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Simulación sin código: Un currículo de simulación para responder a pacientes con diversos objetivos de atención
Alexa Manrriquez1, Hsuan-Hsiu Annie Chen2, Margaret J Klein3
1Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA.
Journal of pain and symptom management
|February 19, 2026
Resumen
Los residentes de pediatría entrenados con el currículo Mock No Code mostraron una mayor comodidad y confianza en el manejo del final de la vida de niños críticamente enfermos con planes de atención anticipada (PCA). Esta simulación novedosa mejora las habilidades esenciales de cuidados paliativos.
Área de la Ciencia:
- Medicina de cuidados intensivos pediátricos
- Educación médica
- Cuidados paliativos
Sus antecedentes:
- Los residentes de pediatría requieren una formación sólida en el final de la vida, incluyendo planes de atención anticipada (PCA) y manejo de síntomas.
- La formación actual en cuidados paliativos primarios para residentes de pediatría a menudo es inadecuada.
- La formación basada en simulación, como Mock Code, ofrece un entorno controlado para practicar habilidades clínicas de alto riesgo.
Objetivo del estudio:
- Mejorar la comodidad y la confianza de los residentes de pediatría en el manejo de la reanimación y la comunicación para niños con enfermedades que limitan la vida y PCA.
- Evaluar la efectividad de un currículo novedoso Mock No Code en la mejora de las habilidades de cuidados paliativos.
Principales métodos:
- Un estudio de cohortes comparó residentes de pediatría expuestos al currículo Mock No Code con aquellos no expuestos.
- Los datos se recopilaron a través de encuestas de estilo Likert que evaluaban la comodidad y la confianza en el manejo de pacientes con limitaciones en intervenciones que prolongan la vida.
- El período de estudio abarcó de abril de 2019 a septiembre de 2022 en una sola institución.
Principales resultados:
- 151 residentes completaron la encuesta (105 expuestos, 46 no expuestos).
- La exposición al currículo Mock No Code se asoció significativamente con un aumento de la comodidad y la confianza.
- Los residentes demostraron una mejor capacidad para interpretar y seguir los PCA durante eventos críticos.
Conclusiones:
- El currículo Mock No Code mejora eficazmente la comodidad y la confianza de los residentes de pediatría en el final de la vida.
- Este enfoque basado en simulación prepara mejor a los residentes para escenarios clínicos agudos que involucran diversos objetivos de atención.
- El currículo aborda una brecha crítica en la educación de cuidados paliativos para residentes de pediatría.
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