Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation

Cory McLaughlin; Minna Wieck; Erica Barin; Alyssa Rake; Rita Burke; Heather Roesly; L Young; Todd Chang; Elizabeth Cleek; Inge Morton; Catherine Goodhue; Randall Burd; Henri Ford; Jeffrey Upperman; Aaron Jensen

doi:10.1007/s00383-018-4361-y

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Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation

Journal article

Open access

Peer reviewed

Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation

Cory McLaughlin, Minna Wieck, Erica Barin, Alyssa Rake, Rita Burke, Heather Roesly, L Young, Todd Chang, Elizabeth Cleek, Inge Morton, …

Pediatric surgery international, Vol.34(12), pp.1353-1362

2018-12

DOI: https://doi.org/10.1007/s00383-018-4361-y

PMCID: PMC6353611

PMID: 30324569

Abstract

Pediatrics

Medicine & Public Health

Simulation

Confidence

Surgery

Pediatric trauma

Teamwork

Pediatric Surgery

Communication

Simulation-based training has the potential to improve team-based care. We hypothesized that implementation of an in situ multidisciplinary simulation-based training program would improve provider confidence in team-based management of severely injured pediatric trauma patients.An in situ multidisciplinary pediatric trauma simulation-based training program with structured debriefing was implemented at a free-standing children’s hospital. Trauma providers were anonymously surveyed 1 month before (pre-), 1 month after (post-), and 2 years after implementation.Survey response rate was 49% (n = 93/190) pre-simulation, 22% (n = 42/190) post-simulation, and 79% (n = 150/190) at 2-year follow-up. These providers reported more anxiety (p = 0.01) and less confidence (p = 0.02) 1-month post-simulation. At 2-year follow-up, trained providers reported less anxiety (p = 0.02) and greater confidence (p = 0.01), compared to untrained providers.Implementation of an in situ multidisciplinary pediatric trauma simulation-based training program may initially lead to increased anxiety, but long-term exposure may lead to greater confidence.II, Prospective cohort.

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.14 Nursing; 1.14.849 Surgical Education
Web Of Science research areas: Pediatrics; Surgery
ESI research areas: Clinical Medicine

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Title: Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation
Creators: Cory McLaughlin - 0000 0001 2156 6853 grid.42505.36 Division of Pediatric Surgery Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Mailstop 100, 4650 Sunset Blvd Los Angeles CA 90027 USA
Minna Wieck - 0000 0001 2156 6853 grid.42505.36 Division of Pediatric Surgery Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Mailstop 100, 4650 Sunset Blvd Los Angeles CA 90027 USA
Erica Barin - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Alyssa Rake - 0000 0001 2156 6853 grid.42505.36 Division of Anesthesiology and Critical Care Medicine Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Rita Burke - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Heather Roesly - 0000 0001 2156 6853 grid.42505.36 Division of Pediatric Surgery Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Mailstop 100, 4650 Sunset Blvd Los Angeles CA 90027 USA
L Young - 0000 0001 2156 6853 grid.42505.36 Division of Anesthesiology and Critical Care Medicine Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Todd Chang - 0000 0001 2156 6853 grid.42505.36 Division of Emergency and Transport Medicine Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Elizabeth Cleek - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Inge Morton - 0000 0001 2156 6853 grid.42505.36 Division of Emergency and Transport Medicine Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Catherine Goodhue - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Randall Burd - 0000 0004 0482 1586 grid.239560.b Division of Trauma and Burn Surgery Children’s National Medical Center Washington DC 20010 USA
Henri Ford - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Jeffrey Upperman - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Aaron Jensen - 0000 0001 2156 6853 grid.42505.36 Trauma Program Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California Los Angeles CA 90027 USA
Publication Details: Pediatric surgery international, Vol.34(12), pp.1353-1362
Publisher: Springer Berlin Heidelberg; Berlin/Heidelberg
Grant note: 2014 Barbara M. Korsch Award for Research in Medical Education / Children’s Hospital Los Angeles (http://dx.doi.org/10.13039/100006459) KL2TR001854 / National Center for Advancing Translational Sciences (http://dx.doi.org/10.13039/100006108)
Academic Unit: Leadership Department; Health Affairs Administration; Health Affairs Administration
Language: English
Resource Type: Journal article
PMID: 30324569
PMCID: PMC6353611
Record Identifier: 991031560502902976