Simulation Training to Increase Holding of Fragile Infants in Cardiac Intensive Care Units.
Background: Promoting bonding and neurodevelopmental care is an important element in the cardiovascular intensive care unit (CICU); however, holding of infants by family members is inconsistently practiced. Objectives: This quality improvement study aimed to safely increase the holding of medically...
| Publicado en: | American Journal of Critical Care Vol. 33; no. 5; pp. 338 - 347 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | CEU research Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Sep2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179362541&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179362541 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Sep2024 vid: 33 iid: 5 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 179362541 179362541 179362541 10.4037/ajcc2024658 179362541 ppf: 338 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Simulation Training to Increase Holding of Fragile Infants in Cardiac Intensive Care Units. aug: au: Rachwal, Christine Smith-Parrish, Melissa Rofeberg, Valerie Graber, Kelsey Smith-Freedman, Duncan Millman, Marlena Smith Garafalo, Meagan Almeida-Santos, Sonia Panaccione, Michelle Sorensen, Angela Stuzynski, Suzanne Horn, Karen Ubertini, Gina Peruti, Shana Butler, Samantha C. affil: nurse practice specialist, Department of Nursing, Boston Children's Hospital, Boston, Massachusetts sug: subj: Coronary Care Units In Infancy and Childhood Simulations Utilization Neuromuscular Facilitation Education Nursing Staff, Hospital Education Parent-Infant Bonding Child, Medically Fragile Infant Care Education Human Infant, Newborn Confidence Professional Competence Questionnaires Models, Anatomic Descriptive Statistics Professional Compliance Research Methodology Education, Continuing (Credit) Infant, Newborn: birth-1 month ab: Background: Promoting bonding and neurodevelopmental care is an important element in the cardiovascular intensive care unit (CICU); however, holding of infants by family members is inconsistently practiced. Objectives: This quality improvement study aimed to safely increase the holding of medically complex infants in the CICU by developing a holding guideline and offering simulation-based staff education. Methods: Using consensus methodology and high-fidelity simulation, an expert work group created a holding guideline and training to increase staff confidence and competence in holding critically ill infants in the CICU. The effectiveness of the intervention was tested via a postintervention survey used to assess participants' confidence in and comfort with holding critically ill infants and elicit suggestions for further support. Participants who engaged with the mannequin were surveyed to assess the validity of the simulation trainer. Results: After the intervention, participants (N = 130) reported increased confidence with infant holding (76%) and greater confidence in preparing families to hold their infants. Participants (95%) strongly agreed that the simulation enabled realistic, safe practice in holding a medically complex infant with catheters and tubes. More years of experience and engagement with the simulation trainer were associated with increased posttraining confidence. Participants cited increased resources, practice, and adherence monitoring as key supports for infant holding. Conclusions: Expert group consensus with high-fidelity simulation training is a feasible, safe, and reliable method for teaching higher risk skills and guiding protocol development. pubtype: Academic Journal doctype: CEU research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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