Improving Multidisciplinary Practice Using Simulation
By Nancy Crego, PhD, RN, CCRN
Pediatric sedation practice requires a broad range of psychomotor skills, pharmacologic knowledge and multidisciplinary teamwork. From its inception, the Society for Pediatric Sedation recognized that multidisciplinary teamwork is integral to pediatric sedation care. However, the multidisciplinary nature of pediatric sedation, can pose several challenges. High quality sedation care depends on the ability of the multidisciplinary team to cooperate, communicate and to share skills and knowledge appropriately. But, opportunities to practice multidisciplinary team skills are often limited during individual specialty training and in the practice setting.
Simulation is a technique that has been used by various industries for both skill development, assessment of skill acquisition and is well suited for multidisciplinary sedation team training. Studies using multidisciplinary team simulations have shown improvements in 1 :
  1. Knowledge, skills, attitudes and behaviors related to teamwork
  2. Appreciation and understanding of patient care roles and skills of other professionals
  3. Communication, collaboration and clinical reasoning
  4. Increased awareness of patient needs and conditions
Although skill acquisition appears to occur primarily during the simulation scenario, the importance of debriefing at the conclusion of simulation is an often overlooked, yet important part of the learning process. During debriefs individual members of the team can reflect on their experience and share their perceptions of the scenario from the point of view of their discipline. These discussions can in turn inform future team performance. The Society for Pediatric Sedation offers multidisciplinary sessions at the Annual Conference and the SPS Sedation Provider Course ® that promote team interactions.

Watch for the 2020 Annual Conference program schedule coming soon!
  1. Decker, S.I., Anderson, M., Boese, T., Epps, C., McCarthy, J., Motola, I., Palaganas, J., Perry, C., Puga, F., Scolaro, K. (2015). Standards of Best Practice: Simulation Standard VIII: Simulation-Enhanced Interprofessional Education (Sim-IPE) Clinical Simulation in Nursing, 11(6): 293-297. ISSN: 1876-1399 AN: 109797567
  2. Scherer, K., & Winokur, R. S. (2019). Multidisciplinary Team Training Simulation in Interventional Radiology. Techniques in Vascular & Interventional Radiology, 22(1), 32-34. doi:10.1053/j.tvir.2018.10.007
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