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High-Fidelity Simulation With Debriefing: Best Practice Education for Flight Nurses?

Rachel A Faulkner1, Katherine Newnam1, Nick Cooper2

  • 1Department of Graduate Nursing, University of Tennessee-Knoxville, Knoxville, TN.

Air Medical Journal
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Summary

High-fidelity simulation with debriefing significantly improved flight nurses' intubation skills and retention. This training enhances clinical judgment and mastery in critical procedures.

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Area of Science:

  • Medical Education
  • Nursing Practice
  • Emergency Medicine

Background:

  • High-risk, low-volume skills require effective training methods for proficiency.
  • Flight nurses face unique challenges in maintaining critical procedural skills.
  • Simulation with debriefing is a recognized strategy for skill maintenance.

Purpose of the Study:

  • To implement and evaluate high-fidelity simulation with debriefing for flight nurses.
  • To measure improvements in skill acuity and retention for intubation procedures.
  • To assess the impact of debriefing on clinical judgment during intubation.

Main Methods:

  • Prospective evidence-based practice project.
  • Involved flight nurses performing intubations during high-fidelity simulation.
  • Included a debriefing session and 7-month skill retention testing.

Main Results:

  • Mean intubation time decreased from 26.9 ± 11.9 to 24.8 ± 5.8 seconds post-debriefing.
  • Mean checklist scores improved from 7.9 ± 0.4 to 9.4 ± 0.7 post-debriefing.
  • Eight subjects completed all study phases.

Conclusions:

  • Debriefing after high-fidelity simulation enhances flight nurse intubation performance.
  • The intervention improved time to intubation and checklist scores.
  • This method fosters better clinical judgment and mastery in critical procedures.