Outcomes of a Longitudinal Simulation-Based Critical Skills Training Curriculum for Pediatric Emergency Medicine Advanced Practice Providers
Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Introduction: The role of nurse practitioners in pediatric emergency rooms is expanding and on-going education and skills training is required to ensure quality care.Simulation is one tool that has been found to be effective in building and maintaining critical procedural skills among pediatric providers.However, longitudinal assessments of these trainings are absent, and therefore little is known about how clinical judgement and skill retention fare over time.Methods: Utilizing a longitudinal interventional design, effects of a pediatric and adult resuscitation simulation curriculum for pediatric nurse practitioners were examined by assessing clinical judgment and knowledge retention and/or degradation at baseline, followed by intervals of six and 12 months.Qualitative analyses were also performed regarding nurse practitioner perspectives on simulation content, the utility of simulation in building experience and confidence, and the utility of simulation in learning psychomotor procedure skills.Results/Findings: Several improvements related to clinical judgement, namely data prioritization and dedication to improvement, were identified among participants.This study also found that knowledge levels increased slightly at six months but decreased slightly at 12 months.Furthermore, only half of the participants felt moderately comfortable leading codes after a year of simulation trainings. Conclusion:Results suggest that while simulation is valuable, future research is needed to improve measurement of clinical judgement and enhance participants' knowledge and confidence beyond just the immediate post simulation period.
Institutions: Detroit Medical Center, Wayne State University
Language: English
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410213318