Department of Pediatrics, Division of Pediatrics Emergency Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
Department of Pediatrics, Newborn Center, Texas Children's Hospital, Houston, Texas.
J Am Assoc Nurse Pract. 2022 Oct 1;34(10):1116-1125. doi: 10.1097/JXX.0000000000000771.
Nurse practitioners (NPs) and physician assistants (PAs) have an important role in delivery of care in a tertiary children's hospital emergency department (ED). Most NPs and PAs have not had any formal training to work in a pediatric ED; although our NPs and PAs had no formal ED training, some were acute care certified. We describe a curriculum designed to improve knowledge and skills of NPs and PAs in the pediatric ED. The curriculum consists of three modules, namely, online lecture series, procedural workshops, and case scenarios in a simulated setting. Module 1 consisted of online lecture on 10 common ED diagnoses. The second module consisted of procedural workshops on lumbar puncture, incision and drainage of abscesses, gastrostomy insertion, and laceration repair. The third module included simulation scenarios on ED-specific cases of seizure in an infant, bronchiolitis and ruptured appendicitis with shock. Each module was evaluated by a survey. Participants rated each item on the survey using a Likert scale response (1 = disagree completely to 5 = agree completely ). Both NPs and PAs demonstrated increase in knowledge scores in posttest 1 vs pretest ( p < .001) and did not show a significant decline in posttest 2 ( p = .073). The mean ratings of components of the online lecture series, workshops, and simulation scenarios were 4.5-4.7, 4.4-4.8, and 4.5-4.7, respectively, with positive comments. This novel curriculum meets the educational needs of NPs and PAs at our institution and can be used as a model to train them at other tertiary care pediatric EDs.
护士从业者（NPs）和医师助理（PAs）在三级儿童医院急诊部门（ED）的护理中发挥着重要作用。大多数 NPs 和 PAs 都没有接受过任何在儿科 ED 工作的正规培训；尽管我们的 NPs 和 PAs 没有接受过正式的 ED 培训，但有些是急性护理认证的。我们描述了一个旨在提高 NPs 和 PAs 在儿科 ED 中的知识和技能的课程。该课程由三个模块组成，即在线讲座系列、程序研讨会和模拟环境中的案例场景。模块 1 由 10 个常见 ED 诊断的在线讲座组成。第二个模块由腰椎穿刺、脓肿切开引流、胃造口术插入和裂伤修复的程序研讨会组成。第三个模块包括关于婴儿癫痫发作、细支气管炎和阑尾破裂伴休克的特定 ED 病例的模拟场景。每个模块都通过调查进行评估。参与者使用李克特量表（1 = 完全不同意，5 = 完全同意）对调查中的每个项目进行评分。NPs 和 PAs 在第一次后测中的知识得分均高于前测（p<0.001），第二次后测中没有显著下降（p=0.073）。在线讲座系列、研讨会和模拟场景的平均评分分别为 4.5-4.7、4.4-4.8 和 4.5-4.7，均有积极评价。这个新颖的课程满足了我们机构中 NPs 和 PAs 的教育需求，可以作为在其他三级儿科 ED 培训他们的模型。
