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

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世界重症医学杂志 2016年第4期5卷 212-218页

作者： linnea m larson-williams Amber Q Youngblood Dawn Taylor Peterson J Lynn Zinkan marjorie L White Hussein Abdul-Latif Leen matalka Stephen N Epps Nancy m Tofil Department of Pediatric Endo-crinology Georgia Regents University Children’s of Alabama Pediatric Simulation Center Department of medical Education University of Alabama School of Medicine Department of Pediatric Emergency medicine Office of Interprofessional Simulation University of Alabama at Birmingham Department of Pediatric Endocrinology University of Alabama at Birmingham Pediatric Residency University of Alabama at Birmingham Department of Pediatrics Louisiana State University Department of Pediatric Critical Care University of Alabama in Birmingham

AIm To investigate the use of a multidisciplinary, longitudinal simulation to educate pediatric residents and nurses on management of pediatric diabetic *** 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 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 *** 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.

关键词： Interdisciplinary Education Simulation Diabetic ketoacidosis Pediatrics

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