Ronish Gupta*, Christina Toppozini, Thomas J. Caruso, Anna-Theresa Lobos
Gupta et al. J Clin Transl Res 2022; 8(6):6
Published online: November 1, 2022
Abstract
Background and aim: Due to limited clinical exposure, non-acute care pediatric providers often rely on simulated experiences to maintain resuscitation skills. Few training options designed for the non-acute care setting exist, are often difficult to access, and lack incorporation of non-technical skills. The First Five Minutes (FFM) is a previously published curriculum designed to train non-acute care providers. The goal of this study was to determine the curriculum’s effectiveness during a pilot intervention.
Methods: A single cohort of multiprofessional, non-acute care pediatric providers participated. The primary outcome skill was “establishing leadership,” and secondary outcomes included other technical and non-technical skills. Learning of outcome skills were assessed using changes in retrospective pre-post self-assessment Likert scale scores. Differences were compared using paired t-tests and ANOVA.
Results: Thirty-seven participants submitted self-assessments. There was improvement in establishing leadership (pre-mean 1.14, post-mean 2.30, p < 0.01), and all other objectives studied. Compared to each other, subgroups of nurses, physicians, and respiratory therapists demonstrated significant differences in learning of technical skills, but similar improvements with non-technical skills.
Conclusion: These findings suggest that the FFM curriculum is an effective tool for training non-acute care pediatric providers interprofessional resuscitation skills. Future research should assess provider behavioral changes, retention of training requirements, and patient outcomes.
Relevance for patients: Traditional resuscitation education programs focus largely, or entirely, on performance of technical skills and algorithmic actions. However, non-technical skills, such as leadership, are crucial to the overall success of resuscitation efforts. The First Five Minutes program was developed to incorporate leadership principles into the resuscitation education of non-acute care pediatric inpatient providers, and this curricular evaluation suggests that improvements in participant leadership skills occurred due to the program.
DOI: http://dx.doi.org/10.18053/jctres.08.202206.006
Author affiliation
1. Division of Pediatric Critical Care Medicine, Department of Pediatrics, McMaster University, ON, Canada
2. School of Education, Johns Hopkins University, MD, USA
3. Children’s Hospital of Eastern Ontario, ON, Canada
4. Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, CA, USA
5. Division of Critical Care, Department of Pediatrics, University of Ottawa, ON, Canada
*Corresponding author
Ronish Gupta
McMaster Children’s Hospital, 3E20 – 1280 Main Street West, Hamilton, Ontario, Canada L8S 4K1
Tel: +1 905 521-2100
Fax: +1 905 570-8973
Email: Ronish.gupta@mcmaster.ca
Handling editor:
Michal Heger
Department of Pharmaceutics, Utrecht University, the Netherlands
Department of Pharmaceutics, Jiaxing University Medical College, Zhejiang, China
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