Solstad Kayla, Kamrath Heidi, Meiers Sonja, Goloff Naomi, Scheurer Johannah M
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Neonatology, Children's Minnesota, Saint Paul, Minnesota, USA.
Palliat Med Rep. 2024 Mar 28;5(1):136-141. doi: 10.1089/pmr.2023.0065. eCollection 2024.
Simulations are an important modality for practicing high-acuity, low-frequency events. We implemented a deliberate practice simulation-based workshop to improve pediatric end-of-life care skills (PECS) competence.
To understand pediatric subspecialty fellows' perceptions about influences of a simulation-based workshop on PECS provided at the bedside several months following participation.
Pediatric subspecialty fellows were recruited to voluntary focus groups during regular educational sessions six months following PECS workshop participation with aims to identify perceptions about their workshop participation and any implication on their clinical practice. Inductive qualitative content analysis of focus group interview data was performed adhering to the Standards for Reporting Qualitative Research.
Ten fellows participated in one of three focus groups. Researchers identified three major themes of fellow experience: burden, safe practice space, and self-efficacy. Fellows described practice implications from workshop participation, including incorporation of specific practices, improved anticipatory guidance, and increased team leader confidence.
Targeted, deliberate simulation-based practice of PECS can help close the gap from learning to practice, contributing to provider self-efficacy and potentially improving clinical care for pediatric patients and families at end of life.
模拟是练习高敏锐度、低频事件的重要方式。我们开展了一个基于刻意练习模拟的工作坊，以提高儿科临终关怀技能（PECS）能力。
了解儿科亚专科住院医师在参与模拟工作坊数月后，对床边PECS模拟工作坊影响的看法。
在参与PECS工作坊六个月后的定期教育课程期间，招募儿科亚专科住院医师参加自愿性焦点小组，旨在确定他们对工作坊参与情况的看法以及对其临床实践的任何影响。按照定性研究报告标准，对焦点小组访谈数据进行归纳性定性内容分析。
十名住院医师参加了三个焦点小组中的一个。研究人员确定了住院医师体验的三个主要主题：负担、安全的实践空间和自我效能感。住院医师描述了工作坊参与对实践的影响，包括纳入特定实践、改进预期指导以及增强团队领导者信心。
有针对性的、基于刻意练习模拟的PECS可以帮助弥合从学习到实践的差距，增强提供者的自我效能感，并有可能改善儿科临终患者及其家庭的临床护理。
