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A Simulated Tracheostomy Tube Change Educational Intervention to Promote Competency Among Novice Healthcare
Jessica Peter1, Chandler H Moser2, Vidyadhari Karne3
1Department of Nursing Faculty, Johns Hopkins University School of Nursing, Baltimore, Maryland, United States.
Tracheostomy (Warrenville, Ill.)
|August 27, 2024
Summary
This study shows an educational intervention significantly improved nursing students' confidence, knowledge, and skills in performing tracheostomy tube changes. The simulation-based training enhanced competency and reduced procedure time.
Area of Science:
- Medical Education
- Nursing Simulation
- Patient Safety
Background:
- Tracheostomy tube changes require specific skills and confidence.
- Nursing students often lack hands-on experience with this procedure.
- Effective training is crucial for patient safety and successful outcomes.
Purpose of the Study:
- To evaluate an educational intervention designed to enhance nursing students' confidence, knowledge, and skills in tracheostomy tube changes.
- To assess the impact of a simulation-based training program on competency in tracheostomy tube management.
Main Methods:
- A cohort of 50 nursing students with no prior experience participated.
- The intervention involved digital presentations, faculty-led demonstrations using a simulation model, and hands-on practice.
- Repeated measures design following STROBE guidelines was employed.
Main Results:
- Significant improvements were observed in confidence (mean increase of 3.58/5) and knowledge (mean increase of 1.14/5).
- Competency assessment scores improved (mean increase of 1.01/5), with 95% deemed competent after one iteration.
- Time to complete the tracheostomy tube change decreased significantly from 2.39 to 0.60 minutes.
Conclusions:
- A blended educational approach combining digital learning and simulation effectively improves nursing students' ability to perform tracheostomy tube changes.
- The intervention successfully boosted confidence, knowledge, and practical skills, preparing students for real-world patient care.
- Simulation-based training is a valuable tool for developing essential procedural competencies in nursing education.
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