Interprofessional,multiple step simulation course improves pediatric resident and nursing staff management of pediatric patients with diabetic ketoacidosis

• 作者: Amber Q Youngblood Dawn Taylor Peterson Hussein Abdul-Latif J Lynn Zinkan Leen Matalka Linnea M Larson-Williams Marjorie L White Nancy M Tofil Stephen N Epps
• 来源期刊: 世界重症医学杂志
• 学科: 医学
• 关键词: INTERDISCIPLINARY Education SIMULATION Diabetic KETOACIDOSIS PEDIATRICS
• 年，卷（期）: 2016,（4）
• 页码范围: 212-218
• 页数: 7页
• 分类号: R

摘要

AIM To investigate the use of a multidisciplinary,longitudinal simulation to educate pediatric residents and nurses on management of pediatric diabetic ketoacidosis.METHODS A multidisciplinary,multiple step simulation course was developed by faculty and staff using a modified Delphi method from the Pediatric Simulation Center and pediatric endocrinology department.Effectiveness of the simulation for the residents was measured with a pre-and post-test and a reference group not exposed to simulation.A follow up post-test was completed 3-6 mo after the simulation.Nurses completed a survey regarding the education activity.RESULTS Pediatric and medicine-pediatric residents(n=20)and pediatric nurses(n=25)completed the simulation course.Graduating residents(n=16)were used as reference group.Pretest results were similar in the control and intervention group(74%±10%vs 76%±15%,P=0.658).After completing the intervention,participants improved in the immediate post-test in comparison to themselves and the control group(84%±12%post study;P<0.05).The 3-6 mo follow up post-test results demonstrated knowledge decay when compared to their immediate post-test results(78%±14%,P=0.761).Residents and nurses felt the interdisciplinary and longitudinal nature of the simulation helped with learning.CONCLUSION Results suggest a multidisciplinary,longitudinal simulation improves immediate post-intervention knowledge but important knowledge decay occurs,future studies are needed to determine ways to decrease this decay.