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Journal of the American Association of Nurse Practitioners
10 01, 2022;34 (10): 1116-1125.

A curriculum to improve knowledge and skills of nurse practitioners and physician assistants in the pediatric emergency department.

Shabana Yusuf, Joseph L Hagan, Suzette Stone
Author Information
  1. Shabana Yusuf: Department of Pediatrics, Division of Pediatrics Emergency Medicine, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
  2. Joseph L Hagan: Department of Pediatrics, Newborn Center, Texas Children's Hospital, Houston, Texas.
  3. Suzette Stone: Bone Marrow Transplant and Cellular Therapies, St. Jude Children's Research Hospital, Memphis, Tennessee.
PMID: 36099396 DOI: 10.1097/JXX.0000000000000771

Abstract

ABSTRACT: Nurse practitioners (NPs) and physician assistants (PAs) have an important role in delivery of care in a tertiary children's hospital emergency department (ED). Most NPs and PAs have not had any formal training to work in a pediatric ED; although our NPs and PAs had no formal ED training, some were acute care certified. We describe a curriculum designed to improve knowledge and skills of NPs and PAs in the pediatric ED. The curriculum consists of three modules, namely, online lecture series, procedural workshops, and case scenarios in a simulated setting. Module 1 consisted of online lecture on 10 common ED diagnoses. The second module consisted of procedural workshops on lumbar puncture, incision and drainage of abscesses, gastrostomy insertion, and laceration repair. The third module included simulation scenarios on ED-specific cases of seizure in an infant, bronchiolitis and ruptured appendicitis with shock. Each module was evaluated by a survey. Participants rated each item on the survey using a Likert scale response (1 = disagree completely to 5 = agree completely ). Both NPs and PAs demonstrated increase in knowledge scores in posttest 1 vs pretest ( p < .001) and did not show a significant decline in posttest 2 ( p = .073). The mean ratings of components of the online lecture series, workshops, and simulation scenarios were 4.5-4.7, 4.4-4.8, and 4.5-4.7, respectively, with positive comments. This novel curriculum meets the educational needs of NPs and PAs at our institution and can be used as a model to train them at other tertiary care pediatric EDs.

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MeSH Term

Child
Critical Care
Curriculum
Emergency Service, Hospital
Humans
Nurse Practitioners
Physician Assistants
Journal Article
Article has an altmetric score of 1

Word Cloud

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