Author Of 1 Presentation
IN SITU SIMULATIONS IN PEDIATRIC EMERGENCY ROOM (PER): RESILIENCY AND TEAM WORK ANALYSIS. ONE YEAR EXPERIENCE.
Abstract
Background
In all critical situations involving children, emotional impact is huge, even for professionals: pediatric emergencies represent a very strong challenge for physicians and nurses.
Objectives
To analyze team working with a special regard to the attitude of different professional figures involved (pediatricians, residents, nurses) with in situ simulation in a PER in a tertiary pediatric hospital.
Methods
We performed, from March 2018 to March 2019, 10 high fidelity in situ simulations involved all the PER team in Udine University Hospital. A team composed of four rescuers (a pediatric consultant, a resident and two nurses) attended monthly a simulated scenario. Five facilitators observed the team in every training situation. Before and after simulation all the participants filled out a questionnaire to explore and measure: 1) self-awareness, 2) resiliency, 3) social skills, 4) sense of responsibility, 5) ability to motivate the group. We also decided to include the psychologist as an actor into each scenario, performing one of the parents.
Results
We performed 10 simulations which included 10 pediatricians, 10 residents and 20 nurses. Simulation improved the technical and not-technical skills especially in residents group. Resiliency pattern resulted increased after the simulation in all groups categories. Simulation implemented mostly the categories “sense of responsibility” and “social skills” across nurses, were higher scores has also been recorded.
Conclusion
Simulation improved the management of both technical and not-technical skills. The questionnaire was a good predictor of self-sense, is quick, reproducible, not operator sensitive and can be applied in further studies.