Impact de l'enseignement par simulation médicale en pédiatrie : compétences en réanimation, travail interdisciplinaire et communication

 

Ahmed Moussa

Centre de recherche du CHU Sainte-Justine

 

Domaine : éducation, savoirs et compétences

Programme chercheurs-boursiers-cliniciens - Junior 1

Concours 2017-2018

At birth, 10% of newborns require resuscitation, many are then hospitalized in the Neonatal Intensive Care Unit because of their critical condition. Healthcare providers involved must master resuscitation techniques and teamwork/communication skills. They also need optimal relational skills to communicate with parents, sometimes in tragic circumstances. We do not know how to best teach healthcare providers these competencies. Simulation-based education, a well-established teaching method in military and aviation for decades, is rather recent in medicine. Simulation allows practice of complex technical and communication skills without endangering the patient.

OBJECTIVES

  1. Investigate how simulation-based education can improve teaching of endotracheal intubation.
  2. Investigate how simulation-based education can improve teamwork/communication skills of interdisciplinary teams during acute critical events.
  3. Investigate how collaborating with parents can improve simulation-based education related to critical communication skills.


PROJECTS

  1. Simulation-based study to assess the impact of stress on intubation success. Additional stress will be standardized and comprise audio alarms, third party supervisors and simulated manikin instability.
  2. Study demonstrating that practice of intubation using simulation before proceeding to a clinical intubation on a patient improves success and decreases complications.
  3. Study assessing the impact of implementing simulation sessions in the perinatal and paediatric care units on teamwork/communication skills of interdisciplinary teams.
  4. Study assessing the impact of simulations in a new unit, before its move, on identification of system related problems and on healthcare providers preparedness.
  5. Simulation-based study where healthcare providers resuscitate a neonate (mannequin) who dies despite resuscitation; with actors playing the role of the parents present. Communication between providers and parents will be evaluated. Providers and parents will build a communication assessment tool.


Results from these projects will provide low cost and easily applicable teaching strategies that will improve quality of care and patient safety.