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Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation

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Abstract

Purpose

Simulation-based training has the potential to improve team-based care. We hypothesized that implementation of an in situ multidisciplinary simulation-based training program would improve provider confidence in team-based management of severely injured pediatric trauma patients.

Methods

An in situ multidisciplinary pediatric trauma simulation-based training program with structured debriefing was implemented at a free-standing children’s hospital. Trauma providers were anonymously surveyed 1 month before (pre-), 1 month after (post-), and 2 years after implementation.

Results

Survey response rate was 49% (n = 93/190) pre-simulation, 22% (n = 42/190) post-simulation, and 79% (n = 150/190) at 2-year follow-up. These providers reported more anxiety (p = 0.01) and less confidence (p = 0.02) 1-month post-simulation. At 2-year follow-up, trained providers reported less anxiety (p = 0.02) and greater confidence (p = 0.01), compared to untrained providers.

Conclusions

Implementation of an in situ multidisciplinary pediatric trauma simulation-based training program may initially lead to increased anxiety, but long-term exposure may lead to greater confidence.

Level of evidence

II, Prospective cohort.

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Funding

This study was supported by the 2014 Children’s Hospital Los Angeles Barbara M. Korsch Award for Research in Medical Education, and by Grant KL2TR001854 from the National Center for Advancing Translational Science (NCATS) of the US National Institutes of Health. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Author notes

  1. Cory McLaughlin and Minna M. Wieck are co-first authors.

Authors and Affiliations

  1. Division of Pediatric Surgery, Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California, Mailstop 100, 4650 Sunset Blvd, Los Angeles, CA, 90027, USA

    Cory M. McLaughlin MD, Minna M. Wieck, Erica N. Barin, Rita V. Burke, Heather B. Roesly, Elizabeth A. Cleek, Catherine J. Goodhue, Henri R. Ford, Jeffrey S. Upperman & Aaron R. Jensen

  2. Trauma Program, Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California, Los Angeles, CA, 90027, USA

    Erica N. Barin, Rita V. Burke, Elizabeth A. Cleek, Catherine J. Goodhue, Henri R. Ford, Jeffrey S. Upperman & Aaron R. Jensen

  3. Division of Anesthesiology and Critical Care Medicine, Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California, Los Angeles, CA, 90027, USA

    Alyssa Rake & L. Caulette Young

  4. Division of Emergency and Transport Medicine, Children’s Hospital Los Angeles and the Keck School of Medicine of the University of Southern California, Los Angeles, CA, 90027, USA

    Todd P. Chang & Inge Morton

  5. Division of Trauma and Burn Surgery, Children’s National Medical Center, Washington, DC, 20010, USA

    Randall S. Burd

Authors
  1. Cory M. McLaughlin MD
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  2. Minna M. Wieck
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Corresponding author

Correspondence to Aaron R. Jensen.

Ethics declarations

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

A waiver of informed consent was obtained from the Institutional Review Board for this anonymous survey.

Additional information

Presented in part at the Pediatric Trauma Society Annual Meeting, November 6, 2015, Scottsdale, AZ.

University of Southern California/Children’s Hospital Los Angeles Institutional Review Board Approval # CCI-14-00012.

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McLaughlin, C.M., Wieck, M.M., Barin, E.N. et al. Impact of simulation-based training on perceived provider confidence in acute multidisciplinary pediatric trauma resuscitation. Pediatr Surg Int 34, 1353–1362 (2018). https://doi.org/10.1007/s00383-018-4361-y

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