Simulation in paediatric training

Newly qualified Saudi nurses' ability to recognize the deteriorating child in hospital

“…Whilst many hospitals internationally have implemented various forms of paediatric early warning systems (PEWS) (Bonafide et al, ; Edwards et al, ; Fuijkschot et al, ) to improve the recognition of deterioration, they are not currently in use within KSA. Whilst there are a number of disparate PEWS in current use (Lambert et al, ), there is an international evaluation underway (Parshuram et al, ), and in some countries, there is a move to develop a standardized national PEWS tool (Clerihew et al, ; Lambert et al, ). Future work may involve implementing a standardized observation chart (with graphical display) to record vital signs, combined with an escalation algorithm in Saudi Arabia, supported by a focused educational intervention.…”

Integrating teaching into everyday clinical practice

“…The benefits of simulation in paediatric training have recently been reviewed 17. Using real cases in simulation scenarios can be a way to revisit and discuss clinical decisions in a supportive and safe environment.…”

Developing an undergraduate paediatric simulation workshop in a resource constrained setting: A practical ‘how to’ guide

“…In an era where pressures exist for the provision of target‐driven health care, systematic training in the management of seriously unwell children is becoming increasingly difficult . Ethical tensions between developing clinical skills and providing optimal treatment within the sphere of patient safety need to be negotiated, together with challenges in obtaining consent from parents to practice assessment skills in distressed and sick children . These limited opportunities are further compounded by fast patient turnover in paediatrics and rapid resolution of clinical signs …”

“…2 Ethical tensions between developing clinical skills and providing optimal treatment within the sphere of patient safety need to be negotiated, together with challenges in obtaining consent from parents to practice assessment skills in distressed and sick children. [2][3][4][5][6] These limited opportunities are further compounded by fast patient turnover in paediatrics and rapid resolution of clinical signs. 5,6 The use of simulation to improve technical and non-technical skills has been identified as a bridge for this gap in undergraduate medical education.…”

“…[2][3][4][5][6] These limited opportunities are further compounded by fast patient turnover in paediatrics and rapid resolution of clinical signs. 5,6 The use of simulation to improve technical and non-technical skills has been identified as a bridge for this gap in undergraduate medical education. 1 While a significant amount has been written regarding the use of medium-to high-fidelity simulation in settings where simulation suites are available, little has been published on the use of simulation as an educational tool for undergraduates in a resource constrained environment.…”