期刊论文详细信息
BMC Research Notes
Simulation-based learning combined with debriefing: trainers satisfaction with a new approach to training the trainers to teach neonatal resuscitation
Tanya N Beran1  Louis P Halamek4  Khalid Aziz2  Harish J Amin3 
[1] Community Health Sciences, University of Calgary, Calgary, Alberta T2N 4N1, Canada;Medical Director, Royal Alexandra Hospital NICU, Neonatal Administration Room 5027 DTC, 10240 Kingsway, Edmonton, Alberta T5H 3V9, Canada;Department of Pediatrics, University of Calgary, C4-615, Alberta Children’s Hospital, 2888 Shaganappi Trail N.W., Calgary, Alberta T3B 6A8, Canada;Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University, Suite 315, 750 Welch Road, Palo Alto, CA 94305, USA
关键词: Debriefing;    Simulation;    Neonatal resuscitation;   
Others  :  1142297
DOI  :  10.1186/1756-0500-6-251
 received in 2013-04-19, accepted in 2013-07-03,  发布年份 2013
PDF
【 摘 要 】

Background

Prompt initiation of appropriate neonatal resuscitation skills is critical for the neonate experiencing difficulty transitioning to extra-uterine life. The use of simulation training is considered to be an indispensable tool to address these challenges. Research has yet to examine the effectiveness of simulation and debriefing for preparation of trainers to train others on the use of simulation and debriefing for neonatal resuscitation. This study determines the degree to which experienced NRP instructors or instructor trainers perceived simulation in combination with debriefing to be effective in preparing them to teach simulation to other health care professionals.

Methods

Participants’ perceptions of knowledge, skills, and confidence gained following a neonatal resuscitation workshop (lectures; scenario development and enactment; video recording and playback; and debriefing) were determined using a pre-post test questionnaire design. Questionnaire scores were subjected to factor and reliability analyses as well as pre- and post-test comparisons.

Results

A total of 17 participants completed 2 questionnaires. Principal component extraction of 18 items on the pre-test questionnaire resulted in 5 factors: teamwork, ability to run a simulation, skills for simulation, recognizing cues for simulation and ability to debrief. Both questionnaire scores showed good reliability (α: 0.83 - 0.97) and factorial validity. Pre- and post-test comparisons showed significant improvements in participants’ perceptions of their ability to: conduct (as an instructor) a simulation (p < .05, η2 .47); participate in a simulation (p < .05, η2 .45); recognize cues (p < .05, η2 .35); and debrief (p < .05, η2 .41).

Conclusions

Simulation training increased participants’ perceptions of their knowledge, skills, and confidence to train others in neonatal resuscitation.

【 授权许可】

   
2013 Amin et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150328025439699.pdf 141KB PDF download
【 参考文献 】
  • [1]Arafeh J, D'Apolito K: From the Editors. J Perinat Neonat Nurs 2008, 22:83-84.
  • [2]Beaubien JM, Baker DP: The use of simulation for training teamwork skills in health care: how long can you go? Qual Saf Health Care 2004, 13(Suppl 1):i51-i56.
  • [3]Berg BL: Qualitative Research Methods for the Social Sciences. 6th edition. Boston, MA: Pearson/Allan & Bacon; 2007.
  • [4]Cavaleiro AP, Guimaraes H, Calheiros FL: Training neonatal skills with simulators? Acta Paediatr 2009, 98:636-639.
  • [5]Curran VR, Aziz K, O’Young S, Bessell C: Evaluation of the effect of a computerized training simulator (ANAKIN) on the retention of neonatal resuscitation skills. Teach Lear Med 2004, 16:157-164.
  • [6]Hattie J, Timperley H: The power of feedback. Rev Educ Res 2007, 77:81-112.
  • [7]American Academy of Pediatrics. n.d: Neonatal Resuscitation Program. 2013. http://www2.aap.org/nrp/about.html webcite. URL last accessed on 6 February
  • [8]Kaczorowski J, Levitt C, Hammond M, et al.: Retention of neonatal resuscitation skills and knowledge: a randomized controlled trial. Fam Med 1998, 30:705-711.
  • [9]Ed KJ: Textbook of Neonatal Resuscitation, 5th Edition. 5th edition. Elk Grove Village: IL: American Academy of Pediatrics and American Heart Association; 2006.
  • [10]Kogan JR, Hauer KE: Brief report: use of the mini-clinical evaluation exercise in internal medicine core clerkships. J Gen Intern Med 2006, 21:501-502.
  • [11]Kohn L, Corrigan JM, Donaldson M: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.
  • [12]McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ: A critical review of simulation-based medical education research: 2003-2009. Med Educ 2010, 44:50-63.
  • [13]Norcini J: The power of feedback. Med Educ 2010, 44:16-17.
  • [14]Roberts NK, Williams RG, Kim MJ, Dunnington GL: The briefing, intraoperative teaching, debriefing model for teaching in the operating room. J Am Coll Surg 2009, 208:299-303.
  • [15]Thomas EJ, Taggart B, Crandell S, Lasky RE, Williams AL, Love LJ, et al.: Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. J Perinatol 2007, 27:409-414.
  • [16]Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR: Team training in the neonatal resuscitation program for interns: Teamwork and quality of resuscitations. Pediatrics 2010, 125:539-546.
  文献评价指标  
  下载次数:4次 浏览次数:22次