Evaluation of a Nursing-Focused Training and Education Strategy for a Facility Transitioning to a Level I Pediatric Trauma Center
Abstract
Background
Increasing numbers of facilities are pursuing verification as pediatric trauma centers. Nurses need effective training to provide optimal care for pediatric trauma patients. This study evaluated the implementation of a nursing-focused education strategy that accompanied the process of opening a pediatric trauma center.
Method
Training comprised a lecture series, skills stations, and simulation. Participation was recorded. Pre- and post-training surveys were used to evaluate effectiveness.
Results
Participation in training was high (lectures, n = 185; skills stations, n = 151; simulation, n = 301). Survey responses indicated an increased confidence to treat pediatric trauma patients (2 out of 5 vs. 3 out of 5; p < .001). Nearly half (49.1%) of the nurses found simulations to be the most effective element of training on the post-training survey.
Conclusion
High participation and improved confidence indicate a feasible and effective training curriculum. Simulation was perceived as the most effective training modality. [J Contin Educ Nurs. 2022;53(9):405–410.]
- 2019). Trauma centers in the United States. https://www.facs.org/hospital-and-facilities/?currentPageId=9420&searchTerm=&institution=VerifiedTraumaCenter&address=&sort=relevance&page=1 > . (Google Scholar
- 2022). Trauma education: Advanced Trauma Life Support. https://www.facs.org/quality-programs/trauma/education/advanced-trauma-life-support > . (Google Scholar
- 2014). In situ pediatric trauma simulation: Assessing the impact and feasibility of an interdisciplinary pediatric in situ trauma care quality improvement simulation program. Pediatric Emergency Care, 30(12), 884–891.
10.1097/PEC.0000000000000297 PMID:25407035 > ( Crossref MedlineGoogle Scholar - 2021, February 11). Leading causes of death and injury—2018. https://www.cdc.gov/injury/wisqars/LeadingCauses.html > . (Google Scholar
- 2016). The Promoting Excellence and Reflective Learning in Simulation (PEARLS) approach to health care debriefing: A faculty development guide. Clinical Simulation in Nursing, 12(10), 419–428.
10.1016/j.ecns.2016.05.002 > ( CrossrefGoogle Scholar - 2022). Trauma Nursing Core Course (TNCC). https://www.ena.org/enau/educational-offerings/tncc > . (Google Scholar
- 2015). Promoting Excellence and Reflective Learning in Simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing. Simulation in Healthcare, 10(2), 106–115.
10.1097/SIH.0000000000000072 PMID:25710312 > ( Crossref MedlineGoogle Scholar - 2018). Atraumatic transition from a pediatric emergency center to a pediatric trauma center: A fight for better outcomes. The American Surgeon, 84(9), 1489–1492. https://pubmed.ncbi.nlm.nih.gov/30268182 > ( Crossref MedlineGoogle Scholar
- 2022). Patient simulators. https://laerdal.com/us/nav/207/Patient-Simulators > . (Google Scholar
- 2022). Effects of high-fidelity simulation teaching on nursing students' knowledge, professional skills and clinical ability: A meta-analysis and systematic review. Nurse Education in Practice, 60, 103306
10.1016/j.nepr.2022.103306 PMID:35202957 > ( Crossref MedlineGoogle Scholar - 2015). Should all severely injured pediatric patients be treated at pediatric level I trauma centers? A National Trauma Data Bank study. The American Surgeon, 81(10), 927–931.
10.1177/000313481508101003 PMID:26463282 > ( Crossref MedlineGoogle Scholar - 2019). A national analysis of pediatric trauma care utilization and outcomes in the United States. Pediatric Emergency Care, 35(1), 1–7.
10.1097/PEC.0000000000000902 PMID:27618592 > ( Crossref MedlineGoogle Scholar - 2016). SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): Revised publication guidelines from a detailed consensus process. BMJ Quality & Safety, 25(12), 986–992.
10.1136/bmjqs-2015-004411 PMID:26369893 > ( Crossref MedlineGoogle Scholar - 2011). Treatment outcomes of injured children at adult level 1 trauma centers: Are there benefits from added specialized care? American Journal of Surgery, 201(4), 445–449.
10.1016/j.amjsurg.2010.10.006 PMID:21421097 > ( Crossref MedlineGoogle Scholar - 2020). Does simulation work? Monthly trauma simulation and procedural training are associated with decreased time to intervention. The Journal of Trauma and Acute Care Surgery, 88(2), 242–248.
10.1097/TA.0000000000002561 PMID:31804411 > ( Crossref MedlineGoogle Scholar - 2015). Mortality among injured children treated at different trauma center types. JAMA Surgery, 150(9), 874–881.
10.1001/jamasurg.2015.1121 PMID:26106848 > ( Crossref MedlineGoogle Scholar - 2022). Simulation-based emergency team training in pediatrics: A systematic review. Pediatrics, 149(4), e2021054305
10.1542/peds.2021-054305 PMID:35237809 > ( Crossref MedlineGoogle Scholar - 2021). Pediatric Care After Resuscitation: PCAR program description. https://tcarprograms.visionem.org/pcar-program-description > . (Google Scholar