Implementation and Evaluation of a Simulation-Based Educational Intervention for Pediatric Chest Tube Management: A...

Area of Science:

• Pediatric Nursing
• Medical Simulation
• Quality Improvement Initiatives

Background:

• Chest tube management is a critical skill for pediatric nurses, yet limited clinical exposure can impact confidence and preparedness.
• Variability in nursing confidence and potential for complications underscore the need for effective training in chest tube management.
• Simulation-based education offers a structured approach to enhance pediatric nurses' readiness for high-risk clinical skills.

Purpose of the Study:

• To implement and evaluate a simulation-based educational intervention for pediatric nurses.
• To assess the impact of simulation on nurses' confidence, anxiety levels, and knowledge regarding chest tube management.
• To determine the sustained effects of the intervention at a 2-month follow-up.

Main Methods:

• A single-group pretest-post-test design with a 2-month follow-up was employed.
• Registered nurses participated in a 1-hour simulation focusing on chest tube assessment, troubleshooting, and escalation.
• Surveys measuring confidence, anxiety, and knowledge were administered at preintervention, postintervention, and follow-up time points.

Main Results:

• Significant increases in mean confidence (3.9 to 4.8) and knowledge (5.60/7 to 6.65/7) were observed post-simulation.
• A significant decrease in mean anxiety levels (2.9 to 1.9) was noted immediately after the intervention.
• These improvements in confidence, knowledge, and reduced anxiety were sustained at the 2-month follow-up.

Conclusions:

• Simulation-based education is an effective strategy for enhancing pediatric nurses' competence in chest tube management.
• The intervention led to measurable improvements in nurse confidence, a reduction in anxiety, and increased knowledge.
• Simulation provides a valuable tool for reinforcing critical skills and ensuring better patient care in pediatric settings.