Hospital to Home: A Quality Improvement Initiative to Implement High-fidelity Simulation Training for Caregivers of Children Requiring Long-term Mechanical Ventilation

Thrasher, Jodi; Baker, Joyce; Ventre, Kathleen M.; Martin, Sara; Dawson, Joseph; Cox, Roberta; Moore, Heather M.; Brethouwer, Sarah; Sables-Baus, Sharon; Baker, Christopher D.

doi:10.1016/j.pedn.2017.08.028

Cited by 74 publications

(86 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An international study presents some interventions to prepare families to manage possible intercurrences or clinical emergencies that may arise in the stage of living with the child's tracheostomy. High fidelity simulation has been used as teaching methodology, including audiovisual and printed material, training for cardiopulmonary resuscitation practices and scenarios that reproduce emergencies related to tracheostomy (24) .…”

Section: Discussionmentioning

confidence: 99%

Social support of families with tracheostomized children

Lemos

Mendes-Castillo

2019

Rev. Bras. Enferm.

View full text Add to dashboard Cite

Objective:To understand the social support of families with tracheostomized children. Method: Qualitative study using the Model of Dimensions of Social Support together with the Family System-Illness model as theoretical frameworks, based on the hybrid model of thematic analysis. Nine families with tracheostomized children were interviewed in an outpatient pediatric otorhinolaryngology department of a public hospital in the inner state of São Paulo. Results: The experience of social support to each phase of the family experience was presented in three themes: "Knowing the need for a tracheostomy", "Performing a tracheostomy" and "Living with a tracheostomy". Final considerations: Understanding how the experience of social support occurs can support assessment and intervention strategies, aiming to meet the demands of the family at each phase of its trajectory, collaborating for a continuous and integral nursing care. RESUMOObjetivo: compreender o apoio social de famílias de crianças traqueostomizadas. Método: estudo qualitativo que utilizou como referenciais teóricos o modelo de Apoio Social e suas Dimensões e o modelo Sistema Familiar-Doença, e cuja análise foi pautada pelo modelo Híbrido de Análise Temática. Foram entrevistadas nove famílias de crianças traqueostomizadas em acompanhamento no serviço ambulatorial de otorrinolaringologia pediátrica de um hospital público do interior do estado de São Paulo. Resultados: a experiência de apoio social peculiar a cada fase da experiência da família foi apresentada em três temas: "Saber da necessidade de traqueostomia" "Realizar a traqueostomia" e "Conviver com a traqueostomia". Considerações Finais: compreender como se dá a experiência do apoio social pode subsidiar estratégias de avaliação e intervenção, visando atender às demandas da família em cada fase de sua trajetória, colaborando para uma assistência de Enfermagem contínua e integral. RESUMENObjetivo: Entender el apoyo social de las familias con niños traqueostomizados. Método: Estudio cualitativo en que se utilizó como marco teórico el modelo de apoyo social y sus dimensiones y el modelo sistema familiar-enfermedad, y en el análisis se utilizó el modelo híbrido de análisis temático. Se entrevistó a nueve familias con niños traqueostomizados en seguimiento en el Servicio Ambulatorio de Otorrinolaringología Pediátrica de un hospital público del interior del estado de São Paulo. Resultados: La experiencia de apoyo social específico a cada fase de la experiencia de la familia ocurre de tres maneras: "Saber de la necesidad de la traqueostomía", "Realizar la traqueotomía" y "Convivir con la traqueotomía". Consideraciones finales: El entendimiento sobre cómo ocurre la experiencia del apoyo social puede permitir que se establezcan estrategias de evaluación e intervención, para atender las demandas de la familia en cada fase de su trayectoria y colaborar con una asistencia de enfermería continua e integral.

show abstract

Section: Discussionmentioning

confidence: 99%

Social support of families with tracheostomized children

Lemos

Mendes-Castillo

2019

Rev. Bras. Enferm.

View full text Add to dashboard Cite

show abstract

“…In 2018, Thrasher and colleagues published two high-fidelity simulation scenarios for use in training family caregivers of the tracheostomy- and ventilator-dependent child for independent care at home. 15 More recently, the team developed a third high-fidelity scenario to simulate tracheostomy tube decannulation in the tracheostomy-dependent patient. With permission, we adjusted these three scenarios to reflect inpatient experiences frequently encountered by pediatrics residents on our pulmonary unit.…”

Section: Methodsmentioning

confidence: 99%

“…14 Simulation has been used in the tracheostomy patient population to create realistic clinical scenarios that allow learners to seek feedback, reflect, and learn with no risk to the patient. 9 , 15 – 17 However, there are no standardized simulation curricula for pediatric residents caring for the inpatient tracheostomy- and/or ventilator-dependent patient. While simulation is largely a formative process, meant to build skills in learners, it also can be used as an assessment tool to evaluate learner competence and the strength of teaching curricula.…”

Section: Introductionmentioning

confidence: 99%

“When in Doubt, Change It out”: A Case-Based Simulation for Pediatric Residents Caring for Hospitalized Tracheostomy-Dependent Children

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction: Caring for technology-dependent children, such as those with tracheostomy and ventilator dependence, can be new and frightening for pediatric residents. Education about emergencies in this patient population is important because these children are at risk for in-hospital complications. Safe care of the tracheostomy-dependent child requires the ability to recognize common complications, such as tracheostomy tube obstruction or decannulation, and intervene appropriately by suctioning and/or replacing the tracheostomy tube. This simulation-based curriculum teaches learners to identify and practice the management of these tracheostomy tube complications through low-fidelity simulation exercises. Methods: We created a simulation session with three cases reflecting in-hospital scenarios encountered by resident physicians caring for tracheostomy-dependent children in the inpatient setting. The simulation scenario, simulation environment preparation, materials list, and debriefing outline are provided for the instructor for each simulation case. Validity evidence for the assessment tool was obtained by calculating the interrater reliability of two different raters. Resident feedback was obtained through anonymous surveys. Results: Twelve pediatric senior residents completed the experience. It received overwhelmingly positive feedback on learner evaluation forms, with 90% finding the experience very or extremely helpful. The intraclass correlation coefficient of interrater reliability for our assessment tool was 0.93. Discussion: The simulation was well received by residents. The interrater reliability was acceptable. This low-fidelity simulation exercise can easily be executed with minimal materials or instructor training. High-yield, just-in-time training with postcase debriefing is key to the simulation's success.

show abstract

“…Os familiares podem deixar o hospital com pouco conhecimento e podem se sentir despreparados para gerenciar esse cuidado em domicílio. (18,19) Quando a família recebe informações necessárias e as orientações pelos profissionais de saúde apresentadas são de maneira efetiva, favorecem a redução da ansiedade, melhorando a aceitação do familiar frente ao procedimento a ser realizado e proporcionando segurança na realização dos cuidados. (6) Destaca-se neste estudo que quando o cuidador familiar se sente apoiado pela equipe de saúde e recebe informações claras e preparo antecedentes à alta hospitalar, consegue desempenhar os cuidados com mais tranquilidade e habilidade.…”

Section: Discussionunclassified

“…(3,5,6,8,10) No estado do Colorado, um estudo mostrou que as famílias que foram bem treinadas quanto ao cuidado à criança, anterior a alta hospitalar com uso de simulação para emergência, apresentaram sete vezes menores chances para reinternação hospitalar quando comparadas as famílias que não recebem esse preparo. (18)…”

Section: Discussionunclassified