The Call and the Challenge of Pediatric Resuscitation and Simulation Research in Low-Resource Settings

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
Amy R L RuleBeena D Kamath-Rayne

Abstract

The greatest burden of younger than 5 years mortality is in low- and middle-income nations where education resources are often few. The World Health Organization recommends scale-up of simulation in these settings, but it has been poorly studied. Although there has been an increase of contextualized resuscitation simulation programs designed for these settings, sustaining clinical outcomes and provider skill retention have remained research gaps. Our team designed a study to evaluate skill retention after an initial Helping Babies Breathe training at a rural Kenya referral hospital between randomized learner groups receiving supervised mock codes with debriefing versus just-in-time training with a peer. Although we saw sustained skills retention and some clinical improvements, we were unable to answer our research question because of numerous challenges, mainly that hospital leadership preferred the implementation of 1 arm of the study over another because of lack of protected education time and resources, eliminating differences between randomized study groups. Further challenges included lack of familiarity with simulation and debriefing and lack of protected educational resources and time, cultural differences in giving feed...Continue Reading

References

Jul 6, 2010·Resuscitation·Laurel BookmanPierre Barker
Nov 2, 2012·Acta Paediatrica·Aimable MusafiliLars-Åke Persson
Jan 10, 2013·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Gunjan KamdarMarc Auerbach
Jan 22, 2013·Journal of Tropical Pediatrics·Rebecca HobanJonathan M Spector
May 24, 2014·Lancet·Joy E LawnUNKNOWN Lancet Every Newborn Study Group
Dec 23, 2014·JAMA Pediatrics·Adam ChengUNKNOWN International Network for Simulation-Based Pediatric Innovation, Research, & Education (INSPIRE) CPR Investigators
Apr 15, 2015·Pediatrics·David KesslerUNKNOWN INSPIRE LP investigators
Sep 14, 2015·Best Practice & Research. Clinical Obstetrics & Gynaecology·Neil F MoranJagidesa Moodley
Jan 31, 2016·Archives of Disease in Childhood·Ali M E ArabiC Anthony Ryan
May 8, 2016·Globalization and Health·Fiona LarkanBianca van Bavel
May 27, 2016·Pediatrics·Ashish KcMats Målqvist
May 31, 2017·Pediatrics·Lauren ArlingtonBrett D Nelson

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Citations

Dec 13, 2018·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Eda Ozkara San
Sep 15, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Madeline F PerryBeena D Kamath-Rayne

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