Integrating leadership into interprofessional non-acute care pediatric provider resuscitation training

Ronish Gupta; Christina Toppozini; Thomas J Caruso; Anna-Theresa Lobos

Integrating leadership into interprofessional non-acute care pediatric provider resuscitation training

J Clin Transl Res. 2022 Nov 1;8(6):499-505. eCollection 2022 Dec 29.

Authors

Ronish Gupta^{1

2}, Christina Toppozini³, Thomas J Caruso⁴, Anna-Theresa Lobos^{3

5}

Affiliations

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.

PMID: 36452004
PMCID: PMC9706314

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 multi-professional, 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 was 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 FFM 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.

Keywords: curriculum evaluation; interprofessional education; resuscitation.