Implementation of an Online Multimedia Pediatric Tracheostomy Care Module for Healthcare Providers

Abstract

Objectives/Hypothesis: To investigate the effect of a multimedia educational module on provider attitudes toward pediatric tracheostomy care. We also describe the process of module development and dissemination at an academic children's hospital.Study Design: Prospective observational study. Methods: The pediatric airway committee at an urban tertiary care center developed a multimedia pediatric tracheostomy care module. Nurses, respiratory therapists, as well as resident, fellow, and attending physicians caring for pediatric patients with tracheostomies were eligible. Managers and clinical supervisors from various units recruited participants to complete the pediatric tracheostomy care electronic module and pre-and postassessment knowledge quizzes and surveys. Provider confidence was analyzed using Kruskal-Wallis H-test and Mann-Whitney U-test, and paired t-test was used to compare pre-and postmodule quiz scores.Results: A total of 422 participants completed the module. A total of 275 participants completed the premodule survey, 385 completed the premodule quiz, 253 completed the postmodule survey, and 233 completed the postmodule quiz. Participants included providers in the neonatal intensive care unit, pediatric intensive care unit, pediatric emergency department, and pediatric wards. Postmodule surveys demonstrated a significant reduction in the average percentage of participants indicating lack of confidence with regards to changing an established tracheostomy, responding to accidental decannulation of established tracheostomy, and responding to accidental decannulation of fresh tracheostomy (P < .001). Average quiz scores increased by 5.6 points from 83.0% to 88.6% (P < .00001).Conclusions: A multimedia educational module can improve provider perception of their knowledge and confidence surrounding pediatric tracheostomy management.

Blended and Technology-Enhanced Education in Pediatric Emergency Nursing: A Systematic Review

“…With regard to knowledge acquisition, several structured educational interventions, including traditional teaching, online modules, blended learning, simulation-based approaches, and structured clinical training programs, reported short-term improvements in post-training knowledge scores. These gains were reported in studies addressing pediatric emergency preparedness, tracheostomy care, fever and febrile seizures, neurological or level-of-consciousness assessment, telesimulation-based emergency training, and other pediatric care procedures [ 5 , 6 , 24 , 25 , 29 , 33 , 35 , 51 ].…”

“…The following checklists were applied: the JBI Critical Appraisal Checklist for Randomized Controlled Trials for randomized studies [ 16 , 17 , 18 ]; the JBI Checklist for Quasi-Experimental Studies for pre–post designs with or without control groups [ 3 , 4 , 5 , 9 , 13 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]; the JBI Checklist for Analytical Cross-Sectional Studies for survey and correlational studies [ 6 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; the JBI Checklist for Case Series and Cohort Studies for longitudinal or descriptive studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 ]; and the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses for integrative reviews [ 54 , 55 , ...…”

Blended and Technology-Enhanced Education in Pediatric Emergency Nursing: A Systematic Review

“…With regard to knowledge acquisition, several structured educational interventions, including traditional teaching, online modules, blended learning, simulation-based approaches, and structured clinical training programs, reported short-term improvements in post-training knowledge scores. These gains were reported in studies addressing pediatric emergency preparedness, tracheostomy care, fever and febrile seizures, neurological or level-of-consciousness assessment, telesimulation-based emergency training, and other pediatric care procedures [ 5 , 6 , 24 , 25 , 29 , 33 , 35 , 51 ].…”

“…The following checklists were applied: the JBI Critical Appraisal Checklist for Randomized Controlled Trials for randomized studies [ 16 , 17 , 18 ]; the JBI Checklist for Quasi-Experimental Studies for pre–post designs with or without control groups [ 3 , 4 , 5 , 9 , 13 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]; the JBI Checklist for Analytical Cross-Sectional Studies for survey and correlational studies [ 6 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; the JBI Checklist for Case Series and Cohort Studies for longitudinal or descriptive studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 ]; and the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses for integrative reviews [ 54 , 55 , ...…”

Experiences and Educational Needs of Hospital Staff Providing Care to Tracheostomy-Dependent Pediatric Patients

“…In addition, in a recent study by Schiff et al, a modified Delphi process was utilized to develop an education and assessment tool for a simulated tracheostomy emergency scenario [ 44 ]. Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ].…”

“…Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ]. More studies that evaluate the effectiveness of educational interventions on clinical outcomes are needed.…”

Emergency management plan for paediatric patients with tracheostomies during the coronavirus disease 2019 pandemic

“…Tertiary hospitals usually have an abundance of resources to help within specific specialty fields, especially during normal working hours; however, even in large academic institutions, care providers can be unfamiliar and lack confidence with regard to tracheostomy management, more so in the paediatric population. 15 This can result in hastily made decisions that, though well-meaning in their intent, may introduce a risk for iatrogenic injuries to the child, and can unnecessarily increase aerosol generation, thereby potentially exposing healthcare workers.…”

