Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units
Abstract Introduction Inappropriate ventilator settings, non-adherence to a lung-protective ventilation strategy, and inadequate patient monitoring during mechanical ventilation can potentially expose critically ill children to additional risks. We set out to improve team theoretical knowledge and p...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-023-04599-1 |
| _version_ | 1827633847137730560 |
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| author | Pazun Mehrzai Thormen Höfeler Chinedu Ulrich Ebenebe Parisa Moll-Khosrawi Süha Demirakça Eik Vettorazzi Marlies Bergers Mandy Lange Sabine Dreger Hanna Maruhn Dominique Singer Philipp Deindl |
| author_facet | Pazun Mehrzai Thormen Höfeler Chinedu Ulrich Ebenebe Parisa Moll-Khosrawi Süha Demirakça Eik Vettorazzi Marlies Bergers Mandy Lange Sabine Dreger Hanna Maruhn Dominique Singer Philipp Deindl |
| author_sort | Pazun Mehrzai |
| collection | DOAJ |
| description | Abstract Introduction Inappropriate ventilator settings, non-adherence to a lung-protective ventilation strategy, and inadequate patient monitoring during mechanical ventilation can potentially expose critically ill children to additional risks. We set out to improve team theoretical knowledge and practical skills regarding pediatric mechanical ventilation and to increase compliance with treatment goals. Methods An educational initiative was conducted from August 2019 to July 2021 in a neonatal and pediatric intensive care unit of the University Children’s Hospital, Hamburg-Eppendorf, Germany. We tested baseline theoretical knowledge using a multiple choice theory test (TT) and practical skills using a practical skill test (PST), consisting of four sequential Objective Structured Clinical Examinations of physicians and nurses. We then implemented an educational bundle that included video self-training, checklists, pocket cards, and reevaluated team performance. Ventilators and monitor settings were randomly checked in all ventilated patients. We used a process control chart and a mixed-effects model to analyze the primary outcome. Results A total of 47 nurses and 20 physicians underwent assessment both before and after the implementation of the initiative using TT. Additionally, 34 nurses and 20 physicians were evaluated using the PST component of the initiative. The findings revealed a significant improvement in staff performance for both TT and PST (TT: 80% [confidence interval (CI): 77.2–82.9] vs. 86% [CI: 83.1–88.0]; PST: 73% [CI: 69.7–75.5] vs. 95% [CI: 93.8–97.1]). Additionally, there was a notable increase in self-confidence among participants, and compliance with mechanical ventilation treatment goals also saw a substantial rise, increasing from 87.8% to 94.5%. Discussion Implementing a pediatric mechanical ventilation education bundle improved theoretical knowledge and practical skills among interprofessional pediatric intensive care staff and increased treatment goal compliance in ventilated children. |
| first_indexed | 2024-03-09T15:06:13Z |
| format | Article |
| id | doaj.art-afd4c921402c43cb9d29ae819d070817 |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-03-09T15:06:13Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-afd4c921402c43cb9d29ae819d0708172023-11-26T13:40:32ZengBMCBMC Medical Education1472-69202023-08-0123111110.1186/s12909-023-04599-1Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care unitsPazun Mehrzai0Thormen Höfeler1Chinedu Ulrich Ebenebe2Parisa Moll-Khosrawi3Süha Demirakça4Eik Vettorazzi5Marlies Bergers6Mandy Lange7Sabine Dreger8Hanna Maruhn9Dominique Singer10Philipp Deindl11Department of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Anesthesiology, University Medical Center Hamburg-EppendorfDepartment of Neonatology Pediatric Intensive Care and Pulmonology, Children’s Hospital University MannheimDepartment of Medical Biometry and Epidemiology, Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfDepartment of Neonatology and Pediatric Intensive Care Medicine, University Children’s Hospital, University Medical Center Hamburg-EppendorfAbstract Introduction Inappropriate ventilator settings, non-adherence to a lung-protective ventilation strategy, and inadequate patient monitoring during mechanical ventilation can potentially expose critically ill children to additional risks. We set out to improve team theoretical knowledge and practical skills regarding pediatric mechanical ventilation and to increase compliance with treatment goals. Methods An educational initiative was conducted from August 2019 to July 2021 in a neonatal and pediatric intensive care unit of the University Children’s Hospital, Hamburg-Eppendorf, Germany. We tested baseline theoretical knowledge using a multiple choice theory test (TT) and practical skills using a practical skill test (PST), consisting of four sequential Objective Structured Clinical Examinations of physicians and nurses. We then implemented an educational bundle that included video self-training, checklists, pocket cards, and reevaluated team performance. Ventilators and monitor settings were randomly checked in all ventilated patients. We used a process control chart and a mixed-effects model to analyze the primary outcome. Results A total of 47 nurses and 20 physicians underwent assessment both before and after the implementation of the initiative using TT. Additionally, 34 nurses and 20 physicians were evaluated using the PST component of the initiative. The findings revealed a significant improvement in staff performance for both TT and PST (TT: 80% [confidence interval (CI): 77.2–82.9] vs. 86% [CI: 83.1–88.0]; PST: 73% [CI: 69.7–75.5] vs. 95% [CI: 93.8–97.1]). Additionally, there was a notable increase in self-confidence among participants, and compliance with mechanical ventilation treatment goals also saw a substantial rise, increasing from 87.8% to 94.5%. Discussion Implementing a pediatric mechanical ventilation education bundle improved theoretical knowledge and practical skills among interprofessional pediatric intensive care staff and increased treatment goal compliance in ventilated children.https://doi.org/10.1186/s12909-023-04599-1Educational initiativeTeam performanceTreatment goal complianceSelfconfidenceChecklistsEducational film |
| spellingShingle | Pazun Mehrzai Thormen Höfeler Chinedu Ulrich Ebenebe Parisa Moll-Khosrawi Süha Demirakça Eik Vettorazzi Marlies Bergers Mandy Lange Sabine Dreger Hanna Maruhn Dominique Singer Philipp Deindl Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units BMC Medical Education Educational initiative Team performance Treatment goal compliance Selfconfidence Checklists Educational film |
| title | Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| title_full | Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| title_fullStr | Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| title_full_unstemmed | Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| title_short | Pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| title_sort | pilot study of an interprofessional pediatric mechanical ventilation educational initiative in two intensive care units |
| topic | Educational initiative Team performance Treatment goal compliance Selfconfidence Checklists Educational film |
| url | https://doi.org/10.1186/s12909-023-04599-1 |
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