Deliberate Practice Using Simulation Improves Neonatal Resuscitation Performance

Sawyer, Taylor; Sierocka-Castaneda, Agnes; Chan, Debora S.; Berg, Benjamin W.; Lustik, Mike; Thompson, Mark

doi:10.1097/sih.0b013e31822b1307

Cited by 104 publications

(82 citation statements)

References 22 publications

(28 reference statements)

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“…1,2,4 Repetitive practice as provided by simulation has been shown to increase competence in the performance of many clinical procedures, including endoscopy, 5 thoracentesis, 6 advanced cardiac life support, 7 cardiac auscultation, 8 central line placement, 9 lumbar puncture, 10 and neonatal resuscitation skills. 11 Repeated exposure to simulated cases has been shown to improve performance, but repeating case scenarios decreases the learner's overall breadth of exposure. Repeated practice may be exceptionally useful in fields where a few scenarios make up the majority of emergency situations.…”

Section: Introductionmentioning

confidence: 99%

Repeated Versus Varied Case Selection in Pediatric Resident Simulation

Tofil¹,

Peterson²,

Wheeler³

et al. 2014

Journal of Graduate Medical Education

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Background Repeated exposure to pediatric emergency scenarios improves technical skills, but it is unclear whether repeated exposure to specific cases affects medical decision making in varied cases. Objective We sought to determine whether repeated exposure to 1 scenario would translate to improved performance and decision making in varied scenarios. Methods Senior pediatrics residents participated in 3 scenarios with scripted debriefing. Residents were randomized to repeated practice (RP) scenarios or mixed (MIX) scenarios. RP residents completed pulseless electrical activity (PEA) with different stems (Case 1, 2, 3). MIX residents completed PEA (Case 1), seizure (Case 2), and ventricular tachycardia (Case 3) scenarios. Four months later, participants returned to complete 3 more cases: PEA (Case 4), seizure (Case 5), and critical coarctation (Case 6). Results Twenty-three residents participated in the study and were randomized to either the RP or the MIX group. The RP group showed statistically significant improvement in time to start chest compressions, whereas the MIX group showed no improvement. Use of a backboard improved significantly in Case 4 for the RP group but not for the MIX group. Similarly, time to check glucose in the seizure scenario was significantly better in the MIX group that had previous exposure to a seizure scenario. No differences in performance were noted between groups in Case 6, which was new to both groups. Conclusions Results of this study indicate that whereas repeated exposure may improve decision-making skills in similar scenarios, it may not translate to improved medical decision making in other scenarios.

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Section: Introductionmentioning

confidence: 99%

Repeated Versus Varied Case Selection in Pediatric Resident Simulation

Tofil¹,

Peterson²,

Wheeler³

et al. 2014

Journal of Graduate Medical Education

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show abstract

“…Many studies have shown the benefits of training in neonatal resuscitation for improved perinatal outcomes (Draycott et al, 2006;Jukkala and Henly, 2007;Lee et al, 2011;Singh et al, 2006). Simulation in clinical education imitates the management of real life situations as a method of training and has been shown to be an effective method of teaching within neonatal resuscitation courses (Campbell et al, 2009;Cates, 2011;Halamek et al, 2000;Hamalek, 2008;Rovamo et al, 2013;Sawyer et al, 2011;Yaegar and Arafeh, 2008) and there is growing evidence that simulation in midwifery education should be the standard (Cooper et al, 2011;Lathrop et al, 2007). However, there is little evidence examining the effect of neonatal resuscitation training for midwifery students, either in their confidence or performance at neonatal resuscitation or when routinely receiving the newborn at birth.…”

Section: Literature Reviewmentioning

confidence: 99%

Midwifery students receiving the newborn at birth: A pilot study of the impact of structured training in neonatal resuscitation

Bull

Sweet

2015

Nurse Education in Practice

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“…Based on the findings of this study and related simulation literature, the next step should be to teach PoCUS choreography in HFS. Existing evidence of improved team performance 20,21 and resuscitation 22,23 supports the use of simulation interventions for the integration of resuscitative PoCUS.…”

Section: Secondary Outcomesmentioning

confidence: 99%

Ultrasound during Critical Care Simulation: A Randomized Crossover Study

Olszynski¹,

Harris

Renihan

et al. 2015

CJEM

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Objectives: We sought to compare two ultrasound simulation interventions used during critical care simulation. The primary outcome was trainee and instructor preference for either intervention. Secondary outcomes included the identification of strengths and weaknesses of each intervention as well as overall merits of ultrasound simulation during high-fidelity, critical care simulation. The populations of interest included emergency medicine trainees and physicians.Methods: This was a randomized crossover study with two ultrasound simulation interventions. 25 trainees and eight emergency physician instructors participated in criticalcare simulation sessions. Instructors were involved in session debriefing and feedback. Pre-and post-intervention responses were analyzed for statistically significant differences using t test analyses. Qualitative data underwent thematic analysis and triangulation. Results: Both trainees and instructors deemed ultrasound simulation valuable by allowing trainees to demonstrate knowledge of indications, correct image interpretation, and clinical integration (p < 0.05). Trainees described increased motivation to develop and use ultrasound skills. The edus2 was the preferred intervention, as it enabled functional fidelity and the integration of ultrasound into resuscitation choreography. Instructors preferred the edus2, as it facilitated better assessment of trainees' skills, thus influencing feedback. Conclusions: These findings support the use of ultrasound simulation during critical care simulations. The increased functional fidelity associated with edus2 suggests that it is the preferred intervention. Further study of the impact on clinical performance is warranted. RÉSUMÉObjectifs: L'étude visait à comparer deux interventions échographiques simulées, dans le cadre de séances de formation en soins intensifs. Le principal critère d'évaluation consistait à déterminer la préférence des stagiaires et celle des instructeurs pour l'une ou l'autre des interventions. Les critères d'évaluation secondaires comprenaient les points forts et les points faibles de chacune des interventions ainsi que les avantages généraux de la simulation d'échographie dans le cadre de séances de formation réaliste en soins intensifs. La population concernée se composait de stagiaires en médecine d'urgence et d'urgentologues. Méthode: Il s'agit d'une étude croisée, à répartition aléatoire, qui comptait deux interventions échographiques simulées. Vingt-cinq stagiaires et huit urgentologues instructeurs ont participé aux séances de simulation en soins intensifs. Les instructeurs étaient chargés des séances de compte rendu et de la rétroaction des stagiaires. Il y a eu analyse des réponses recueillies avant et après les interventions afin de dégager des écarts statistiquement significatifs à l'aide d'analyses fondées sur le test t. Quant aux données qualitatives, elles ont été soumises à une analyse thématique, puis à la triangulation. Résultats: Tant les stagiaires que les instructeurs ont jugé intéressante ...

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Deliberate Practice Using Simulation Improves Neonatal Resuscitation Performance

Abstract: Our results suggest that DP using simulation is associated with improvements in NRP performance and support the use of DP using simulation in NRP training.

Cited by 104 publications

References 22 publications

Repeated Versus Varied Case Selection in Pediatric Resident Simulation

Repeated Versus Varied Case Selection in Pediatric Resident Simulation

Midwifery students receiving the newborn at birth: A pilot study of the impact of structured training in neonatal resuscitation

Ultrasound during Critical Care Simulation: A Randomized Crossover Study

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