Neonatal Intensive Care Unit AO S.S. Antonio, Biagio and C. Arrigo Hospital, Alessandria, Italy.
Department of Paediatric Cardiovascular Surgery, Laboratory Research, San Donato Milanese University Hospital, San Donato, Italy.
Ital J Pediatr. 2021 Feb 25;47(1):42. doi: 10.1186/s13052-021-00972-2.
We aimed to evaluate the degree of realism and involvement, stress management and awareness of performance improvement in practitioners taking part in high fidelity simulation (HFS) training program for delivery room (DR) management, by means of a self-report test such as flow state scale (FSS).
This is an observational pretest-test study. Between March 2016 and May 2019, fourty-three practitioners (physicians, midwives, nurses) grouped in multidisciplinary teams were admitted to our training High Fidelity Simulation center. In a time-period of 1 month, practitioners attended two HFS courses (model 1, 2) focusing on DR management and resuscitation maneuvers. FSS test was administred at the end of M1 and M2 course, respectively.
FSS scale items such as unambiguous feed-back, loss of self consciousness and loss of time reality, merging of action and awareness significantly improved (P < 0.05, for all) between M1 and M2.
The present results showing the high level of practitioner involvement during DR management-based HFS courses support the usefulness of HFS as a trustworthy tool for improving the awareness of practitioner performances and feed-back. The data open the way to the usefulness of FSS as a trustworthy tool for the evaluation of the efficacy of training programs in a multidisciplinary team.
我们旨在通过自我报告测试，如流畅状态量表（FSS），评估参与分娩室（DR）管理高保真模拟（HFS）培训计划的从业者的现实感和投入程度、压力管理和对绩效提升的认识。
这是一项观察性的预测试-测试研究。2016 年 3 月至 2019 年 5 月，43 名从业者（医生、助产士、护士）分组为多学科团队，被纳入我们的培训高保真模拟中心。在 1 个月的时间内，从业者参加了两次 HFS 课程（模型 1、2），重点是 DR 管理和复苏操作。在 M1 和 M2 课程结束时分别进行 FSS 测试。
FSS 量表项目，如明确的反馈、自我意识丧失和时间现实感丧失、行动和意识的融合，在 M1 和 M2 之间显著改善（P<0.05，全部）。
本研究结果显示，在基于 DR 管理的 HFS 课程中，从业者的高度投入，支持了 HFS 作为一种可靠工具，用于提高从业者对自身表现和反馈的认识。这些数据为 FSS 作为一种评估多学科团队培训计划效果的可靠工具的有效性开辟了道路。
