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A Standardized Needs Assessment Tool to Inform the Curriculum Development Process for Pediatric Resuscitation

Nicole Shilkofski1, Amanda Crichlow2, Julie Rice3

  • 1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, United States.

Frontiers in Pediatrics
|March 31, 2018
PubMed

Insights

High under-five mortality in low- and middle-income countries (LMICs) can be reduced through targeted education. A needs assessment using a modified World Health Organization (WHO) tool identified key learning needs for pediatric resuscitation in Uganda and Myanmar.

Area of Science:

  • Global Health
  • Pediatric Resuscitation Education
  • Medical Simulation

Background:

  • Under-five mortality rates (UFMR) remain high in low- and middle-income countries (LMICs).
  • Effective practitioner education is crucial for improving pediatric outcomes and achieving Sustainable Development Goals 3 and 10.
  • Contextualizing educational curricula requires understanding the target learner population's needs.

Purpose of the Study:

  • To assess pediatric resuscitation capacity and identify learning needs in LMICs.
  • To adapt the World Health Organization (WHO) Tool for Situational Analysis for this purpose.
  • To inform the development of a simulation-based pediatric resuscitation curriculum.

Main Methods:

  • Modified the WHO Tool for Situational Analysis to assess pediatric resuscitation capacity.
  • Included assessment of learning needs, current practices, and perceived disease burden.
  • Administered the modified tool to 94 respondents in Uganda and Myanmar.

Main Results:

  • Infectious diseases (respiratory and diarrheal) were the leading causes of pediatric deaths.
  • Learners identified needs in pediatric airway/breathing management, CPR, and fluid resuscitation.
  • Significant variations in equipment and supply availability were noted, with critical shortages in both settings.

Conclusions:

  • The needs assessment results aligned with WHO mortality statistics, validating the findings.
  • Survey data informed the refinement of curriculum goals and objectives for pragmatic, contextualized education.
  • The modified WHO tool demonstrated generalizability across different LMIC settings for needs assessment.
Abstract

Keywords:
PIPES tooldeveloping countrieslimited-resource settingsneeds assessmentneonatal resuscitationpediatric critical carepediatric resuscitationsimulation-based training

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