Abstract

Development of inter-professional simulation in the acute paediatric clinical setting

Author(s): Mrs Karen Tomlinson,Ms Caroline Cocking,Mrs Karen Tomlinson

The National Service Framework for Children (UK) recommends that regular scenario based teaching is undertaken by those working in acute paediatric settings. Simulation can increase exposure to clinical situations. It is a practical approach to education for medical and nursing staff in which the management of paediatric critical incidences can be demonstrated. The Derby Hospitals National Health Service Foundation Trust (UK) previously had split site working; the simulation suite and the Children’s Hospital were located five miles apart on different sites. Our original paediatric simulation programme was poorly attended as the logistics of releasing staff for training, with added time for travel across sites, were not cost effective or practical. The project discussed in this paper was devised to encourage and develop a diverse inter-professional simulation programme throughout paediatrics, concentrating on management of the acutely unwell child. We discuss why a clinically based simulation programme was developed, how it was achieved and the findings from the participants’ evaluations. Thirteen simulations took place over 14 months in acute paediatric settings, providing 55 inter-professional evaluation results. 83% of participants ‘strongly agreed’ it was useful to have the simulation practice in the Children’s Emergency Department or Children’s Wards, with the remaining 17% ‘agreeing’. This research suggests a sustainable method of delivering clinically based training, incorporating an inter-professional approach. A fundamental aspect of the project was the opportunity for participants to work together as a team whilst managing an acutely unwell child and receiving consultant led feedback on communication and clinical skills, as well as overall management of the event.