@article{ref1,
title="Emergency medical services provider acceptance of and attitudes about pediatric SimBox simulations",
journal="Pediatric emergency care",
year="2022",
author="Cicero, Mark Xavier and Baird, Janette and Adelgais, Kathleen and Brown, Linda and Auerbach, Marc",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: SimBox simulations allow for high-frequency open-access health care education, overcoming cost and resource barriers. Prehospital paramedics and emergency medical technician (EMT) care for children infrequently. In this study, prehospital providers evaluated pediatric SimBox simulations. <br><br>METHODS: This was a cross-sectional study of EMS professionals participating in a series of simulations conducted in a larger project assessing improvement of the quality of pediatric care in the prehospital setting. Participants were teams of two, which comprised a paramedic/paramedic, paramedic/EMT, or 2 EMTs. The simulations used facilitator resources, debriefing prompts, video depictions of patients and vital signs, and a low-fidelity manikin. Pediatric emergency care coordinators, EMS training officers, and/or emergency physicians facilitated simulations of seizure, sepsis with respiratory failure, and child abuse, followed by debriefings. Participants completed an online survey after the simulation and rated it in 4 domains: prebriefing, scenario content, debriefing, and overall. Ratings were trifold: &quot;strongly agree,&quot; &quot;somewhat agree,&quot; or &quot;do not agree.&quot; Data were analyzed by case type, participant type, location, participant reaction to simulation elements, and the debriefing. Net Promoter Scores were calculated to assess participant endorsement of SimBox. <br><br>RESULTS: There were 121 participants: 103 (87%) were paramedics, and 18 (13%) were EMTs. Participant agreement of simulation benefit for clinical practice was high, for example, &quot;I am more confident in my ability to prioritize care and interventions&quot; (98.4% strongly or somewhat agree), and 99.2% of participants agreed the postsimulation debriefing with facilitators &quot;provided opportunities to self-reflect on my performance during simulation.&quot; Overall, 97.5% strongly or somewhat agreed that the simulations &quot;improved my comfort in pediatric acute care.&quot; Net Promoter Score showed 65.3% were promoters of and 24% were passive about SimBox. <br><br>CONCLUSION: SimBox simulations are associated with improved self-efficacy of prehospital care providers for care of acutely ill or injured children. The majority promotes SimBox as a learning tool.<p /> <p>Language: en</p>",
language="en",
issn="0749-5161",
doi="10.1097/PEC.0000000000002678",
url="http://dx.doi.org/10.1097/PEC.0000000000002678"
}