Effects of a simulated emergency airway management education program on the self‐efficacy and clinical performance of intensive care unit nurses

Abstract

Simulation education effectively improved the self-efficacy and clinical performance of the nurses who were working in intensive care units. Based on the program for clinical nurses within a hospital, it will provide information that might advance clinical nursing education.

Effect of simulation‐based team training in airway management: a systematic review

“…The number of participants in each study ranged from 16 to 266. Ten studies [20, 21, 23, 25, 26, 28–30, 32, 41] exclusively included medical doctors (n = 582) and two (n = 98) included only nurses [35, 38]. The remaining 10 studies included participants of different professions (n = 1278): they comprised: medical doctors; nurses; respiratory therapists; paramedics; operating room practitioners; and pharmacists [22, 24, 27, 31, 33, 34, 36, 37, 39, 40].…”

“…All the 19 studies reporting outcomes related to participants' attitudes, perceptions, knowledge or skills (Kirkpatrick level 2) showed positive effects of simulation‐based team training in airway management. Most of these studies (16/19) had a pre‐test–post‐test single group design [20–23, 25, 28, 29, 31–33, 35–38, 40, 41]; they were thus not comparing simulation‐based team training with other forms of training. The three studies using a randomised controlled design for evaluating Kirkpatrick level 2 outcomes are described in detail below.…”

Competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations

“…However, especially in pre-hospital care, it can become a complex psychomotor task for the professional in charge, causing complications in care, in addition to the fact that supraglottic devices, when used by non-competent professionals, also produce serious harms to the patients, which implies the relevance of the development and assessment of skills for this purpose (39) . Emergency management of the airways must be performed by competent nurses, with knowledge, skills and attitudes, in which the nurse requires the development of professional characteristics such as quick decisionmaking, precise handling of the airways, leadership in crisis situations and managing their team during care (40) . Among the factors that most contribute to incidents during airway management are faults in teamwork such as lack of professional roles, leadership deficiency, deficiencies in verbal and non-verbal communication between team members, in addition to lack of training and training assessment, lack of equipment and medications, and the patient's varied clinical conditions, among others (2,41) .…”

“…Emergency management of the airways must be performed by competent nurses, with knowledge, skills and attitudes, in which the nurse requires the development of professional characteristics such as quick decision-making, precise handling of the airways, leadership in crisis situations and managing their team during care ( 40 ) .…”

“…The study ( 40 ) reports that nurses often face emergency situations, such as an unconscious patient with ventilatory difficulties. Faced with such situations, nurses must act immediately if an endotracheal intubation is necessary, demonstrating the competence on which medications, devices and equipment should be used during the intervention.…”