Blended and Technology-Enhanced Education in Pediatric Emergency Nursing: A Systematic Review

“…With regard to knowledge acquisition, several structured educational interventions, including traditional teaching, online modules, blended learning, simulation-based approaches, and structured clinical training programs, reported short-term improvements in post-training knowledge scores. These gains were reported in studies addressing pediatric emergency preparedness, tracheostomy care, fever and febrile seizures, neurological or level-of-consciousness assessment, telesimulation-based emergency training, and other pediatric care procedures [ 5 , 6 , 24 , 25 , 29 , 33 , 35 , 51 ].…”

“…The following checklists were applied: the JBI Critical Appraisal Checklist for Randomized Controlled Trials for randomized studies [ 16 , 17 , 18 ]; the JBI Checklist for Quasi-Experimental Studies for pre–post designs with or without control groups [ 3 , 4 , 5 , 9 , 13 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]; the JBI Checklist for Analytical Cross-Sectional Studies for survey and correlational studies [ 6 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; the JBI Checklist for Case Series and Cohort Studies for longitudinal or descriptive studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 ]; and the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses for integrative reviews [ 54 , 55 , ...…”

Experiences and Educational Needs of Hospital Staff Providing Care to Tracheostomy-Dependent Pediatric Patients

“…In addition, in a recent study by Schiff et al, a modified Delphi process was utilized to develop an education and assessment tool for a simulated tracheostomy emergency scenario [ 44 ]. Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ].…”

“…Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ]. More studies that evaluate the effectiveness of educational interventions on clinical outcomes are needed.…”

Emergency management plan for paediatric patients with tracheostomies during the coronavirus disease 2019 pandemic

“…Tertiary hospitals usually have an abundance of resources to help within specific specialty fields, especially during normal working hours; however, even in large academic institutions, care providers can be unfamiliar and lack confidence with regard to tracheostomy management, more so in the paediatric population. 15 This can result in hastily made decisions that, though well-meaning in their intent, may introduce a risk for iatrogenic injuries to the child, and can unnecessarily increase aerosol generation, thereby potentially exposing healthcare workers.…”

Blended and Technology-Enhanced Education in Pediatric Emergency Nursing: A Systematic Review

“…With regard to knowledge acquisition, several structured educational interventions, including traditional teaching, online modules, blended learning, simulation-based approaches, and structured clinical training programs, reported short-term improvements in post-training knowledge scores. These gains were reported in studies addressing pediatric emergency preparedness, tracheostomy care, fever and febrile seizures, neurological or level-of-consciousness assessment, telesimulation-based emergency training, and other pediatric care procedures [ 5 , 6 , 24 , 25 , 29 , 33 , 35 , 51 ].…”

“…The following checklists were applied: the JBI Critical Appraisal Checklist for Randomized Controlled Trials for randomized studies [ 16 , 17 , 18 ]; the JBI Checklist for Quasi-Experimental Studies for pre–post designs with or without control groups [ 3 , 4 , 5 , 9 , 13 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]; the JBI Checklist for Analytical Cross-Sectional Studies for survey and correlational studies [ 6 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ]; the JBI Checklist for Case Series and Cohort Studies for longitudinal or descriptive studies [ 47 , 48 , 49 , 50 , 51 , 52 , 53 ]; and the JBI Critical Appraisal Checklist for Systematic Reviews and Research Syntheses for integrative reviews [ 54 , 55 , ...…”

Experiences and Educational Needs of Hospital Staff Providing Care to Tracheostomy-Dependent Pediatric Patients

“…In addition, in a recent study by Schiff et al, a modified Delphi process was utilized to develop an education and assessment tool for a simulated tracheostomy emergency scenario [ 44 ]. Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ].…”

“…Apart from the use of simulation, other types of educational interventions also include online modules to allow for asynchronous learning and airway placards as visual educational tools [ 14 , 15 ]. Studies largely focus on improving confidence and knowledge outcomes [ 12 , 13 , 14 , 15 , 24 , 25 , 27 ], with some studies also assessing performance skills during a simulation or patient outcomes, such as transfer to an intensive care unit or hospital readmission rates [ 15 , 26 , 27 , 41 ]. More studies that evaluate the effectiveness of educational interventions on clinical outcomes are needed.…”

Emergency management plan for paediatric patients with tracheostomies during the coronavirus disease 2019 pandemic

“…Tertiary hospitals usually have an abundance of resources to help within specific specialty fields, especially during normal working hours; however, even in large academic institutions, care providers can be unfamiliar and lack confidence with regard to tracheostomy management, more so in the paediatric population. 15 This can result in hastily made decisions that, though well-meaning in their intent, may introduce a risk for iatrogenic injuries to the child, and can unnecessarily increase aerosol generation, thereby potentially exposing healthcare workers.…”