In situ simulation training for parental presence during critical situations in PICU: an observational study

Article Article scientifique Article In situ simulation training for parental presence during critical situations in PICU: an observational study eng 2022-03-12 2022-06 author Bordessoule Alice 0000-0001-8155-8433 Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. alice.bordessoule@hcuge.ch. 802026 author Felice Civitillo Cristina Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. 401649 author Grazioli Serge Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. 503187 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Barcos Munoz Francisca Mariana 0000-0001-7143-6117 Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. 871644 Francisca Barcos Munoz author Haddad Kevin Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. author Rimensberger Peter 0000-0002-9760-9220 Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. 134965 author Polito Angelo Pediatric and Neonatal Intensive Care Unit, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, Rue Willy Donze 6, 1205, Geneva, Switzerland. 891320 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) 2409-2414 10.1007/s00431-022-04425-8 35277736 0340-6199 PMC9110492 Family presence during invasive procedures or cardiopulmonary resuscitation (CPR) is a part of the family-centered approach in pediatric intensive care units (PICUs). We established a simulation program aiming at providing communication tools to healthcare professionals. The goal of this study was to evaluate the impact of this program on the stress of PICU professionals and its acceptance. An observational study of a simulation program, with questionnaire, was used to measure pre- and post-simulation stress and the degree of satisfaction of the participants. PICU of Geneva Children's Hospital, Switzerland. Forty simulations with four different simulation scenarios and various types of parental behavior, as imitated by professional actors, were completed during a 1-year period. Primary outcomes were the difference in perceived stress level before and after the simulation and the degree of satisfaction of healthcare professionals (nursing assistants, nurses, physicians). The impact of previous experience with family members during critical situations or CPR was evaluated by variation in perceived stress level. Overall, 201 questionnaires were analyzed. Perceived stress associated with parental presence decreased from a pre-simulation value of 6 (IQR, 4-7) to 4 (IQR, 2-5) post-simulation on a scale of 1-10. However, in 25.7% of cases, the individually perceived post-simulation stress level was higher than the pre-simulation one. Satisfaction of the participants was high with a median of 10 (IQR, 9-10) out of 10. Conclusions: A simulation program helps reduce PICU team emotional stress associated with the presence of family members during critical situations or CPR, and is welcomed by PICU team members. What is known: • Family presence during cardiopulmonary resuscitation (CPR) or critical situations is a part of the family-centered approach in pediatric intensive care. • The benefits for the family have been already demonstrated. However, this policy is still controversy among healthcare professionals. What is new: • A simulation program seeking to provide skills focused on family presence management in the PICU is useful to reduce stress and was well accepted by participants. • It might become an indispensable training intervention for the implementation of a PICU policy to allow family presence during CPR or other critical situations. Family-witnessed resuscitation Healthcare professionals stress In situ simulation Patient- and family-centered care Team training Child Family Health Personnel Humans Intensive Care Units, Pediatric Parents Simulation Training Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 424 Réanimation néonatale en salle d'accouchement 696 European journal of pediatrics 181 6 eca26aef-3d5d-475b-a882-d17e030e580c Article (Published version) Public Article-scientifique-from-unpaywall.pdf 896681 application/pdf CC BY-4.0 7f1a71dfc05be372363ea2fb1e63a650d25739e351cf28b847b7ec6298bda3e7 97961b4f-e187-4ea7-b383-c8b5990527f9 Supplemental data Public 431_2022_4425_MOESM1_ESM.docx 56825 application/vnd.openxmlformats-officedocument.wordprocessingml.document 132533316fde1c759b6541d867ba4e3516185bbdcaa3ca517e7cd89db7b559a5 openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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In situ simulation training for parental presence during critical situations in PICU: an observational study	European journal of pediatrics			2022	95	95

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Felice Civitillo, Cristina