Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 17;67(2):108-113.
doi: 10.33160/yam.2024.05.002. eCollection 2024 May.

The Impact of Simulation-Based Training on Self-Efficacy in Sedation for Pediatric Magnetic Resonance Imaging

Yuto Arai  1 , Kento Ohta  1 , Go Yoshino  1 , Tohru Okanishi  1 , Yoshihiro Maegaki  1
Affiliations

The Impact of Simulation-Based Training on Self-Efficacy in Sedation for Pediatric Magnetic Resonance Imaging

Yuto Arai et al. Yonago Acta Med. .

Abstract

Background: In Japan, approximately 35% of facilities experience sedation-related complications for pediatric magnetic resonance imaging (MRI), including severe complications such as respiratory and cardiac arrests. In the medical education field, simulation improves not only the quality of real emergency response but also health care workers' self-efficacy. Individuals with high self-efficacy are better prepared at handling diverse conditions. However, there is no research examining the impact of sedation simulation for pediatric MRI on the self-efficacy of health care workers. This study aimed to retrospectively investigate the impact of sedation simulation for pediatric MRI on the self-efficacy of health care workers in sedation.

Methods: The study was conducted on August 18, 2023, and enrolled pediatricians, nurses, and radiological technologists. The impact of sedation simulation for pediatric MRI on the participants was analyzed using confidence scale scores and part of the Pediatric Resuscitation and Escalation of Care Self-Efficacy Scale (PRSES), before and after sedation simulation for pediatric MRI.

Results: Eighteen participants (six pediatricians, six nurses, and six radiological technologists) were included in this study. Regarding confidence scale scores, a significant improvement was observed in the overall group (P = 0.002) and among the nurses (P = 0.0036). Regarding the item 'When confronted with a clinically deteriorating child, I know how to ask for assistance' of PRSES, a significant improvement was observed in the overall group (P = 0.0035) and among the radiological technologists (P = 0.048).

Conclusion: There's a potential for sedation simulation for pediatric MRI to increase the self-efficacy of health care workers in MRI sedation. Our findings suggest that this training has a valuable role in preparing health care workers to practice sedation for pediatric MRI.

Keywords: magnetic resonance imaging; pediatrics; sedation; self-efficacy; simulation-based training.

PubMed Disclaimer

Figures

Fig. 1.
Fig. 1.
Protocols for emergency situations in Tottori university hospital. When a patient is determined to be in a critical condition, such as unstable breathing during bag valve mask (BVM) ventilation, anaphylaxis due to a contrast agent, or facing airway obstruction due to vomiting, the pediatrician initiates the ‘Emergency declaration.’ Following this declaration, the radiological technologist team divides into two groups: the ‘Support request team,’ responsible for contacting the rapid response team, other pediatricians, and pediatric-trained nurses; and the ‘Transfer support team,’ tasked with preparing the treatment room, transferring the patient out of the magnetic resonance imaging (MRI) room by collaborating with the pediatrician and nurse, transporting the pediatric emergency cart to the treatment room, and recording.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Artunduaga M,Liu CA,Morin CE,Serai SD,Udayasankar U,Greer MLC,et al. . Safety challenges related to the use of sedation and general anesthesia in pediatric patients undergoing magnetic resonance imaging examinations. Pediatr Radiol. 2021;51:724-35. 10.1007/s00247-021-05044-5 - DOI - PMC - PubMed
    1. Japanese Society of Pediatrics, Japanese Society of Pediatric Anesthesiology, Japanese Society of Pediatric Radiology. Joint recommendations on sedation during MRI examinations. J Jpn Pediatr Soc. 2020;124:771-805. Japanese.
    1. Arlachov Y,Ganatra RH. Sedation/anaesthesia in paediatric radiology. Br J Radiol. 2012;85:e1018-31. 10.1259/bjr/28871143 - DOI - PMC - PubMed
    1. Edwards AD,Arthurs OJ. Paediatric MRI under sedation: is it necessary? What is the evidence for the alternatives? Pediatr Radiol. 2011;41:1353-64. 10.1007/s00247-011-2147-7 - DOI - PubMed
    1. Katsumori H,Sakai Y,Kusakawa I, Aotani H, Goishi K, Iinuma K,et al. . Survey on the actual situation regarding sedation management of pediatric patients undergoing MRI examinations. J Jpn Pediatr Soc. 2013;117:1167-71. Japanese.