Browsing by Author "Hueckel, Rémi"

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    Standardization of health care provider competencies for intrathecal access procedures.
    (Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses, 2014-11) McLaughlin, Colleen A; Hockenberry, Marilyn J; Kurtzberg, Joanne; Hueckel, Rémi; Martin, Paul L; Docherty, Sharron L

    Introduction

    This quality improvement (QI) project addresses a method for experienced health care providers to maintain skill-based competence for intrathecal access procedures.

    Methods

    A prospective QI design using intrathecal access simulation to assess, educate, and evaluate skill competency. Simulation was used as a strategy to promote patient safety and standardize practice patterns. Pretest and posttest methodology using paired t tests were performed to assess anxiety, confidence, and knowledge.

    Results

    Fourteen pediatric providers participated in this QI project. There was a statistically significant improvement in confidence measuring intracranial pressure (ICP; t = -2.92, P = .013), performance-related overall anxiety (t = -2.132, P = .05) and administering intrathecal chemotherapy (t = -2.144, P = .053). Fifty percent of participants missed a medication error demonstrating confirmation bias.

    Conclusion

    This simulation strategy resulted in improved confidence in measuring ICP, performance-related overall anxiety, and confidence in administering chemotherapy. Confirmation bias occurred during simulation testing for a medication error. We propose this method for maintaining clinical competencies in health care providers and introducing new skills to existing practices.