Résumé
La formation en réanimation pédiatrique relève d’un véritable défi en raison de l’augmentation croissante des connaissances et des compétences, de la relative rareté des situations critiques et de la diminution de présence des étudiants auprès des patients. La simulation est une des méthodes pédagogiques pouvant améliorer notablement cette formation. Elle est par ailleurs éthiquement nécessaire, tout particulièrement pour l’apprentissage des gestes techniques. La simulation permet en outre une approche efficace de l’étude des facteurs humains, des comportements d’équipe et de la communication avec l’enfant et sa famille, d’importance capitale en réanimation pédiatrique. Elle concerne aussi bien la formation initiale que la formation continue et doit envisager à terme sa place dans l’évaluation objective des professionnels. La mise en place de réseaux de recherche sur la simulation en santé apparaît aujourd’hui indispensable pour permettre l’amélioration des pratiques et de la sécurité des soins.
Abstract
Training in paediatric resuscitation is a real challenge due to the increasing knowledge and skills, the relative scarcity of critical situations, and the decreasing presence of students nearby the patients. Simulation is a teaching method that can significantly improve training. It is also ethically necessary, especially to learn technical interventions. Simulation allows an efficient approach to investigate human factors, team behaviours, and communication with the child and his family, which are major concerns in paediatric intensive care. Simulation includes both initial training and continuing education and should be considered in the assessment of professionals. To date, building research networks on health simulation appears mandatory to improve practice and patient safety.
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Ringuier, B., Richard, N., Leteurtre, S. et al. La simulation en réanimation pédiatrique : état des lieux et perspectives. Réanimation 22, 562–568 (2013). https://doi.org/10.1007/s13546-013-0682-y
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DOI: https://doi.org/10.1007/s13546-013-0682-y