Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients

Prickett, Kara K.; Deshpande, Anita; Paschal, Heather; Simon, Dawn M.; Hebbar, Kiran

doi:10.1016/j.ijporl.2019.01.020

Cited by 54 publications

(60 citation statements)

References 23 publications

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“…20 Training may be more effective with increased standardization, regular assessments of caregiver comfort, and utilization of various teaching methodologies including hands-on teaching, simulation-based education, videos, and comprehensive written resources including training instructions and information on common lifestyle changes faced by caregivers and emergency-related information. 20,30,[52][53][54] Fostering caregiver self-efficacy is beneficial and can be improved with effective predischarge training. 33 Training for caregivers of CWT does not cease at discharge, and continued support is necessary in the home setting.…”

Section: Discussionmentioning

confidence: 99%

Identifying Caregiver Needs for Children With a Tracheostomy Living at Home

Mai

Davis

Hamilton

et al. 2020

Clin Pediatr (Phila)

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This study sought to understand caregiver needs of children with tracheostomies (CWT) living at home and inform development of standardized tracheostomy simulation training curricula. Long-term goals are decreasing hospital readmissions following tracheostomy placement and improving family experiences while implementing a medical home model. We recruited caregivers of CWT and conducted semistructured interviews, subsequently recorded, transcribed, and analyzed for emerging themes using NVivo. Demographic data were collected via quantitative surveys. Twenty-seven caregivers participated. Emerging themes included the following: (1) caregivers felt overwhelmed, sad, frightened when learning need for tracheostomy; (2) training described as adequate, but individualized training desired; (3) families felt prepared to go home, but transition was difficult; (4) home nursing care fraught with difficulty and yet essential for families of CWT. Families of CWT have specific needs related to discharge training, resources, support, and home nursing. Provider understanding of caregiver needs is essential for child well-being, patient-/family-centered care, and may improve health outcomes.

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Section: Discussionmentioning

confidence: 99%

Identifying Caregiver Needs for Children With a Tracheostomy Living at Home

Mai

Davis

Hamilton

et al. 2020

Clin Pediatr (Phila)

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“…15 This study found that simulation-based training was a successful training tool that helped to identify gaps in caregiver knowledge and provided realistic exposure to difficult and stressful situations. 15 Despite the proven success of simulation-based training, few studies have attempted to pilot the implementation of tailored educational material in a simulated training course for nurses and residents in resource-limited settings.…”

Section: Discussionmentioning

confidence: 87%

“…14 Simulation-based education has been used successfully in several studies to train practitioners, families, and caregivers in tracheostomy care procedures with positive results, yet these have occurred mainly in high-resource settings. 15,16 The Emory University School of Medicine in Georgia, USA, implemented a high-fidelity stimulation-based tracheostomy education program for caregivers, utilizing a programmable mannequin and both external- and self-assessment tools. 15 This study found that simulation-based training was a successful training tool that helped to identify gaps in caregiver knowledge and provided realistic exposure to difficult and stressful situations.…”

Section: Discussionmentioning

confidence: 99%

“…15,16 The Emory University School of Medicine in Georgia, USA, implemented a high-fidelity stimulation-based tracheostomy education program for caregivers, utilizing a programmable mannequin and both external- and self-assessment tools. 15 This study found that simulation-based training was a successful training tool that helped to identify gaps in caregiver knowledge and provided realistic exposure to difficult and stressful situations. 15 Despite the proven success of simulation-based training, few studies have attempted to pilot the implementation of tailored educational material in a simulated training course for nurses and residents in resource-limited settings.…”

Section: Discussionmentioning

confidence: 99%

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Improving Tracheostomy Care in Resource-Limited Settings

Sandler

Ayele

Ncogoza

et al. 2019

Ann Otol Rhinol Laryngol

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Objectives: Tracheostomy care in leading pediatric hospitals is both multidisciplinary and comprehensive, including generalized care protocols and thorough family training programs. This level of care is more difficult in resource-limited settings lacking developed healthcare infrastructure and tracheostomy education among nursing and resident staff. The objective of this study was to improve pediatric tracheostomy care in resource-limited settings. Methods: In collaboration with a team of otolaryngologists, respiratory therapists, tracheostomy nurses, medical illustrators, and global health educators, image-based tracheostomy education materials and low-cost tracheostomy care kits were developed for use in resource-limited settings. In addition, a pilot study was conducted, implementing the image-based tracheostomy pamphlet, manual suctioning device and low-cost ambulatory supply kit (“Go-Bags”), within a low-fidelity simulated training course for nurses and residents in Kigali, Rwanda. Results: An image-based language and literacy-independent tracheostomy care manual was created and published on OPENPediatrics, an open-access online database of clinician-reviewed learning content. Participants of the training program pilot study reported the course to be of high educational and practical value, and described improved confidence in their ability to perform tracheostomy care procedures. Conclusions: Outpatient tracheostomy care may be improved upon by implementing image-based tracheostomy care manuals, locally-sourced tracheostomy care kits, and tailored educational material into a low-fidelity simulated tracheostomy care course. These materials were effective in improving technical skills and confidence among nurses and residents. These tools are expected to improve knowledge and skills with outpatient tracheostomy care, and ultimately, to reduce tracheostomy-related complications.

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“…In recent years, SBME has moved beyond the practitioner learner to also prepare patients, parents, and caregivers for ICU procedures or to transition between the ICU and their home [71]. Families of technology-dependent children exposed to simulation scenarios of tracheostomy-related emergencies reported increased confidence and preparedness to handle these situations at home, a T1 level outcome [71][72][73]. Virtual reality (VR), albeit a newer technology, has been used in several different ways for critically ill children.…”

Section: The Individual Learnermentioning

confidence: 99%

Recent Advances in Simulation for Pediatric Critical Care Medicine

2020

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Purpose of Review This review highlights the emerging fields of simulation research by tying innovation into principles of learning and process improvement. Recent Findings Advances have been made in both educational simulation and simulation for quality improvement, allowing this versatile modality to be more broadly applied to healthcare and systems. Summary Simulation in pediatric critical care medicine continues to evolve. Although the majority of simulation is focused on learner education, emerging research has broadened to focus on patient-and system-centered outcomes, leading to improvement in the quality of care delivered in the ICU.

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Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients

Cited by 54 publications

References 23 publications

Identifying Caregiver Needs for Children With a Tracheostomy Living at Home

Identifying Caregiver Needs for Children With a Tracheostomy Living at Home

Improving Tracheostomy Care in Resource-Limited Settings

Recent Advances in Simulation for Pediatric Critical Care Medicine

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