Effects of Blindfold on Leadership in Pediatric Resuscitation Simulation: A Randomized Trial

被引:11
作者
Buyck, Michael [1 ]
Manzano, Sergio [1 ,2 ]
Haddad, Kevin [2 ]
Moncousin, Anne-Catherine [2 ]
Galetto-Lacour, Annick [1 ]
Blondon, Katherine [3 ,4 ]
Karam, Oliver [2 ,5 ,6 ]
机构
[1] Childrens Hosp Geneva, Dept Pediat Emergency, Geneva, Switzerland
[2] Childrens Hosp Geneva, SimKids, Geneva, Switzerland
[3] Univ Geneva, Interprofess Simulat Ctr, Geneva, Switzerland
[4] Univ Hosp Geneva, Med Directorate, Geneva, Switzerland
[5] Childrens Hosp Geneva, Pediat Crit Care Unit, Geneva, Switzerland
[6] Childrens Hosp Richmond, Pediat Crit Care Unit, Richmond, VA USA
来源
FRONTIERS IN PEDIATRICS | 2019年 / 7卷
关键词
pediatric; emergency medicine; simulation-based training; non-clinical skills; leadership; CARDIOPULMONARY-RESUSCITATION; TRAINING IMPROVES; EMERGENCIES; PERFORMANCE; TEAMS; TOOL;
D O I
10.3389/fped.2019.00010
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Pediatric resuscitations are rare events. Simulation-based training improves clinical and non-clinical skills, as well as survival rate. We assessed the effectiveness of using blindfolds to further improve leadership skills in pediatric simulation-based training. Methods: Twelve teams, each composed of 1 pediatric emergency fellow, 1 pediatric resident, and 2 pediatric emergency nurses, were randomly assigned to the blindfold group (BG) or to the control group (CG). All groups participated in one session of five simulation-based resuscitation scenarios. The intervention was using a blindfold for the BG leader for the scenarios B, C, and D. Three evaluators, who were blinded to the allocation, assessed leadership skills on the first and last video-recorded scenarios (A and E). Questionnaires assessed self-reported changes in stress and satisfaction about skills after the first and the last scenarios. Results: Improvement in leadership skills doubled in the BG compared with the CG (11.4 vs. 5.4%, p = 0.04), whereas there was no increase in stress or decrease in satisfaction. Conclusion: Blindfold could be an efficient method for leadership training during pediatric resuscitation simulated scenarios. Future studies should further assess its effect at a follow-up and on clinical outcomes after pediatric resuscitation.
引用
收藏
页数:6
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