title: Interprofessional, multiple step simulation course improves pediatric resident and nursing staff management of pediatric patients with diabetic ketoacidosis.
abstract: OBJECTIVE
  To investigate the use of a multidisciplinary, longitudinal simulation to educate pediatric residents and nurses on management of pediatric diabetic ketoacidosis.
  
  
  METHODS
  A multidisciplinary, multiple step simulation course was developed by faculty and staff using a modified Delphi method from the Pediatric Simulation Center and pediatric endocrinology department. Effectiveness of the simulation for the residents was measured with a pre- and post-test and a reference group not exposed to simulation. A follow up post-test was completed 3-6 mo after the simulation. Nurses completed a survey regarding the education activity.
  
  
  RESULTS
  Pediatric and medicine-pediatric residents (n= 20) and pediatric nurses (n= 25) completed the simulation course. Graduating residents (n= 16) were used as reference group. Pretest results were similar in the control and intervention group (74% ± 10%vs76% ± 15%,P= 0.658). After completing the intervention, participants improved in the immediate post-test in comparison to themselves and the control group (84% ± 12% post study;P< 0.05). The 3-6 mo follow up post-test results demonstrated knowledge decay when compared to their immediate post-test results (78% ± 14%,P= 0.761). Residents and nurses felt the interdisciplinary and longitudinal nature of the simulation helped with learning.
  
  
  CONCLUSIONS
  Results suggest a multidisciplinary, longitudinal simulation improves immediate post-intervention knowledge but important knowledge decay occurs, future studies are needed to determine ways to decrease this decay.
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Linnea M
authors.initials: LM
authors.lastname: Larson-Williams
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Amber Q
authors.initials: AQ
authors.lastname: Youngblood
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Dawn Taylor
authors.initials: DT
authors.lastname: Peterson
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: J Lynn
authors.initials: JL
authors.lastname: Zinkan
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Marjorie L
authors.initials: ML
authors.lastname: White
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Hussein
authors.initials: H
authors.lastname: Abdul-Latif
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Leen
authors.initials: L
authors.lastname: Matalka
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Stephen N
authors.initials: SN
authors.lastname: Epps
authors.affiliation: Linnea M Larson-Williams, Department of Pediatric Endocrinology, Georgia Regents University, Augusta, GA 30912, United States.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Tofil
keywords: Diabetic ketoacidosis; Education; Interdisciplinary; Pediatrics; Simulation