Traditional Poster Round
Context: : Satisfactory home care services for children with complex medical needs has been identified as a challenge. Despite this, the number of Children with Medical Complexity and Technology Dependence (CMC-TD) in the community and home continues to increase. The support these children require is complex and trained caregivers must be competent to provide safe quality care. Connected Care Paediatric Education Program is unique as it aims to reduce hospital/home care variation in practice by providing standardized competency-based education to community care providers for CMC-TD. The program consists of a number of modules and is a quality improvement project. Simulation based education is the main education modality within the tracheostomy and home ventilation (THV) modules.
Description: : The THV modules were developed and delivered by a group of inter-professional expert nursing, respiratory therapy and simulation educators. It consists of five skill stations that learners rotate through to provide scaffolding in preparation for simulation. Learners participate in four simulations based on real life community experiences. An observation template is used to encourage learners that are not directly involved in the simulations to generate meaningful observations about behaviors and actions observed. After-action debriefing discussions focus on competency based care. The unique simulation scenarios allow learners to safely engage in care activities that are common in the home. Most of the learners have no previous exposure to simulation.
Observation/Evaluation: : The use of quality improvement methods ensures an iterative approach to curriculum development. The THV modules have been offered 11 times with over 200 participants attending, representing four different professions. Quantitative scores and qualitative feedback among home care providers (n=231) confirms the value of the program with learners commenting on the realistic and authentic replication of the scenarios and the positive impact the simulation has on increasing confidence to care for CMC-TD (scores >4/5).
Discussion: : The development of this competency-based education program will continue to facilitate partnerships between families, care providers and community partners. The integration of simulation activities is being considered for families to support their learning prior to being discharged home. A research study is currently in progress to assess knowledge retention and self-efficacy pre and post learning.