents unique difficulties and stress for EMS practitioners. OBJECTIVE: Use a mixed-methods approach to assess the current experience of EMS practitioners caring for critically ill and injured c...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465767/ https://www.ncbi.nlm.nih.gov/pubmed/34563131 http://dx.doi.org/10.1186/s12873-021-00494-4 |
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author | Padrez, Kevin A. Brown, John Zanoff, Andy Chen, Carol C. Glomb, Nicolaus |
author_facet | Padrez, Kevin A. Brown, John Zanoff, Andy Chen, Carol C. Glomb, Nicolaus |
author_sort | Padrez, Kevin A. |
collection | PubMed |
description | BACKGROUND: The assessment and treatment of pediatric patients in the out-of-hospital environment often presents unique difficulties and stress for EMS practitioners. OBJECTIVE: Use a mixed-methods approach to assess the current experience of EMS practitioners caring for critically ill and injured children, and the potential role of a simulation-based curriculum to improve pediatric prehospital skills. METHODS: Data were obtained from three sources in a single, urban EMS system: a retrospective review of local pediatric EMS encounters over one year; survey data of EMS practitioners’ comfort with pediatric skills using a 7-point Likert scale; and qualitative data from focus groups with EMS practitioners assessing their experiences with pediatric patients and their preferred training modalities. RESULTS: 2.1% of pediatric prehospital encounters were considered “critical,” the highest acuity level. A total of 136 of approximately 858 prehospital providers responded to the quantitative survey; 34.4% of all respondents either somewhat disagree (16.4%), disagree (10.2%), or strongly disagree (7.8%) with the statement: “I feel comfortable taking care of a critically ill pediatric patient.” Forty-seven providers participated in focus groups that resulted in twelve major themes under three domains. Specific themes included challenges in medication dosing, communication, and airway management. Participants expressed a desire for more repetition and reinforcement of these skills, and they were receptive to the use of high-fidelity simulation as a training modality. CONCLUSIONS: Critically ill pediatric prehospital encounters are rare. Over one third of EMS practitioners expressed a low comfort level in managing critically ill children. High-fidelity simulation may be an effective means to improve the comfort and skills of prehospital providers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-021-00494-4. |
format | Online Article Text |
id | pubmed-8465767 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-84657672021-09-27 Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment Padrez, Kevin A. Brown, John Zanoff, Andy Chen, Carol C. Glomb, Nicolaus BMC Emerg Med Research BACKGROUND: The assessment and treatment of pediatric patients in the out-of-hospital environment often presents unique difficulties and stress for EMS practitioners. OBJECTIVE: Use a mixed-methods approach to assess the current experience of EMS practitioners caring for critically ill and injured children, and the potential role of a simulation-based curriculum to improve pediatric prehospital skills. METHODS: Data were obtained from three sources in a single, urban EMS system: a retrospective review of local pediatric EMS encounters over one year; survey data of EMS practitioners’ comfort with pediatric skills using a 7-point Likert scale; and qualitative data from focus groups with EMS practitioners assessing their experiences with pediatric patients and their preferred training modalities. RESULTS: 2.1% of pediatric prehospital encounters were considered “critical,” the highest acuity level. A total of 136 of approximately 858 prehospital providers responded to the quantitative survey; 34.4% of all respondents either somewhat disagree (16.4%), disagree (10.2%), or strongly disagree (7.8%) with the statement: “I feel comfortable taking care of a critically ill pediatric patient.” Forty-seven providers participated in focus groups that resulted in twelve major themes under three domains. Specific themes included challenges in medication dosing, communication, and airway management. Participants expressed a desire for more repetition and reinforcement of these skills, and they were receptive to the use of high-fidelity simulation as a training modality. CONCLUSIONS: Critically ill pediatric prehospital encounters are rare. Over one third of EMS practitioners expressed a low comfort level in managing critically ill children. High-fidelity simulation may be an effective means to improve the comfort and skills of prehospital providers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12873-021-00494-4. BioMed Central 2021-09-25 /pmc/articles/PMC8465767/ /pubmed/34563131 http://dx.doi.org/10.1186/s12873-021-00494-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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 Padrez, Kevin A. Brown, John Zanoff, Andy Chen, Carol C. Glomb, Nicolaus Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title | Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title_full | Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title_fullStr | Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title_full_unstemmed | Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title_short | Development of a simulation-based curriculum for Pediatric prehospital skills: a mixed-methods needs assessment |
title_sort | development of a simulation-based curriculum for pediatric prehospital skills: a mixed-methods needs assessment |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8465767/ https://www.ncbi.nlm.nih.gov/pubmed/34563131 http://dx.doi.org/10.1186/s12873-021-00494-4 |
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