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Advanced Practice Nursing Simulation for Neonatal Skill Competency: A Pilot Study for Successful Continuing

Evelyn Stephenson, Zeynep Salih, Deborah L Cullen

Journal of Continuing Education in Nursing

|July 9, 2015

Summary

Web-based refreshers can help healthcare professionals maintain critical skills for rare but high-risk procedures. This study shows feasibility in retaining competency for managing difficult airways and laryngeal mask airways.

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Area of Science:

Medical Education
Nursing Skills
Patient Safety

Background:

Skill retention is a challenge for healthcare professionals, with potential decline within six months post-training.
High-risk, low-frequency procedures pose a particular challenge for maintaining competency.
Web-based refreshers offer a potential solution for skill maintenance.

Purpose of the Study:

To explore competency retention for managing difficult airways and laryngeal mask airways.
To evaluate the effectiveness of a web-based content refresher for high-risk, low-frequency procedures.
To assess the feasibility of maintaining clinical skills through online refreshers.

Main Methods:

A pilot study involving advanced practice registered nurses (APRNs).
Initial session to establish clinical skill competency.
Six months post-training, participants were randomized into two groups: one reviewing web-based content and simulation, the other simulation only.

Main Results:

A positive trend in maintaining competency was observed for complex airway management with web-based content review.
The study demonstrated the feasibility of using web-based content refreshers to maintain competency in low-frequency procedures.
Group 1, which included web-based review, showed a trend towards better skill retention.

Conclusions:

Advanced practice nurses can potentially maintain competency in high-risk, low-frequency procedures through this method.
Web-based content refreshers are a viable tool for continuing education in healthcare.
Healthcare organizations should consider the importance of ongoing training for skill maintenance.