Albert Einstein College of Medicine, Bronx, New York, U.S.A.
Department of Otorhinolaryngology, Montefiore Medical Center, Bronx, New York, U.S.A.
Laryngoscope. 2021 Aug;131(8):1893-1901. doi: 10.1002/lary.29400. Epub 2021 Jan 18.
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.
Prospective observational study.
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.
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).
A multimedia educational module can improve provider perception of their knowledge and confidence surrounding pediatric tracheostomy management.
3 Laryngoscope, 131:1893-1901, 2021.
目的/假设：调查多媒体教育模块对儿科气管切开护理提供者态度的影响。我们还描述了在学术儿童医院开发和传播该模块的过程。
前瞻性观察研究。
城市三级保健中心的儿科气道委员会开发了多媒体儿科气管切开护理模块。有资格参与的人员包括照顾有气管造口术的儿科患者的护士、呼吸治疗师以及住院医师、研究员和主治医生。来自各个单位的管理人员和临床主管招募参与者完成儿科气管切开护理电子模块以及预评估和后评估知识测验和调查。使用 Kruskal-Wallis H 检验和 Mann-Whitney U 检验分析提供者的信心，并使用配对 t 检验比较模块前后测验的分数。
共有 422 名参与者完成了该模块。共有 275 名参与者完成了预评估调查，385 名参与者完成了预评估测验，253 名参与者完成了后评估调查，233 名参与者完成了后评估测验。参与者包括新生儿重症监护病房、儿科重症监护病房、儿科急诊室和儿科病房的提供者。后评估调查显示，对于更换已建立的气管造口、应对已建立的气管造口意外脱出以及应对新建立的气管造口意外脱出这三个方面，参与者表示缺乏信心的比例平均显著降低（P < 0.001）。平均测验分数从 83.0%增加到 88.6%（P < 0.00001），增加了 5.6 分。
多媒体教育模块可以提高提供者对儿科气管切开管理的知识和信心的认知。
3喉镜，131：1893-1901，2021。
