儿科体外心肺复苏模拟对重症监护团队信心和协调的影响:试点研究
Toluwani Akinpelu1,2, Nikhil R Shah3, Karen Weaver4
1Department of Anesthesiology and Critical Care Medicine, Driscoll Children's Hospital, Corpus Christi, TX, USA.
Perfusion
|September 13, 2023
概括
儿童体外心肺复苏 (ECPR) 模拟显著提高了重症监护室团队的信心和协作. 这种培训提高了对关键ECPR事件的准备,改善了患者护理结果.
科学领域:
- 关键护理医学 关键护理医学
- 医疗模拟 医疗模拟
- 儿科急救医学 儿科急救医学
背景情况:
- 身体外心肺复苏 (ECPR) 改善了结果,但也带来了重大危机资源管理 (CRM) 挑战.
- 有效的CRM对于成功的ECPR至关重要,但在这种复杂的环境中进行培训在后勤上是很困难的.
研究的目的:
- 评估ECPR模拟对儿科重症监护室 (ICU) 团队成员自我感知的信心和协作的影响.
- 评估ECPR模拟在提高提供者技能和团队沟通方面的可行性.
主要方法:
- 一项前性观察性研究,涉及29名非手术重症护理提供者 (重症治疗师,住院医生,护士,呼吸治疗师).
- 模拟前后调查使用利克尔特尺度评估了自己对ECPR相关临床能力的信心.
- 参与者评估了现实主义,情境压力,以及对团队沟通和团队合作的影响.
主要成果:
- 在所有评估领域 (评估ECPR需求,参与工作流程,执行心肺复苏) 中,模拟后的信心得分显著增加,100%的参与者得分>=3.3.
- 所有参与者都认为模拟是现实的,反映了情境压力.
- 100%的人报告说,他们感觉到团队沟通和团队合作技能有所改善.
结论:
- 儿科ECPR模拟是可行的,有效地提高了个体提供者的信心和团队沟通.
- 这种培训可以为凝聚性CRM奠定基础,提高对现实世界ECPR场景的准备能力.
- 基于模拟的培训是准备重症监护团队参加高风险的ECPR活动的宝贵工具.
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