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Umbilical catheterization training: Tissue hybrid versus synthetic trainer
Author(s) -
Takahashi Shigehiro,
Ozawa Yuri,
Nagasawa Junko,
Ito Yushi,
Ouchi Gen,
Kabbur Prakash,
Moritoki Yuki,
Berg Benjamin W
Publication year - 2019
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13904
Subject(s) - medicine , umbilical cord , trainer , randomized controlled trial , physical therapy , surgery , computer science , anatomy , programming language
Background This study of umbilical catheterization deliberate practice training compared skill and knowledge outcomes of umbilical catheterization using a tissue‐hybrid simulator ( REAL ) versus a synthetic simulated umbilical cord task trainer ( ART ). Methods This was a prospective randomized control study. Pediatric residents were randomized to REAL or ART umbilical catheterization deliberate practice training. Pre–post‐training changes in skill performance and knowledge scores for REAL and ART groups were compared. Fidelity of REAL and ART were compared by neonatologists. Results Twenty‐seven pediatric residents completed training. Post‐training mean skill scores were improved compared to pre‐test scores ( REAL , P < 0.001; ART , P < 0.0001). Post‐training skill, knowledge, and self‐efficacy scores were not different between the REAL and ART groups. Fidelity of REAL was higher than ART for neonatologists ( P < 0.01). Conclusions The face validity of REAL was superior to ART , but resident umbilical cord deliberate practice training demonstrated no difference in skill, knowledge, and self‐efficacy improvements between REAL and ART . Further studies on real patients are needed to evaluate the impact of using real or simulated umbilical cords for umbilical venous catheter/umbilical arterial catheter training.