Teamwork in pediatric resuscitation: training medical students on high-fidelity simulation
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Universidade Federal de Minas Gerais
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Background: Simulation training and teamwork for medical students are essential to improve performance in pediatric cardiopulmonary resuscitation.
Purpose: To evaluate if a specific approach to teamwork improves technical and nontechnical performance.
Methods: We performed quasiexperimental, prospective, pre- and postinterventional, and nonrandomized research with 65 students in the fourth year of their medicine course. This was a case–control study in which teams used a customized TeamSTEPPS protocol (n=34) or not (n=31) for cardiopulmonary arrest training in children using high-fidelity simulation. All participants answered a sociodemographic and satisfaction questionnaire and underwent theory and practice pre- and posttesting. The survey data were collected in 2019 and analyzed using χ2, Mann–Whitney, κ, and Wilcoxon tests. p< 0.05 was considered significant.
Results: Intervention and control groups achieved better scores in theory posttesting (p< 0.001 and p=0.049), but there was no difference between them in pre- (p=0.291) and posttesting (p=0.397). In the checklist of the practice test, all groups obtained their best outcomes in posttesting and the intervention group achieved higher scores (p< 0.001). All groups increased the number of teamwork events and reduced the time span to perform resuscitation first steps (p< 0.001) in posttesting.
Conclusion: The use of teamwork training based on a customized TeamSTEPPS protocol improved performance in team behavior and group technical achievement. The evaluation of the students about the training was positive.
Abstract
Assunto
Reanimação cardiopulmonar, Educação médica, Equipe de assistência ao paciente, Segurança do paciente, Treinamento com simulação de alta fidelidade
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Cardiopulmonary resuscitation, Medical education, Patient-care team, Patient safety, Simulation training
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https://www.dovepress.com/teamwork-in-pediatric-resuscitation-training-medical-students-on-high--peer-reviewed-fulltext-article-AMEP