Standardization of health care provider competencies for intrathecal access procedures.
| dc.contributor.author | McLaughlin, Colleen A | |
| dc.contributor.author | Hockenberry, Marilyn J | |
| dc.contributor.author | Kurtzberg, Joanne | |
| dc.contributor.author | Hueckel, Rémi | |
| dc.contributor.author | Martin, Paul L | |
| dc.contributor.author | Docherty, Sharron L | |
| dc.date.accessioned | 2022-03-23T19:21:48Z | |
| dc.date.available | 2022-03-23T19:21:48Z | |
| dc.date.issued | 2014-11 | |
| dc.date.updated | 2022-03-23T19:21:48Z | |
| dc.description.abstract | IntroductionThis quality improvement (QI) project addresses a method for experienced health care providers to maintain skill-based competence for intrathecal access procedures.MethodsA 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.ResultsFourteen 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.ConclusionThis 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. | |
| dc.identifier | 1043454214543019 | |
| dc.identifier.issn | 1043-4542 | |
| dc.identifier.issn | 1532-8457 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | SAGE Publications | |
| dc.relation.ispartof | Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses | |
| dc.relation.isversionof | 10.1177/1043454214543019 | |
| dc.subject | Humans | |
| dc.subject | Injections, Spinal | |
| dc.subject | Prospective Studies | |
| dc.subject | Pediatrics | |
| dc.subject | Clinical Competence | |
| dc.subject | Health Personnel | |
| dc.subject | Practice Guidelines as Topic | |
| dc.subject | Quality Improvement | |
| dc.title | Standardization of health care provider competencies for intrathecal access procedures. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Kurtzberg, Joanne|0000-0002-3370-0703 | |
| duke.contributor.orcid | Martin, Paul L|0000-0001-8141-5678 | |
| pubs.begin-page | 304 | |
| pubs.end-page | 316 | |
| pubs.issue | 6 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | School of Nursing | |
| pubs.organisational-group | Staff | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Pathology | |
| pubs.organisational-group | Pediatrics | |
| pubs.organisational-group | Pediatrics, Critical Care Medicine | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Duke Innovation & Entrepreneurship | |
| pubs.organisational-group | Pediatrics, Transplant and Cellular Therapy | |
| pubs.publication-status | Published | |
| pubs.volume | 31 |
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