使用快速循环刻意练习的小儿心肺骤停跨学科培训计划:一项描述性横断面研究。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Sao Paulo Medical Journal Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI:10.1590/1516-3180.2023.0271.16022024
Renata Pereira, Edina Mariko Koga da Silva
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引用次数: 0

摘要

背景:心肺骤停(CRA)是一个严重的公共卫生问题,临床模拟已被证明是进行相关培训的一种有益的教育策略:描述采用快速循环刻意练习(RCDP)的小儿心脏骤停护理项目的实施情况、所采用技术的质量以及参与者对该方法的看法:这项描述性横断面研究是在圣保罗的一家医院进行的,研究内容包括心肺复苏(CPR)技术培训前后的情况以及反应评估:多学科小组在模拟场景中进行了儿科复苏,并在主持人的调解下进行了心肺复苏术(RCDP)培训。研究样本包括从事病人护理的专业人员。在模拟过程中,对参与者遵守 CRA 护理算法的情况进行评估。此外,还对他们在干预前后执行胸外按压的情况进行了评估:结果:共有 302 名专业人员接受了培训。在干预前,心肺复苏术的总体质量不高,只有 26% 的人有足够的技术熟练度,而在干预后,这一比例达到了 91% (P < 0.01)。95.7%的参与者对最终评估做出了回应,并对新颖的模拟方法和他们的满意度给予了积极评价。其中,88%的人认为重复使用该技术比传统模拟更有效:RCDP 对于培训多学科团队进行儿科心肺复苏术是有效的,重点在于胸外按压的质量。然而,有必要开展进一步研究,探讨这一趋势是否会转化为实际环境中的不同表现。
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Interdisciplinary training program for pediatric cardiorespiratory arrest using rapid cycle deliberate practice: A descriptive cross-sectional study.

Background: cardiorespiratory arrest (CRA) is a severe public health concern, and clinical simulation has proven to be a beneficial educational strategy for training on this topic.

Objective: To describe the implementation of a program for pediatric cardiac arrest care using rapid-cycle deliberate practice (RCDP), the quality of the technique employed, and participants' opinions on the methodology.

Design and setting: This descriptive cross-sectional study of pre- and post-performance training in cardiopul monary resuscitation (CPR) techniques and reaction evaluation was conducted in a hospital in São Paulo.

Methods: Multidisciplinary groups performed pediatric resuscitation in a simulated scenario with RCDP mediated by a facilitator. The study sample included professionals working in patient care. During the simulation, the participants were evaluated for their compliance with the CRA care algorithm. Further, their execution of chest compressions was assessed pre- and post-intervention.

Results: In total, 302 professionals were trained in this study. The overall quality of CPR measured pre-intervention was inadequate, and only 26% had adequate technique proficiency, whereas it was 91% (P < 0.01) post-intervention. Of the participants, 95.7% responded to the final evaluation and provided positive comments on the method and their satisfaction with the novel simulation. Of these, 88% considered that repetition of the technique used was more effective than traditional simulation.

Conclusions: The RCDP is effective for training multidisciplinary teams in pediatric CPR, with an emphasis on the quality of chest compressions. However, further studies are necessary to explore whether this trend translates to differential performances in practical settings.

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来源期刊
Sao Paulo Medical Journal
Sao Paulo Medical Journal 医学-医学:内科
CiteScore
2.20
自引率
7.10%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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