215 Neonatal emergency readiness project (NERP): development of asynchronous virtual simulation curriculum to improve emergency department neonatal resuscitation care among inter-professional teams

• Published in: Archives of disease in childhood Vol. 107; no. Suppl 2; pp. A2 - A3
• Main Author: Fayyaz, Jabeen
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 17-08-2022; BMJ Publishing Group LTD
• Subjects: Abstracts; Coding; Curriculum development; Data Analysis; Departments; Educational Methods; Educational Strategies; Emergency medical care; Medical personnel; Needs Assessment; Neonatal care; Neonates; Newborn babies; Pediatrics; Qualitative Research; Sample Size; Simulation; Statistical analysis; Surveys; Usability; Usability testing
• ISSN: 0003-9888; 1468-2044
• DOI: 10.1136/archdischild-2022-rcpch.4

AimsAim1. To perform a needs assessment to understand the existing gaps in training for neonatal resuscitation care among interprofessional team members in the emergency department at SickKids.2. To develop a virtual simulation-based neonatal resuscitation care curriculum and conduct usability testing to refine the design of the cases that comprise the online curriculum.Methods Methodology: This project involves two phases: (1) needs assessment and (2) curriculum development and refinement. Phase I: Need assessment : Needs assessment will be carried out to determine the needs of healthcare providers involved in NNR in the emergency room. While there is no established approach on how best to perform a faculty needs assessment. We have we have selected an exploratory approach using an electronic survey and institutional document review. The results will be used to inform the development of the virtual NNR curriculum, comprised of 3 VS cases. The survey will be distributed via email to permanent and contract physicians, advanced subspecialty fellows, registered nurses and respiratory therapist working in the SickKids ED. Phase II: Curriculum development and refinement-The NNR curriculum will be comprised of 3 VS cases and will be developed based on Kern et al.’s six-step approach to curriculum development, including problem identification and needs assessment (Phase I), goals and objectives and educational strategies (Phase II), and implementation and evaluation (Phase III, future work) . Sample Size: Ten participants per usability cycle should identify most issues as previous studies have reported that even with a small representative sample of end users (5 participants), 80% of usability issues are identified.Results Analysis Plan: Demographic data: Descriptive statistics including measures of central tendency and distribution of values. Usability data: Audiotaped usability testing interviews and field notes will be transcribed verbatim, deidentified, and entered Dedoose qualitative data analysis software to facilitate organization and analysis. After each iterative cycle, common and recurring themes related to usability (i.e., satisfaction, efficiency, errors) will be identified through systematic iterative coding and sorting using the constant comparison method. Two team members will individually read transcripts to identify preliminary codes. Regular team meetings will be held to refine and merge codes into thematic categories in a consensus-building process until a stable thematic structure is developed. This coding structure will then be applied to the entire data set by one researcher. Modifications to the VS cases will be made based on findings from each usability testing cycle. System Usability Scale scores will be summed and converted to percentiles; with a score of greater than 68% considered average. Sample Size: Ten participants per usability cycle should identify most issues as previous studies have reported that even with a small representative sample of end users (5 participants), 80% of usability issues are identified.Conclusion Impact: This study will result in the development of a VS curriculum in neonatal emergency readiness; an identified priority area for continued improvement within the SickKids PEM department. We will translate our knowledge using the Knowledge to Action loop. Keywords: Virtual simulation, Virtual Resuscitation Room, Pediatric emergency.