Teamwork in Pediatric Resuscitation: Training Medical Students on High-Fidelity Simulation.
Beatriz Adriane Rodrigues Gonçalves, Maria do Carmo Barros de Melo, Priscila Menezes Ferri Liu, Beatriz Cristina Heitmann Gomes Valente, Vívian Paiva Ribeiro, Pedro Henrique Vilaça E Silva
Author Information
Beatriz Adriane Rodrigues Gonçalves: Department of Pediatrics, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. ORCID
Maria do Carmo Barros de Melo: Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. ORCID
Priscila Menezes Ferri Liu: Department of Pediatrics, Medicine School, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Beatriz Cristina Heitmann Gomes Valente: Department of Pediatrics, Faculdade de Minas-BH, Belo Horizonte, Minas Gerais, Brazil.
Background: Simulation training and teamwork for medical students are essential to improve performance in pediatric cardiopulmonary resuscitation. Purpose: To evaluate if a specific approach to teamwork improves technical and nontechnical performance. Methods: We performed quasiexperimental, prospective, pre- and postinterventional, and nonrandomized research with 65 students in the fourth year of their medicine course. This was a case-control study in which teams used a customized TeamSTEPPS protocol (n=34) or not (n=31) for cardiopulmonary arrest training in children using high-fidelity simulation. All participants answered a sociodemographic and satisfaction questionnaire and underwent theory and practice pre- and posttesting. The survey data were collected in 2019 and analyzed using χ, Mann-Whitney, κ, and Wilcoxon tests. <0.05 was considered significant. Results: Intervention and control groups achieved better scores in theory posttesting (<0.001 and =0.049), but there was no difference between them in pre- (p=0.291) and posttesting (p=0.397). In the checklist of the practice test, all groups obtained their best outcomes in posttesting and the intervention group achieved higher scores (<0.001). All groups increased the number of teamwork events and reduced the time span to perform resuscitation first steps (<0.001) in posttesting. Conclusion: The use of teamwork training based on a customized TeamSTEPPS protocol improved performance in team behavior and group technical achievement. The evaluation of the students about the training was positive.
