Critical Analyses and Development of Training Mechanisms: Cholinergic Crisis and Pediatric/Neonatal Intubation.

摘要

A comprehensive literature review on the topics yielded numerous publications for cholinergic crisis (1,032) and pediatric/neonatal intubation (475). These results provided a foundation for the following in both clinical domains: creation of comprehensive task analyses, identification of critical tasks and standards of performance, curriculum deficits, strengths and weaknesses of various training platforms (simulation, animal, multimedia), and development of assessment instruments (cognitive, psychomotor, affective). Validation data were collected for pediatric/neonatal intubation instruments. All assessment instruments were reviewed by experts and statistical calculations (ANOVA) to evaluate the construct validity for each of the five assessment instruments indicated that each were able to differentiate between all provider experience levels at p=.000 significance. Reliability calculations (Cronbach s alpha) demonstrated excellent reliability ranging between .82 and .95. Subject distribution at this reporting time is Animal (N=127) and Simulator (N=167). Preliminary results show all subjects significantly improved with both interventions (p=.000). Retention assessment will continue through 2014. Instructional components and collection of sufficient data for assessment instrument validation for the cholinergic crisis arm were completed in Q3-2013 and Q4-2013, respectively.