Interdisciplinary training program for pediatric cardiorespiratory arrest using rapid cycle deliberate practice: A descriptive cross-sectional study
- PMID: 38896579
- PMCID: PMC11185849
- DOI: 10.1590/1516-3180.2023.0271.16022024
Interdisciplinary training program for pediatric cardiorespiratory arrest using rapid cycle deliberate practice: A descriptive cross-sectional study
Abstract
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.
Conflict of interest statement
Figures
Similar articles
-
Integration of in-hospital cardiac arrest contextual curriculum into a basic life support course: a randomized, controlled simulation study.Resuscitation. 2017 May;114:127-132. doi: 10.1016/j.resuscitation.2017.03.014. Epub 2017 Mar 18. Resuscitation. 2017. PMID: 28323084 Clinical Trial.
-
Pediatric resident resuscitation skills improve after "rapid cycle deliberate practice" training.Resuscitation. 2014 Jul;85(7):945-51. doi: 10.1016/j.resuscitation.2014.02.025. Epub 2014 Mar 4. Resuscitation. 2014. PMID: 24607871
-
Rapid-cycle deliberate practice versus after-event debriefing clinical simulation in cardiopulmonary resuscitation: a cluster randomized trial.Adv Simul (Lond). 2022 Dec 28;7(1):43. doi: 10.1186/s41077-022-00239-8. Adv Simul (Lond). 2022. PMID: 36578096 Free PMC article.
-
A review of simulation-enhanced, team-based cardiopulmonary resuscitation training for undergraduate students.Nurse Educ Pract. 2017 Nov;27:134-143. doi: 10.1016/j.nepr.2017.08.023. Epub 2017 Sep 4. Nurse Educ Pract. 2017. PMID: 28892727 Review.
-
Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non-asphyxial out-of-hospital cardiac arrest.Cochrane Database Syst Rev. 2017 Mar 27;3(3):CD010134. doi: 10.1002/14651858.CD010134.pub2. Cochrane Database Syst Rev. 2017. PMID: 28349529 Free PMC article. Review.
References
-
- Bimerew M, Wondmieneh A, Gedefaw G, et al. Survival of pediatric patients after cardiopulmonary resuscitation for in-hospital cardiac arrest: A systematic review and meta-analysis. Ital J Pediatr. 2021;47(1):118–118. doi: 10.1186/s13052-021-01058-9. - DOI - PMC - PubMed
- 1 Bimerew M, Wondmieneh A, Gedefaw G, et al. Survival of pediatric patients after cardiopulmonary resuscitation for in-hospital cardiac arrest: A systematic review and meta-analysis. Ital J Pediatr. 2021;47(1):118. PMID: 34051837; 10.1186/s13052-021-01058-9. - DOI - PMC - PubMed
-
- Bastarrica EG, dos Santos F, Conte M, Baldo APV. Epidemiological profile of cardiorespiratory parede patientes: An integrative review. RSD. 2020;9(12):e1559126024. doi: 10.33448/rsd-v9i12.6024. - DOI
- 2 Bastarrica EG, dos Santos F, Conte M, Baldo APV. Epidemiological profile of cardiorespiratory parede patientes: An integrative review. RSD. 2020;9(12):e1559126024. 10.33448/rsd-v9i12.6024. - DOI
-
- Hamzah M, Othman HF, Almasri M, Al-Subu A, Lutfi R. Survival outcomes of in-hospital cardiac arrest in pediatric patients in the USA. Eur J Pediatr. 2021;180(8):2513–2520. doi: 10.1007/s00431-021-04082-3. - DOI - PubMed
- 3 Hamzah M, Othman HF, Almasri M, Al-Subu A, Lutfi R. Survival outcomes of in-hospital cardiac arrest in pediatric patients in the USA. Eur J Pediatr. 2021;180(8):2513-20. PMID: 33899153; 10.1007/s00431-021-04082-3. - DOI - PubMed
-
- Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation. 2013;128(4):417–435. doi: 10.1161/cir.0b013e31829d8654. - DOI - PubMed
- 4 Meaney PA, Bobrow BJ, Mancini ME, et al. Cardiopulmonary resuscitation quality: improving cardiac resuscitation outcomes both inside and outside the hospital: a consensus statement from the American Heart Association. Circulation. 2013;128(4):417-35. PMID: 23801105; 10.1161/cir.0b013e31829d8654. - DOI - PubMed
-
- Skellett S, Orzechowska I, Thomas K, Fortune PM. The landscape of paediatric in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2020;155:165–171. doi: 10.1016/j.resuscitation.2020.07.026. - DOI - PubMed
- 5 Skellett S, Orzechowska I, Thomas K, Fortune PM. The landscape of paediatric in-hospital cardiac arrest in the United Kingdom National Cardiac Arrest Audit. Resuscitation. 2020;155:165-71. PMID: 32768496; 10.1016/j.resuscitation.2020.07.026. - DOI - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical