Department of Pediatrics and Division of Pediatric Critical Care at Kapi'olani Medical Center for Women and Children, Honolulu, HI and Department of Pediatrics, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI.
Hawaii J Health Soc Welf. 2020 May 1;79(5 Suppl 1):122-126.
Pediatric advanced life support (PALS) recertification every two years is inadequate to maintain proficiency. The authors hypothesized that a standardized, recurring curriculum may enhance retention of cardiopulmonary resuscitation (CPR) skills. Monthly mock code training and an annual online self-directed learning module were implemented for pediatric intensive care unit nurses, pediatric residents, and respiratory therapists at a women and children's hospital. The mock codes were linked to PALS training self-efficacy (pre- and post-mock code) and feedback related surveys. CPR knowledge was assessed using an online module with pre- and post-tests. A total of 82 mock code surveys and 137 online modules were completed over a 20-month period. Medical knowledge ( < .05 for 7/10 questions) and self-confidence improved ( < .001. Several staff reported a negative impact on their patient care assignments in order to participate in the mock code. However, a significant number of participants (65%) concurred with the benefits of monthly mock codes. The curriculum improved CPR efficacy by improving knowledge-based retention as well as self-confidence in their skills.
儿科高级生命支持（PALS）每两年重新认证不足以保持熟练程度。作者假设标准化、重复的课程可能会增强心肺复苏（CPR）技能的保留。每月模拟代码培训和年度在线自学模块已在妇女和儿童医院的儿科重症监护病房护士、儿科住院医师和呼吸治疗师中实施。模拟代码与 PALS 培训自我效能（模拟代码前后）和反馈相关调查相关联。使用在线模块进行 CPR 知识评估，包括前后测试。在 20 个月的时间里，共完成了 82 次模拟代码调查和 137 次在线模块。医疗知识（7/10 个问题中的 7 个问题<.05）和自信心提高（<.001）。一些工作人员报告说，为了参加模拟代码，他们的患者护理任务受到了负面影响。然而，相当多的参与者（65%）同意每月模拟代码的好处。该课程通过提高基于知识的保留以及对技能的自信来提高 CPR 效果。
