A standarized needs assessment tool to inform the curriculum development process for pediatric resuscitaion simulation-based education in resources-limited setting

Nicole Shilkofski, Amanda Crichlow, Julie Rice, Leslie Cope, Ye Myint Kyaw, Thazin Mon, Sarah Kiguli, Julianna Joan Jung

Research output: Contribution to journalArticle

Abstract

Introduction: Under fve mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to frst conduct a needs assessment of the target learner population. The World Health Organization (WHO) has published a tool to assess capacity for emergency and surgical care in LMICs that is adaptable to this goal. Materials and methods: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was modifed to assess pediatric resuscitation capacity in clinical settings in two LMICs: Uganda and Myanmar. Modifcations included assessment of self-identifed learning needs, current practices, and perceived epidemiology of disease burden in each clinical setting, in addition to assessment of pediatric resuscitation capacity in regard to infrastructure, procedures, equipment, and supplies. The modifed tool was administered to 94 respondents from the two settings who were target learners of a proposed simulation-based curriculum in pediatric and neonatal resuscitation. results: Infectious diseases (respiratory illnesses and diarrheal disease) were cited as the most common causes of pediatric deaths in both countries. Self-identifed learning needs included knowledge and skill development in pediatric airway/breathing topics, as well as general resuscitation topics such as CPR and fuid resuscitation in shock. Equipment and supply availability varied substantially between settings, and criticalshortages were identifed in each setting. Current practices and procedures were often limited by equipment availability or infrastructural considerations. Discussion and conclusion: Epidemiology of disease burden reported by respondents was relatively consistent with WHO country-specifc UFMR statistics in each setting. Results of the needs assessment survey were subsequently used to refne goals and objectives for the simulation curriculum and to ensure delivery of pragmatic educational content with recommendations that were contextualized for local capacity and resource availability. Effective use of the tool in two different settings increases its potential generalizability.

Original languageEnglish (US)
Article number37
JournalFrontiers in Pediatrics
Volume6
DOIs
StatePublished - Feb 28 2018

Fingerprint

Needs Assessment
Resuscitation
Curriculum
Pediatrics
Education
Equipment and Supplies
Epidemiology
Learning
Myanmar
Uganda
Mortality
United Nations
Health Services Needs and Demand
Cardiopulmonary Resuscitation
Conservation of Natural Resources
Emergency Medical Services
Developing Countries
Communicable Diseases
Cause of Death
Shock

Keywords

  • Developing countries
  • Limited-resource settings
  • Needs assessment
  • Neonatal resuscitation
  • Pediatric critical care
  • Pediatric resuscitation
  • PIPES tool
  • Simulation-based training

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{05d507ce9c934d9abd16122a1ce7db30,
title = "A standarized needs assessment tool to inform the curriculum development process for pediatric resuscitaion simulation-based education in resources-limited setting",
abstract = "Introduction: Under fve mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to frst conduct a needs assessment of the target learner population. The World Health Organization (WHO) has published a tool to assess capacity for emergency and surgical care in LMICs that is adaptable to this goal. Materials and methods: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was modifed to assess pediatric resuscitation capacity in clinical settings in two LMICs: Uganda and Myanmar. Modifcations included assessment of self-identifed learning needs, current practices, and perceived epidemiology of disease burden in each clinical setting, in addition to assessment of pediatric resuscitation capacity in regard to infrastructure, procedures, equipment, and supplies. The modifed tool was administered to 94 respondents from the two settings who were target learners of a proposed simulation-based curriculum in pediatric and neonatal resuscitation. results: Infectious diseases (respiratory illnesses and diarrheal disease) were cited as the most common causes of pediatric deaths in both countries. Self-identifed learning needs included knowledge and skill development in pediatric airway/breathing topics, as well as general resuscitation topics such as CPR and fuid resuscitation in shock. Equipment and supply availability varied substantially between settings, and criticalshortages were identifed in each setting. Current practices and procedures were often limited by equipment availability or infrastructural considerations. Discussion and conclusion: Epidemiology of disease burden reported by respondents was relatively consistent with WHO country-specifc UFMR statistics in each setting. Results of the needs assessment survey were subsequently used to refne goals and objectives for the simulation curriculum and to ensure delivery of pragmatic educational content with recommendations that were contextualized for local capacity and resource availability. Effective use of the tool in two different settings increases its potential generalizability.",
keywords = "Developing countries, Limited-resource settings, Needs assessment, Neonatal resuscitation, Pediatric critical care, Pediatric resuscitation, PIPES tool, Simulation-based training",
author = "Nicole Shilkofski and Amanda Crichlow and Julie Rice and Leslie Cope and Kyaw, {Ye Myint} and Thazin Mon and Sarah Kiguli and Jung, {Julianna Joan}",
year = "2018",
month = "2",
day = "28",
doi = "10.3389/fped.2018.00037",
language = "English (US)",
volume = "6",
journal = "Frontiers in Pediatrics",
issn = "2296-2360",
publisher = "Frontiers Media S. A.",

