Abstract
BackgroundExchange transfusion is a highly complex procedure that requires high levels of expertise. Trainee paediatricians do not have adequate training in exchange transfusion because opportunities to perform this procedure in practice are scarce. This protocol seeks to compare two educational interventions for exchange transfusion that allow students to develop competencies to perform the technique in an appropriate and safe way.Methods/designThis is a randomized parallel single-blind clinical trial with allocation by simple randomization to the educational intervention (simulation or a digital didactic environment). Students from the paediatric specialization who volunteer to participate will be included. A practical evaluation of the procedure will be performed through a simulated scenario using a standardized clinical case. The main outcome is defined as the result of evaluation using the Objective Structured Clinical Examination; superior performance will be defined when the percentage is greater than or equal to 85%, and non-superior performance will be defined when the result is less than 84%. The chi-square independence test or the Fisher exact test will be used to evaluate the effect of the interventions. Multivariate analysis will be performed using a non-conditional logistic regression model. Stata 15® software will be used.DiscussionExchange transfusion is a procedure that requires expertise to achieve adequate outcomes. The inclusion of new educational strategies, such as simulation and digital didactic environments, is seen as a training option that can improve performance in clinical skills, reduce adverse events and increase the level of trust.Trial registrationClinicalTrials.gov: NCT04070066. Registered on 28 August 2019. https://clinicaltrials.gov.
Highlights
Exchange transfusion is a highly complex procedure that requires high levels of expertise
Scientific background and justification Exchange transfusion is a highly complex procedure, performed in neonatal intensive care units under specific medical indications, that requires a high level of expertise [1]
The implementation of educational strategies related to exchange transfusion during the training of future paediatricians could positively impact the health outcomes of patients who require this procedure [11]. This protocol, through a controlled clinical trial, seeks to compare two educational interventions in exchange transfusion, one based on simulation and another based on the development of a digital didactic environment, for the development of competencies in exchange transfusion performed by postgraduate students in paediatrics
Summary
Exchange transfusion is a procedure that requires expertise to achieve adequate patient outcomes. Simulated practice is an experimental learning tool that offers didactic innovation, motivation for learning about health and improved learning opportunities; it allows the acquisition of skills, the improvement of knowledge and preparation for emergency situations [13] It offers a useful method for acquiring procedural skills that are important in daily practice, providing an educational bridge to prepare students for reality and allowing the paediatrician to strengthen his or her knowledge, reducing patient morbidity and mortality [17]. There are no reports on the use of simulated strategies or digital didactic environments for training on exchange transfusion This indicates the need to develop such training methods which, they cannot replace real clinical scenarios or direct learning with patients, are complementary in teaching-learning in health sciences and can be integrated into curricular developments [19, 20].
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