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Simulation for Clinical Preparedness in Pediatric Emergencies

A Pilot Study

Mariani, Bette, PhD, RN, ANEF; Zazyczny, Kelly Ann, MSN, RN, CPN; Decina, Patricia, MHA, BSN, RN, CPN; Waraksa, Lisa, BSN, RN, CPN; Snyder, Patricia, BSN, RN, CPA; Gallagher, Elizabeth, MSN, RN, CPN; Hand, Carol, MHA, BSN, RNC-NIC

Journal for Nurses in Professional Development: January/February 2019 - Volume 35 - Issue 1 - p 6–11
doi: 10.1097/NND.0000000000000500
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Positive outcomes for pediatric in-hospital cardiopulmonary arrest remain low with little change in mortality rates. Infrequently used clinical knowledge and skills decline quickly, contributing to poor quality of resuscitation. The aim of this pilot study exploring the outcomes of repeated pediatric mock code simulations with structured debriefing demonstrated statistically significant differences in participants’ knowledge of pediatric emergencies, with no significant decline in resuscitation skills. This provides an evidence-based approach for professional development educators working with nurses on pediatric emergencies.

Bette Mariani, PhD, RN, ANEF, is Associate Professor, Villanova University M. Louise Fitzpatrick College of Nursing, Villanova, Pennsylvania.

Kelly Ann Zazyczny, MSN, RN, CPN, is System Nurse Manager, Pediatrics and Vascular Access, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Patricia Decina, MHA, BSN, RN, CPN, is Staff Nurse 5, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Lisa Waraksa, BSN, RN, CPN, is Staff Nurse 4, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Patricia Snyder, BSN, RN, CPA, is Clinical Coordinator, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Elizabeth Gallagher, MSN, RN, CPN, is Staff Nurse 5, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Carol Hand, MHA, BSN, RNC-NIC, is Clinical Nurse Educator, Neonatal Intensive Care unit, Main Line Health System, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

Funding support was provided by Sharpe-Strumia Research Foundation.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

ADDRESS FOR CORRESPONDENCE: Bette Mariani, Villanova University M. Louise Fitzpatrick College of Nursing, Driscoll Hall, Room 392, 800 E. Lancaster Ave, Villanova, PA 19085 (e-mail: Bette.Mariani@villanova.edu).

© 2019 by Lippincott Williams & Wilkins, Inc.