Learning Objective 1: Discuss the process of designing and conducting a simulation-based competency assessment for pediatric intensive care.
Learning Objective 2: Relate associated findings both expected and unanticipated from a simulation-based competency assessment for pediatric intensive care.
Methods: This descriptive, quasi- experimental study was a one-group design in which participants served as their own controls. Measurements included changes in learner self-efficacy as reflected on the difference from pre-to post scores using the Learner Self-Efficacy Scale. Individual decision-making scores were determined using the Lasater Clinical Judgment Rubic and knowledge levels were reflected through a multiple choice examination.
Results: Data analysis revealed a decrease in post-simulation self- evaluation for self-efficacy and a direct correlation identified between experience in PICU and clinical judgment reflected in the Lastater Clinical Judgment Rubic. Two unexpected Latent Threats to Patient Safety (PTS) were identified and corrected.
Conclusion: Simulation-based competency testing utilizing a validated tool provided objective data for performance evaluation that was positively received by the staff. Follow-up over the past 10 months has demonstrated a significant decrease in unplanned extubation.
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