Pediatric Resuscitation and Communication Innovative Core Education (PICU PRACTICE): Development of an Interprofessional Pediatric Crisis Resource Management Curriculum - Abstract
Background: Pediatric critical care nurses, residents, and physicians receive a variety of resuscitation training, but emergencies are high stakes, low frequency events. Skill and psychomotor decay are threats to effective performance. Simulation training improves teamwork, communication, and efficiency with pediatric resuscitation guidelines, but currently no simulation curriculum exists to provide crisis resource management training to an interprofessional team in the pediatric intensive care unit (PICU). Methods: An interprofessional team established priorities for learning using a Delphi needs assessment. A training curriculum was designed to include biannual, training sessions in which interprofessional teams worked through 3-5 scenarios. Case difficulty was progressively increased and matched to the level of the team leader. Course efficacy was measured through pre- and post-course surveys of confidence in clinical skill, teamwork, and situational awareness.
Teamwork and leadership were assessed by outside observers using a modified Ottawa scale. Clinical learning checklists were completed to assess learning objectives. A 60-day post training survey was sent to participants to assess relevance of training session on clinical practice. Results: The simulation curriculum demonstrated an improvement in PICU nurses’ and pediatric resident’s skill, efficiency, and confidence in resuscitation events. Conclusion: A simulation curriculum can improve pediatric critical care teamwork, skill, and efficiency in pre, post and 60 day follow up survey. High fidelity simulation with rapid cycle deliberate practice (RCDP) was shown to improve perceived and actual PICU nursing skills and pediatric resident resuscitation
leadership during successive scenarios.