Traditional Poster Round
Dara Byrne, MB BCh BAO MCh CHSE- A, FRCSI
Director of Simulation ICAPSS
Irish Centre for Applied Patient Safety and Simulation, Saolta University Health Care Group, National University of Ireland Galway
Background: : Up to 50% of paediatric hospital admissions are for infectious diseases. The vast majority are managed by General Paediatricians and General Physicians (GPs). It is therefore vital that Paediatric and GP trainees have sufficient knowledge/exposure to these illnesses during their training. The recent outbreak of Measles in Europe emphasises the need for simulated training as many current trainees will not have managed this disease previously.
‘KIDS’ is a simulation based education programme (SBE) for paediatric trainees involved in the management of children with infectious diseases from prevention to the delivery of acute care.
Research Question: : The aim of the programme was to change the behaviours of the learners in the identification and management of Measles, Rotavirus, Meningitis and Pertussis.
Secondary objectives were to: identify the participant’s learning needs; design a programme addressing those needs; evaluate the programme for satisfaction and acceptability levels.
Methodology: : We employed a mixed methods study design and the programme was designed using an iterative approach with a multidisciplinary stakeholder input.
Paediatric SHOs (n=8) in a large teaching hospital were recruited. Pre-programme questionnaires were distributed to identify knowledge gaps and learners’ needs.
The programme was designed to address the learners’ needs through 4 complex scenarios designed by subject matter experts; meningococcal septicaemia with fluid resistant shock; measles with a secondary pneumonia; pertussis with associated apnoeas and finally rotavirus gastroenteritis and hypoglycaemia. These scenarios were delivered using hi-fidelity manikin based simulation in an on-site simulation centre. Post-training satisfaction surveys were distributed.
Semi-structured interviews were conducted with participants at 4weeks to determine if the programme impacted on their behaviours when managing similar cases in clinical practice.
Results: : Pre-programme questionnaire (n=10) was used to determine the content of the scenarios.
Post-programme questionnaire (n=8) identified a high satisfaction rate with the programme with 100% reporting that the programme addressed their needs and that they would like more training of this type. At delayed post-training interviews (n=8), all interviewees reported that they had benefitted from the programme and it had impacted their behaviours in clinical practice; 80% of the participants had changed the way they communicate with patients/parents, 50% reported more awareness of sick children and 50% reported adopting a more systematic approach to the unwell child.
Discussion/Conclusions: : A well designed SBE programme targeting learning needs can result in more than a well-received educational experience. It can result in a change in behaviour, communication and approach to paediatric care in clinical practice.