Simulation with task trainers Improved BMT procedure skills and knowledge

A program that combines didactic training with simulation training improved procedural knowledge and self-reported confidence among bone marrow transplant (BMT) advanced practice (APP) providers.

These findings were presented in a poster at JADPRO Live 2022, APSHO’s annual meeting, by Jessica Casselberry, DNP, ANP-BC, AOCNP, of the University of Colorado’s Anschutz Medical Campus, and colleagues.

The researchers noted that bone marrow aspiration and biopsies (BMBx) are obtained from patients with hematological malignancies to aid in diagnosis and treatment.


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At Dr. Casselberry’s facility, BMT applications perform 98% of BMBx. However, training on BMBx is often done by observation, which can lead to inconsistencies in APP knowledge and skill level.

To improve BMBx training, Dr. Casselberry and colleagues developed a standardized, evidence-based curriculum incorporating simulation training with a task trainer. The goals were to reduce sample-related errors by 10%, increase BMBx knowledge by 25%, and increase self-reported confidence among BMT APPs.

Baseline surveys were used to assess knowledge of BMBx procedures, sample allocation and testing. The 3-hour program included an educational PowerPoint presentation and breakout sessions covering BMBx kit review, simulation on a task trainer, and review of BMBx sample collection procedures. Descriptive and statistical analysis was used for the evaluation of the baseline and post-program surveys.

With this program, sample labeling errors decreased by 62.5% and overall BMBx knowledge increased by 26.5%. All participants said they felt “quite” or “completely” confident to perform the BMBx after their participation.

“We have concluded that the program is beneficial, especially for newcomers to the procedure. Participants felt that the program could improve patient safety, and we confirmed that task training improves mechanical cognitive and interactive skills,” said Dr. Casselberry in an audio recording accompanying the poster.

“We believe that this program can be used to maintain clinical skills and that simulation training with task trainers or other manikins can be used in APP models of care for the purposes of procedural skill building and learning. improvement in self-reported trust,” she concluded.

Disclosures: The study authors disclosed no conflicts of interest.

Reference

Casselberry J, Peterson GJ, Zucker J. An educational bone marrow aspiration and biopsy program for advanced practice providers using task trainers. Poster presented at: JADPRO Live 2022; October 20-23, 2022; Aurora, CO. Abstract JL1001C.