Teamwork in Pediatric Resuscitation: Training Medical Students on High-Fidelity Simulation

Abstract

Beatriz Adriane Rodrigues Gonçalves,1 Maria do Carmo Barros de Melo,2 Priscila Menezes Ferri Liu,2 Beatriz Cristina Heitmann Gomes Valente,3 Vívian Paiva Ribeiro,4 Pedro Henrique Vilaça e Silva4 1Department of Pediatrics, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; 2Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; 3Department of Pediatrics, Faculdade de Minas-BH, Belo Horizonte, Minas Gerais, Brazil; 4Faculdade de Minas-Belo Horizonte, Belo Horizonte, Minas Gerais, BrazilCorrespondence: Maria do Carmo Barros de Melo, Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Avenida Professor Alfredo Balena, 190. Bairro Santa Efigênia, Belo Horizonte, Minas Gerais, CEP: 30.130-100, Brazil, Tel [phone], Fax [phone], Email [email protected]: Simulation training and teamwork for medical students are essential to improve performance in pediatric cardiopulmonary resuscitation.Purpose: To evaluate if a specific approach to teamwork improves technical and nontechnical performance.Methods: We performed quasiexperimental, prospective, pre- and postinterventional, and nonrandomized research with 65 students in the fourth year of their medicine course. This was a case–control study in which teams used a customized TeamSTEPPS protocol (n=34) or not (n=31) for cardiopulmonary arrest training in children using high-fidelity simulation. All participants answered a sociodemographic and satisfaction questionnaire and underwent theory and practice pre- and posttesting. The survey data were collected in 2019 and analyzed using ?2, Mann–Whitney, ?, and Wilcoxon tests. p< 0.05 was considered significant.Results: Intervention and control groups achieved better scores in theory posttesting (p< 0.001 and p=0.049), but there was no difference between them in pre- (p=0.291) and posttesting (p=0.397). In the checklist of the practice test, all groups obtained their best outcomes in posttesting and the intervention group achieved higher scores (p< 0.001). All groups increased the number of teamwork events and reduced the time span to perform resuscitation first steps (p< 0.001) in posttesting.Conclusion: The use of teamwork training based on a customized TeamSTEPPS protocol improved performance in team behavior and group technical achievement. The evaluation of the students about the training was positive.Keywords: cardiopulmonary resuscitation, medical education, patient-care team, patient safety, simulation training

Keywords

• cardiopulmonary resuscitation
• medical education
• patient care team
• patient safety
• simulation training.