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Simulator Training for Endovascular Neurosurgery

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Published on: May 6, 2020

Utilizing Competence-Based Simulation to Improve Orientation Outcomes.

Honey L Pezzimenti¹, Patricia A Achuff², Roberta L Hales³

¹Department of Respiratory Care, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. PezzimentH@chop.edu.

Respiratory Care

|July 19, 2022

Summary

This summary is machine-generated.

A new competence-based orientation program significantly improved pediatric skills for respiratory therapists (RTs). The simulation-based approach ensured new hires were prepared for clinical tasks, enhancing overall orientation success.

Keywords:

assessment competence orientation outcomes respiratory therapists simulation

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Area of Science:

Medical Education
Respiratory Therapy
Pediatric Critical Care

Background:

New graduate and experienced respiratory therapists (RTs) often lack adequate preparation in pediatric and neonatal care.
Traditional orientation programs may not sufficiently address the specific knowledge and skills required for pediatric clinical practice.

Purpose of the Study:

To develop and evaluate a competence-based orientation program utilizing simulation to enhance the preparedness of new respiratory therapy hires for pediatric patient care.
To assess the effectiveness of simulation-based competence assessment in improving the skills of RTs entering pediatric roles.

Main Methods:

A 9-week orientation curriculum incorporating simulation-based competence assessment was implemented for new respiratory therapist hires.
Simulation scenarios, including noninvasive ventilation and decompensating patient management, were administered at the beginning and end of orientation.
Curriculum adjustments were made based on simulation performance and on-the-job assessments.

Main Results:

All participants demonstrated significant improvement in simulation scores from pre- to post-orientation across all periods (P < .001).
Remediation was required for 15% of staff, with 71% successfully advancing to ICU orientation.
Post-simulation scores between new graduate RTs and experienced RTs were not significantly different after period 1, indicating comparable skill acquisition.

Conclusions:

A competence-based orientation program effectively enhances educational outcomes and successfully prepares respiratory therapists for pediatric clinical roles.
Simulation-based competence assessment is a valuable tool for determining successful orientation completion and identifying areas for improvement.