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Pediatric and Neonatal Tracheostomy Caregiver Education with Phased Simulation to Increase Competency and Enhance

Aimee L Wooldridge1, Kimberly Ferren Carter2

  • 1Carilion Children's Hospital, VA, USA.

Journal of Pediatric Nursing
|July 26, 2021
PubMed

Insights

Simulation training significantly improved caregiver competency and reduced anxiety for pediatric tracheostomy care. This approach complements traditional bedside teaching for medically fragile children requiring home care.

Area of Science:

  • Medical Education
  • Pediatric Nursing
  • Quality Improvement

Background:

  • Medically complex infants and children require specialized home care from caregivers.
  • Caregiver education is crucial for safe discharge planning for medically fragile children.
  • Standard caregiver training involves bedside teaching, but simulation offers a complementary approach.

Purpose of the Study:

  • To evaluate the effectiveness of simulation training in enhancing caregiver competency for pediatric tracheostomy care.
  • To assess the impact of simulation on caregiver anxiety levels related to pediatric tracheostomy management.

Main Methods:

  • A two-year quality assurance/quality improvement project involving 20 caregivers of pediatric tracheostomy patients.
  • Integrated simulation training alongside traditional bedside teaching in pediatric and neonatal intensive care units.
  • Utilized pre- and post-tests with a five-point rating scale to measure skills and scenario performance.

Main Results:

  • Caregiver skills scores significantly increased from pre-test (M=11.45) to post-test (M=22.6) after simulation training (p < 0.001).
  • Scenario performance scores also significantly improved from pre-test (M=23.40) to post-test (M=28.73) (p < 0.001).
  • The study demonstrated a statistically significant improvement in both skills and scenario performance.

Conclusions:

  • Simulation training, when used to supplement bedside education, effectively increases caregiver competency in pediatric tracheostomy care.
  • This method also leads to a significant decrease in caregiver anxiety levels.
  • Healthcare organizations should consider implementing phased simulation methods to support caregiver education for neonatal and pediatric tracheostomy patients.
Abstract

Keywords:
CaregiverCaregiver educationDischarge educationPediatric tracheostomySimulationTracheostomy education

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