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Development and evaluation of a simulation-based early-mobility curriculum for paediatric intensive care nurses
Jessica M LaRosa1, Hallie Lenker2, Razvan Azamfirei1,3
1Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Nursing in Critical Care
|January 7, 2025
Summary
Simulation training significantly improved pediatric intensive care unit (PICU) nurses' confidence, knowledge, and skills in early mobility for critically ill children. This educational approach is feasible and effective for enhancing patient care.
Area of Science:
- Pediatric Intensive Care
- Nursing Education
- Simulation-Based Learning
Background:
- Immobility in the pediatric intensive care unit (PICU) poses risks to children.
- Nurses identify insufficient training as a barrier to implementing early mobility protocols.
- Simulation is recognized as a strategy to enhance early mobility implementation.
Purpose of the Study:
- To develop an early mobility simulation curriculum for nurses using adult learning theory.
- To evaluate the curriculum's impact on nursing self-efficacy, knowledge, and skills in mobilizing critically ill children.
Main Methods:
- An interprofessional team developed a simulation curriculum based on a development framework.
- Educational strategies included group simulations, debriefing, and didactic sessions.
- A pre-post quasi-experimental design evaluated changes in nurses' self-efficacy, knowledge, and clinical skills.
Main Results:
- Eleven PICU nurses participated in the simulation curriculum.
- Post-curriculum, 100% of nurses felt confident mobilizing patients, compared to 0% before (p=.031).
- Knowledge scores improved significantly (median 14 to 17, p=.001), as did clinical skills (median 15 to 19 items, p=.0037).
Conclusions:
- Developing a simulation-based early mobility curriculum for PICU nurses is feasible.
- The curriculum effectively improved nurses' self-efficacy, knowledge, and clinical skills in mobilizing critically ill children.
- Simulation is a valuable tool for training nurses in safe and effective early mobilization of critically ill children.
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