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T1 - A standarized needs assessment tool to inform the curriculum development process for pediatric resuscitaion simulation-based education in resources-limited setting

AU - Shilkofski, Nicole

AU - Crichlow, Amanda

AU - Rice, Julie

AU - Cope, Leslie

AU - Kyaw, Ye Myint

AU - Mon, Thazin

AU - Kiguli, Sarah

AU - Jung, Julianna Joan

PY - 2018/2/28

Y1 - 2018/2/28

N2 - Introduction: Under fve mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to frst conduct a needs assessment of the target learner population. The World Health Organization (WHO) has published a tool to assess capacity for emergency and surgical care in LMICs that is adaptable to this goal. Materials and methods: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was modifed to assess pediatric resuscitation capacity in clinical settings in two LMICs: Uganda and Myanmar. Modifcations included assessment of self-identifed learning needs, current practices, and perceived epidemiology of disease burden in each clinical setting, in addition to assessment of pediatric resuscitation capacity in regard to infrastructure, procedures, equipment, and supplies. The modifed tool was administered to 94 respondents from the two settings who were target learners of a proposed simulation-based curriculum in pediatric and neonatal resuscitation. results: Infectious diseases (respiratory illnesses and diarrheal disease) were cited as the most common causes of pediatric deaths in both countries. Self-identifed learning needs included knowledge and skill development in pediatric airway/breathing topics, as well as general resuscitation topics such as CPR and fuid resuscitation in shock. Equipment and supply availability varied substantially between settings, and criticalshortages were identifed in each setting. Current practices and procedures were often limited by equipment availability or infrastructural considerations. Discussion and conclusion: Epidemiology of disease burden reported by respondents was relatively consistent with WHO country-specifc UFMR statistics in each setting. Results of the needs assessment survey were subsequently used to refne goals and objectives for the simulation curriculum and to ensure delivery of pragmatic educational content with recommendations that were contextualized for local capacity and resource availability. Effective use of the tool in two different settings increases its potential generalizability.

AB - Introduction: Under fve mortality rates (UFMR) remain high for children in low- and middle-income countries (LMICs) in the developing world. Education for practitioners in these environments is a key factor to improve outcomes that will address United Nations Sustainable Development Goals 3 and 10 (good health and well being and reduced inequalities). In order to appropriately contextualize a curriculum using simulation, it is necessary to frst conduct a needs assessment of the target learner population. The World Health Organization (WHO) has published a tool to assess capacity for emergency and surgical care in LMICs that is adaptable to this goal. Materials and methods: The WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care was modifed to assess pediatric resuscitation capacity in clinical settings in two LMICs: Uganda and Myanmar. Modifcations included assessment of self-identifed learning needs, current practices, and perceived epidemiology of disease burden in each clinical setting, in addition to assessment of pediatric resuscitation capacity in regard to infrastructure, procedures, equipment, and supplies. The modifed tool was administered to 94 respondents from the two settings who were target learners of a proposed simulation-based curriculum in pediatric and neonatal resuscitation. results: Infectious diseases (respiratory illnesses and diarrheal disease) were cited as the most common causes of pediatric deaths in both countries. Self-identifed learning needs included knowledge and skill development in pediatric airway/breathing topics, as well as general resuscitation topics such as CPR and fuid resuscitation in shock. Equipment and supply availability varied substantially between settings, and criticalshortages were identifed in each setting. Current practices and procedures were often limited by equipment availability or infrastructural considerations. Discussion and conclusion: Epidemiology of disease burden reported by respondents was relatively consistent with WHO country-specifc UFMR statistics in each setting. Results of the needs assessment survey were subsequently used to refne goals and objectives for the simulation curriculum and to ensure delivery of pragmatic educational content with recommendations that were contextualized for local capacity and resource availability. Effective use of the tool in two different settings increases its potential generalizability.

KW - Developing countries

KW - Limited-resource settings

KW - Needs assessment

KW - Neonatal resuscitation

KW - Pediatric critical care

KW - Pediatric resuscitation

KW - PIPES tool

KW - Simulation-based training

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