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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...

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Autores principales: Padrez, Kevin A., Brown, John, Zanoff, Andy, Chen, Carol C., Glomb, Nicolaus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
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.
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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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