Date of Award
Summer 8-20-2023
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Abstract
Fiberoptic intubation has been used as a secondary option to intubate pediatric patients with difficult airways. Failure to understand how to properly use a fiberoptic scope could have severe consequences, such as increased trauma or mortality. This is a quality improvement research study that examines the effect of simulation training utilizing a pediatric flexible fiberoptic scope on the confidence and competence of Nurse Anesthesia Trainees (NATs). Competence was measured using time to successful intubation. The authors developed a survey tool to assess the confidence of the participants in intubating pediatric patients’ airways with a fiberoptic scope after educational training and simulation. Utilizing R Foundation for Statistical Computing (R Version 4.0.2), data was analyzed and tested for statistical significance (p<0.05) with a paired t-test, a sign test, and a Wilcoxon signed-rank test for both change in time and confidence measures. Post-survey results demonstrated a statistically significant decrease in time to successful intubation and a statistically significant increase in trainees’ confidence in using a fiberoptic scope to intubate a pediatric manikin. This study demonstrates the importance of hands-on simulation of difficult pediatric airway scenarios and the need for standardized pediatric airway management simulations in nurse anesthesia programs.
Recommended Citation
Bihorac, Aladin and Mangan, Jonathan, "Pediatric Fiberoptic Intubation Education Utilizing Simulation: A Quality Improvement Study" (2023). College of Science and Health Theses and Dissertations. 597.
https://via.library.depaul.edu/csh_etd/597
SLP Collection
yes