Simulation training improves team dynamics and performance in a low-resource cardiac intensive care unit

Abstract

Introduction:Although simulation training has been utilized quite extensively in highincome medical environments, its feasibility and effect on team performance in lowresource pediatric Cardiac Intensive Care Unit (CICU) environments has not been demonstrated. We hypothesized that lowfidelity simulationbased crisis resource management training would lead to improvements in team performance in such settings.Methods:In this prospective observational study, the effect of simulation on team dynamics and performance was assessed in 23 healthcare providers in a pediatric CICU in Southeast Asia. A 5day training program was utilized consisting of various didactic sessions and simulation training exercises. Improvements in team dynamics were assessed using participant questionnaires, expert evaluations, and video analysis of time to intervention and frequency of closedloop communication.Results:In subjective questionnaires, participants noted significant (P < 0.05) improvement in team dynamics and performance over the training period. Video analysis revealed a decrease in time to intervention and significant (P < 0.05) increase in frequency of closedloop communication because of simulation training.Conclusions:This study demonstrates the feasibility and effectiveness of simulationbased training in improving team dynamics and performance in lowresource pediatric CICU environments, indicating its potential role in eliminating communication barriers in these settings.

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“…A possible reason for the variation in knowledge and skills described above may be due to different teaching methods used in low resource settings, where students receive large amounts of didactic teaching focused on lectures, assignments and examinations (Sivaram et al, 2018). In such settings, there is often less focus on the development of critical thinking skills and the hands-on skills needed to assess and manage patients.…”

Communication and patient safety in gynecology and obstetrics - study protocol of an intervention study

“…In addition to this, a state-of-the art intervention will make use of digital options by translating the training material into an app [39, 40]. Previous research has shown that patient coaching can be an intervention to improve communication [49–51], and professionals can also significantly benefit [52, 53].…”

Applying Educational Theory to Interdisciplinary Education in Pediatric Cardiac Critical Care

“…3 Pediatric cardiac critical care simulation research has shown that this educational modality can improve the knowledge levels, teamwork, communication, and self-reported comfort and confidence in caring for CICU patients by physicians, advanced practice providers (APPs), and bedside staff. [4][5][6][7][8] Simulation boot camps for critical care and cardiology fellows and APPs have been reported. 5,[9][10][11] These courses lead to improvement in overall CICU knowledge and confidence when managing these complex patients.…”

“…Several publications have recommended curricula and learning objectives for pediatric cardiac critical care; however, few have described the different modalities from which educators can choose to teach these complex topic. [1][2][3][4] At the 14th Annual International Meeting of the Pediatric Cardiac Intensive Care Society (PCICS), the authors presented a simulation workshop for junior multidisciplinary providers focused on cardiopulmonary interactions as subject matter.…”

“…Several publications have recommended curricula and learning objectives for pediatric cardiac critical care; however, few have described the different modalities from which educators can choose to teach these complex topic. 1 -4…”