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

摘要

Validation data were collected for the assessment instruments we developed, as informed by comprehensive task analyses, to evaluate competency in the management of cholinergic crisis and pediatric and neonatal intubation. All assessment instruments were reviewed by experts, and statistical calculations (ANOVA) to evaluate the construct validity for each of the assessment instruments indicated that each were able to differentiate between all provider experience levels at p less than .05 significance. The assessment instruments demonstrated excellent reliability, with Chronbach's alpha ranging from .70 to .96. Test-retest correlations (Pearson's r) ranged from .96 to .99. 294 subjects completed a training intervention and pre-and post-training assessments in pediatric/neonatal intubation. Subject distribution was Animal (N=127) and Simulator (N=167). In Q1 2014 retention data collection was completed. 171 subjects completed retention assessments, with a distribution of Animal (N=77) and Simulator (N=94). 204 subjects completed a training intervention and pre- and post-training assessment in cholinergic crisis management. Subject distribution was Animal (N=107) and Simulator (N=97). 162 subjects completed a retention assessment in cholinergic crisis management. All subjects significantly improved with both interventions (p=.000). There were no significant differences between the post-training outcomes for the two types of training in either pediatric/neonatal intubation or cholinergic crisis clinical management. There were significant (p < .01) retention differences for pediatric and neonatal intubation knowledge and performance skills favoring simulation-based training at 18 weeks and 52 weeks post-training, likely due to the opportunity for repeated practice. There were no differences between training groups for knowledge or performance retention in cholinergic crisis clinical management.