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Evaluation of Pediatric Cardiac Intensive Care Advanced Practice Provider's Leadership Education and Experience During Emergencies
This study was a cross-sectional descriptive studying using survey responses. The self-administered survey was administered to APP and attending physician members of the Pediatric Cardiac Intensive Care Society. Survey results were analyzed.RESULTS: One hundred seven pediatric cardiac intensive care unit APPs (n = 53) and attending physicians (n = 54) responded to the survey. Half of APPs felt that attendings allowed APPs to lead emergent events, and 50.9% had never functioned in the team leader role. Most respondents (77.5%) rated their comfort functioning in the role during emergent situations as moderate or lower. Incre...
Source: Dimensions in Critical Care Nursing - May 26, 2022 Category: Nursing Authors: Amy R Florez Christine M Riley Jill E Zender David S Cooper Brandon M Henry Lindsey B Justice Source Type: research

Family-Centered Care in Pediatric Critical Care Transport
Conclusions This study informs how transport factors and parent/staff perceptions influence parental presence on transport at a single center. Opportunities to optimize transport FCC include defining protocols for ground and air transport, establishing a more welcoming attitude toward parents, and designing an FCC educational module specific for transport staff.
Source: Air Medical Journal - December 25, 2014 Category: Emergency Medicine Source Type: research

The Parents, Hospitalized Childs, and Health Care Providers Perceptions and Experiences of Family-Centered Care Within a Pediatric Critical Care Setting: A Synthesis of Quantitative Research
Family-centered care (FCC) purports that unlimited presence and involvement of the family in the care of the hospitalized child will optimize the best outcome for the child, family, and institution. A systematic appraisal was conducted of peer-reviewed, English-language, primary quantitative research conducted within a pediatric critical care setting reported from 1998 to 2014. The aim of this review was to explore the parents’, hospitalized child’s, and health care providers’ perception of FCC within pediatric critical care. Fifty-nine articles met the criteria that generated themes of stress, communicat...
Source: Journal of Family Nursing - January 11, 2016 Category: Nursing Authors: Foster, M., Whitehead, L., Maybee, P. Tags: Articles Source Type: research

Improved Clinical Performance and Teamwork of Pediatric Interprofessional Resuscitation Teams With a Simulation-Based Educational Intervention*
Objectives: To measure the effect of a 1-day team training course for pediatric interprofessional resuscitation team members on adherence to Pediatric Advanced Life Support guidelines, team efficiency, and teamwork in a simulated clinical environment. Design: Multicenter prospective interventional study. Setting: Four tertiary-care children’s hospitals in Canada from June 2011 to January 2015. Subjects: Interprofessional pediatric resuscitation teams including resident physicians, ICU nurse practitioners, registered nurses, and registered respiratory therapists (n = 300; 51 teams). Interventions: A 1-day simulation-b...
Source: Pediatric Critical Care Medicine - February 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Physician training in critical care in the United States: Update 2018
Critical care fellowship training in the United States differs based on specific specialty and includes medicine, surgery, anesthesiology, pediatrics, emergency medicine, and neurocritical care training pathways. We provide an update regarding the number and growth of US critical care fellowship training programs, on-duty residents and certified diplomates, and review the different critical care physician training pathways available to residents interested in pursuing a fellowship in critical care. Data were obtained from the Accreditation Council for Graduate Medical Education and specialty boards (American Board of Inter...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2018 Category: Orthopaedics Tags: Review Articles Source Type: research

Rapid Cycle Deliberate Practice Versus Reflective Debriefing for Pediatric Septic Shock Training*
Objectives: Rapid cycle deliberate practice is a simulation training method that cycles between deliberate practice and directed feedback to create perfect practice; in contrast to reflective debriefing where learners are asked to reflect on their performance to create change. The aim of this study is to compare the impact of rapid cycle deliberate practice versus reflective debriefing training on resident application and retention of the pediatric sepsis algorithm. Design: Prospective, randomized-control study. Setting: A tertiary care university children’s hospital simulation room, featuring a high-fidelity ped...
Source: Pediatric Critical Care Medicine - May 1, 2019 Category: Pediatrics Tags: Education Source Type: research

Learning in Pediatric Emergency Situations: A Qualitative Study of Residents’ Perspectives*
Conclusions: Resident participation in emergency situations is complex and informed by the context. Learning in emergency situations is influenced by residents’ level of mental engagement. Supervisors may positively guide resident participation, foster engagement, and enable them to reach their learning goals in emergency situations.
Source: Pediatric Critical Care Medicine - October 1, 2020 Category: Pediatrics Tags: Education Source Type: research

Evaluation of Pediatric Cardiac Intensive Care Advanced Practice Provider’s Leadership Education and Experience During Emergencies
This study was a cross-sectional descriptive studying using survey responses. The self-administered survey was administered to APP and attending physician members of the Pediatric Cardiac Intensive Care Society. Survey results were analyzed. Results One hundred seven pediatric cardiac intensive care unit APPs (n = 53) and attending physicians (n = 54) responded to the survey. Half of APPs felt that attendings allowed APPs to lead emergent events, and 50.9% had never functioned in the team leader role. Most respondents (77.5%) rated their comfort functioning in the role during emergent situations as moderate or lower...
Source: Dimensions of Critical Care Nursing - June 3, 2022 Category: Nursing Tags: Leadership DIMENSION Source Type: research

Quality improvement interventions to prevent unplanned extubations in pediatric critical care: a systematic review
ConclusionsThis review provides a comprehensive synthesis of QI interventions to reduce unplanned extubation. With only half the studies achieving a high-quality rating, there is room for improvement when conducting and reporting research in this area. Findings from this review can be used to support clinical recommendations to prevent unplanned extubations, and support patient safety in pediatric critical care.Systematic review registrationThis review was registered on PROSPERO (CRD42021252233) prior to data extraction.
Source: Systematic Reviews - December 2, 2022 Category: International Medicine & Public Health Source Type: research

Mitigating Moral Distress: Pediatric Critical Care Nurses ’ Recommendations
AbstractIn pediatric critical care, nurses are the primary caregivers for critically ill children and are particularly vulnerable to moral distress. There is limited evidence on what approaches are effective to minimize moral distress among these nurses. To identify intervention attributes that critical care nurses with moral distress histories deem important to develop a moral distress intervention. We used a qualitative description approach. Participants were recruited using purposive sampling between October 2020 to May 2021 from pediatric critical care units in a western Canadian province. We conducted individual semi-...
Source: HEC Forum - May 4, 2023 Category: Medical Ethics Source Type: research

Nurse Research Experiences and Attitudes Toward the Conduct of Intensive Care Research: A Questionnaire Study
Objective: To characterize ICU nurses’ research experience, work environments, and attitudes toward clinical research in critically ill adults and children. Design: Cross-sectional survey. Setting: Eight (seven adult and one pediatric) academic ICUs affiliated with the Canadian Critical Care Trials Group. Participants: Four hundred eighty-two ICU nurses. Interventions: None. Measurements and Main Results: Response rate was 56%. Most participants had over 6 years of ICU experience (61%) and held a baccalaureate nursing degree (57%). Most participants (63%) had provided care for patients receiving research study procedures...
Source: Critical Care Medicine - December 18, 2015 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research