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Simulation for Clinical Preparedness in Pediatric Emergencies: A Pilot Study.
Bette Mariani1, Kelly Ann Zazyczny, Patricia Decina
1Bette Mariani, PhD, RN, ANEF, is Associate Professor, Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania. Kelly Ann Zazyczny, MSN, RN, CPN, is System Nurse Manager, Pediatrics and Vascular Access, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania. Patricia Decina, MHA, BSN, RN, CPN, is Staff Nurse 5, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania. Lisa Waraksa, BSN, RN, CPN, is Staff Nurse 4, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania. Patricia Snyder, BSN, RN, CPA, is Clinical Coordinator, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania. Elizabeth Gallagher, MSN, RN, CPN, is Staff Nurse 5, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania. Carol Hand, MHA, BSN, RNC-NIC, is Clinical Nurse Educator, Neonatal Intensive Care unit, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.
Pediatric mock code simulations improve nurses' knowledge of emergencies. Repeated training with debriefing maintained resuscitation skills, offering an evidence-based approach for pediatric emergency preparedness.
Area of Science:
- Pediatric Emergency Medicine
- Cardiopulmonary Resuscitation
- Healthcare Simulation
Background:
- Pediatric in-hospital cardiopulmonary arrest outcomes remain poor.
- Declining clinical knowledge and skills impact resuscitation quality.
- There is a need for effective professional development in pediatric emergencies.
Purpose of the Study:
- To explore the outcomes of repeated pediatric mock code simulations with structured debriefing.
- To assess the impact on nurses' knowledge and skills in pediatric emergencies.
- To provide an evidence-based approach for pediatric emergency education.
Main Methods:
- Pilot study utilizing repeated pediatric mock code simulations.
- Structured debriefing sessions were incorporated.
- Knowledge and resuscitation skills were assessed pre- and post-simulation.
Main Results:
- Statistically significant improvements in participants' knowledge of pediatric emergencies.
- No significant decline in participants' resuscitation skills observed.
- Demonstrated the effectiveness of repeated simulations and debriefing.
Conclusions:
- Repeated pediatric mock code simulations with debriefing enhance nurses' knowledge.
- Simulation-based training is effective in maintaining critical resuscitation skills.
- This approach offers a valuable tool for professional development in pediatric emergency care.
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