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Description
From January 2018 to June 2020, there were 80 cases of children or their carers being exposed to threatening situations in Bohnice psychiatric hospital. In the same period, restraints were indicated in 157 cases.
Both issues were determined by analysing our own data. This project stems from the planned reform of psychiatry in the Czech Republic, where the National Action Plan for mental health 2020 – 2030 details the need for change in the education of health professionals.
The goal is to build, by simulation training of entire medical teams, greater confidence in dealing with acute situations, and via a considerate approach reduce the incidence of cases.
The simulations will operate in accordance with scenarios inspired by real events using child-like actors in a realistic environment, i.e. how medical teams would be forced to deal with those situations in reality.
First, we train 4 new lecturers of simulation medicine, create a methodology for the courses, and design 20 scenarios, e.g. self-harming, suicidal behaviour, aggression.
The Simulation Centre, where courses will take place, will then be equipped and 3 child-like (adult) actors impersonating patients will be trained via internships in the children ward and by script rehearsals.
Then we carry out a pilot course with 2 full teams from the children ward. Outcomes will then be used to realize 10 simulation courses, each of 12 hours (2 hours scene preparation, 8 hours course, 2 hours reaction feedback and further practice recommendations).
Finally, we will verify course efficacy by comparative analysis of the occurrence of undesirable events and use of restraints after course completion and compare it with pre-project data.
Up to 310 children and adolescents with mental disorders annually, and 55 medical caretakers, will profit from this project.