Cheng Tan BSN, RN , Suzan Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN , Nicole Petsas Blodgett PhD, RN, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN
{"title":"评估基于屏幕的模拟在注册麻醉师困难气道算法培训中的有效性和可用性","authors":"Cheng Tan BSN, RN , Suzan Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN , Nicole Petsas Blodgett PhD, RN, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN","doi":"10.1016/j.ecns.2024.101550","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>\"Cannot ventilate, cannot intubate\" is a challenging airway emergency that can lead to negative patient outcomes. Screen-based simulation (SBS) as a learning adjunct could help anesthesia providers improve decision-making skills in difficult airway situations. The goal of this project was to evaluate the usability of a newly designed SBS for learning and reinforcing difficult airway management.</p></div><div><h3>Methods</h3><p>Seven anesthesia and simulation experts were recruited for this pre-post design project. Participants were pre-briefed, watched scenario one, selected interventions for difficult airway, and time-to-decision was recorded. After debriefing, participants completed a second scenario and time-to-decision was recorded again. A post-simulation survey was conducted to evaluate application usability and gather participant feedback.</p></div><div><h3>Results</h3><p>All seven participants (100%) completed simulations with a mean System Usability Score of 90.83 (SD = 6.65) and median score of 90, both of which indicated superior usability. The time-to-decision in scenario two decreased significantly (<em>p</em> < .05) between the two scenarios.</p></div><div><h3>Conclusion</h3><p>In approximately 40 hours and on a low budget, a user-friendly SBS was developed to effectively improve time-to-decision in difficult airway situations.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating Efficacy and Usability of Screen-Based Simulation in Difficult Airway Algorithm Training for Certified Registered Nurse Anesthesiologists\",\"authors\":\"Cheng Tan BSN, RN , Suzan Kardong-Edgren PhD, RN, ANEF, CHSE, FSSH, FAAN , Nicole Petsas Blodgett PhD, RN, CHSE , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN\",\"doi\":\"10.1016/j.ecns.2024.101550\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>\\\"Cannot ventilate, cannot intubate\\\" is a challenging airway emergency that can lead to negative patient outcomes. Screen-based simulation (SBS) as a learning adjunct could help anesthesia providers improve decision-making skills in difficult airway situations. The goal of this project was to evaluate the usability of a newly designed SBS for learning and reinforcing difficult airway management.</p></div><div><h3>Methods</h3><p>Seven anesthesia and simulation experts were recruited for this pre-post design project. Participants were pre-briefed, watched scenario one, selected interventions for difficult airway, and time-to-decision was recorded. After debriefing, participants completed a second scenario and time-to-decision was recorded again. A post-simulation survey was conducted to evaluate application usability and gather participant feedback.</p></div><div><h3>Results</h3><p>All seven participants (100%) completed simulations with a mean System Usability Score of 90.83 (SD = 6.65) and median score of 90, both of which indicated superior usability. The time-to-decision in scenario two decreased significantly (<em>p</em> < .05) between the two scenarios.</p></div><div><h3>Conclusion</h3><p>In approximately 40 hours and on a low budget, a user-friendly SBS was developed to effectively improve time-to-decision in difficult airway situations.</p></div>\",\"PeriodicalId\":48753,\"journal\":{\"name\":\"Clinical Simulation in Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2024-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Simulation in Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1876139924000422\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Simulation in Nursing","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1876139924000422","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Evaluating Efficacy and Usability of Screen-Based Simulation in Difficult Airway Algorithm Training for Certified Registered Nurse Anesthesiologists
Background
"Cannot ventilate, cannot intubate" is a challenging airway emergency that can lead to negative patient outcomes. Screen-based simulation (SBS) as a learning adjunct could help anesthesia providers improve decision-making skills in difficult airway situations. The goal of this project was to evaluate the usability of a newly designed SBS for learning and reinforcing difficult airway management.
Methods
Seven anesthesia and simulation experts were recruited for this pre-post design project. Participants were pre-briefed, watched scenario one, selected interventions for difficult airway, and time-to-decision was recorded. After debriefing, participants completed a second scenario and time-to-decision was recorded again. A post-simulation survey was conducted to evaluate application usability and gather participant feedback.
Results
All seven participants (100%) completed simulations with a mean System Usability Score of 90.83 (SD = 6.65) and median score of 90, both of which indicated superior usability. The time-to-decision in scenario two decreased significantly (p < .05) between the two scenarios.
Conclusion
In approximately 40 hours and on a low budget, a user-friendly SBS was developed to effectively improve time-to-decision in difficult airway situations.
期刊介绍:
Clinical Simulation in Nursing is an international, peer reviewed journal published online monthly. Clinical Simulation in Nursing is the official journal of the International Nursing Association for Clinical Simulation & Learning (INACSL) and reflects its mission to advance the science of healthcare simulation.
We will review and accept articles from other health provider disciplines, if they are determined to be of interest to our readership. The journal accepts manuscripts meeting one or more of the following criteria:
Research articles and literature reviews (e.g. systematic, scoping, umbrella, integrative, etc.) about simulation
Innovative teaching/learning strategies using simulation
Articles updating guidelines, regulations, and legislative policies that impact simulation
Leadership for simulation
Simulation operations
Clinical and academic uses of simulation.