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Observational Study
. 2018 Dec;34(12):1353-1362.
doi: 10.1007/s00383-018-4361-y. Epub 2018 Oct 15.

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

Cory M McLaughlin  1 , Minna M Wieck  1 , Erica N Barin  1   2 , Alyssa Rake  3 , Rita V Burke  1   2 , Heather B Roesly  1 , L Caulette Young  3 , Todd P Chang  4 , Elizabeth A Cleek  1   2 , Inge Morton  4 , Catherine J Goodhue  1   2 , Randall S Burd  5 , Henri R Ford  1   2 , Jeffrey S Upperman  1   2 , Aaron R Jensen  6   7
Affiliations
Observational Study

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

Cory M McLaughlin et al. Pediatr Surg Int. 2018 Dec.

Abstract

Purpose: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

Level of evidence: II, Prospective cohort.

Keywords: Communication; Confidence; Pediatric trauma; Simulation; Teamwork.

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Figures

Figure 1:
Figure 1:
Survey of provider perception of limitations of trauma team function prior to implementation of in situ simulation-based training for pediatric trauma resuscitation. N = 93. Survey responses were scored on a 5-point Likert scale with 1=strongly disagree and 5=strongly agree. P-value represents comparison of median rating with Mann Whitney U.
Figure 2:
Figure 2:
Survey of provider perceptions of the utility of simulation-based training prior to implementation. N = 93. Survey responses were scored on a 5-point Likert scale with 1=strongly disagree and 5=strongly agree. P-value represents comparison of median rating with Mann Whitney U.
See this image and copyright information in PMC

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