Skip to main content
Top

17-06-2024 | Airway Management | Correspondence

Simulation: An Evolving Approach to Pediatric Airways Management Training

Authors: Poonam Joshi, Biju Viswambharan, Sharmila Jayarani J, Pranab Kabiraj, Madhu Madhu, Rajita Devi, Nihar Ranjan Mishra, Rashmi Aradhya, Surya Kant Tiwari

Published in: Indian Journal of Pediatrics

Login to get access

Excerpt

To the Editor: Airway management in children is an emergency procedure often associated with several complications due to their limited physiological reserves and susceptibility to respiratory and cardiac issues [1, 2]. Effective management includes positioning, oro/naso-pharyngeal suctioning, endotracheal intubation, laryngeal mask ventilation, and foreign body removal. Simulation-based training in healthcare settings, provides realistic, immersive experiences in a safe environment, enhancing technical and soft skills [3, 4]. It is crucial for nurses, who often handle pediatric emergencies, to be proficient in airway management for favorable outcomes. With this background, we aimed to assess the effectiveness of simulation in improving nurses’ knowledge, skills and confidence in pediatric airway management (PAM), hypothesizing that simulation-based programs significantly enhance competence and confidence. Ethical approval was obtained. Nurses working in pediatric emergencies and wards who consented to participate were included. Participants who underwent simulation-based PAM training were provided with learning resource materials via email, face-to-face discussions, hands-on sessions using Rapid Cycle Deliberate Practice methodology, and simulation exercises with debriefing. Scenarios covered managing croup, asthma, and airway obstructions. Psychological safety and structured debriefing were ensured for effective learning. The primary outcomes were knowledge, skills, and confidence at four weeks, post-intervention. A feedback form assessed participants' experiences with the training. Significant improvements were observed in knowledge (6.91 ± 2.50 vs. 11.59 ± 1.16, p < 0.001) and skills (9.13 ± 2.33 vs. 44.23 ± 3.96, p < 0.001) among nurses (n = 69; mean age: 27.84 ± 3.09 y). Confidence in managing pediatric airways was moderate (16.93 ± 4.74). Significant differences in pre and post-test knowledge and skills scores were observed for age, gender, education, and experience (p < 0.001). Feedback indicated that the nurses would recommend training for the coworkers. Our single-center, non-randomized study lacked a control group and used self-reported confidence. In conclusion, simulation significantly improved nurses' knowledge, skills, and confidence in PAM through realistic practice, feedback, and debriefing. However, long-term retention remains a concern, with skills often declining over time. …
Literature
1.
go back to reference Huang AS, Hajduk J, Rim C, Coffield S, Jagannathan N. Focused review on management of the difficult paediatric airway. Indian J Anaesth. 2019;63:428–36.CrossRefPubMedPubMedCentral Huang AS, Hajduk J, Rim C, Coffield S, Jagannathan N. Focused review on management of the difficult paediatric airway. Indian J Anaesth. 2019;63:428–36.CrossRefPubMedPubMedCentral
3.
go back to reference Tawalbeh LI. Effect of simulation modules on Jordanian nursing student knowledge and confidence in performing critical care skills: a randomized controlled trial. Int J Afr Nurs Sci. 2020;13:100242.PubMedPubMedCentral Tawalbeh LI. Effect of simulation modules on Jordanian nursing student knowledge and confidence in performing critical care skills: a randomized controlled trial. Int J Afr Nurs Sci. 2020;13:100242.PubMedPubMedCentral
4.
go back to reference Weldon SM, Korkiakangas T, Kneebone R. How simulation techniques and approaches can be used to compare, contrast and improve care: an immersive simulation of a three-Michelin star restaurant and a day surgery unit. BMJ Simul Technol Enhanc Learn. 2020;6:65–6.CrossRefPubMedPubMedCentral Weldon SM, Korkiakangas T, Kneebone R. How simulation techniques and approaches can be used to compare, contrast and improve care: an immersive simulation of a three-Michelin star restaurant and a day surgery unit. BMJ Simul Technol Enhanc Learn. 2020;6:65–6.CrossRefPubMedPubMedCentral
Metadata
Title
Simulation: An Evolving Approach to Pediatric Airways Management Training
Authors
Poonam Joshi
Biju Viswambharan
Sharmila Jayarani J
Pranab Kabiraj
Madhu Madhu
Rajita Devi
Nihar Ranjan Mishra
Rashmi Aradhya
Surya Kant Tiwari
Publication date
17-06-2024
Publisher
Springer India
Published in
Indian Journal of Pediatrics
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-024-05185-z