Critical Analyses and Development of Training Mechanisms: Cholinergic Crisis and Pediatric/Neonatal Intubation

Abstract

A comprehensive literature review on the topics yielded numerous publications for cholinergic crisis (1,032) and pediatric/neonatal intubation (475). These results provided a foundation for the following in both clinical domains: creation of comprehensive task analyses, identification of critical tasks and standards of performance, curriculum deficits, strengths and weaknesses of various training platforms (simulation, animal, multimedia), and development of assessment instruments (cognitive, psychomotor, affective). Validation data were collected for pediatric/neonatal intubation instruments. All assessment instruments were reviewed by experts and statistical calculations (ANOVA) to evaluate the construct validity for each of the five assessment instruments indicated that each were able to differentiate between all provider experience levels at p=.000 significance. Reliability calculations (Cronbach s alpha) demonstrated excellent reliability ranging between .82 and .95. Subject distribution at this reporting time is Animal (N=127) and Simulator (N=167). Preliminary results show all subjects significantly improved with both interventions (p=.000). Retention assessment will continue through 2014. Instructional components and collection of sufficient data for assessment instrument validation for the cholinergic crisis arm were completed in Q3-2013 and Q4-2013, respectively.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2013
Accession Number
ADA621216

Entities

People

  • Pamela Andreatta

Organizations

  • University of Michigan

Tags

DTIC Thesaurus Topics

  • Airway Management
  • Analgesia
  • Chemical Warfare Agents
  • Health Services
  • Medical Personnel
  • Students
  • Therapy

Readers

  • Instructional Design and Training Evaluation.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.