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J Pediatr Intensive Care 2024; 13(04): 399-407
DOI: 10.1055/s-0042-1745832
Original Article

Simulation-Facilitated Education for Pediatric Critical Care Nurse Practitioners' Airway Management Skills: A 10-Year Experience

Allison Thompson 
1   Division of Critical Care Medicine, Nemours Children's Hospital, Delaware, Wilmington, Delaware, United States
,
Sharon Y. Irving
2   Department of Family and Community Health, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States
3   Division of Critical Care Medicine, Department of Nursing and Clinical Care Services, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Roberta Hales
4   Center for Simulation, Advanced Education and Innovation, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
,
Ryan Quinn
5   Office of Nursing Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States
,
Jesse Chittams
5   Office of Nursing Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, United States
,
Adam Himebauch
6   Division of Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
7   Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States
,
Akira Nishisaki
6   Division of Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
7   Department of Anesthesiology and Critical Care Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, United States
› Author Affiliations Funding A.N. is supported by Eunice Kenney Shriver National Institute of Child Health and Human Development (grant no.: R21 HD089151) and Agency for Healthcare Quality and Research (grant no.: R18HS024511). A.H. is supported by an institutional grant and the National Institute of Health National Heart, Lung, and Blood Institute (grant no.: K23HL153759).
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Abstract

This study aimed to describe the process of the development and implementation with report of our 10-year experience with a simulation-facilitated airway management curriculum for pediatric acute care nurse practitioners in a large academic pediatric intensive care unit. This is a retrospective observational study. The study was conducted at a single-center quaternary noncardiac pediatric intensive care unit in an urban children's hospital in the United States. A pediatric critical care airway management curriculum for nurse practitioners consisting 4 hours of combined didactic and simulation-facilitated education followed by hands-on experience in the operating room. Tracheal intubations performed by nurse practitioners in the pediatric intensive care unit were tracked by a local quality improvement database, NEAR4KIDS from January 2009 to December 2018. Since curriculum initiation, 39 nurse practitioners completed the program. Nurse practitioners functioned as the first provider to attempt intubation in 473 of 3,128 intubations (15%). Also, 309 of 473 (65%) were successful at first attempt. Implementation of a simulation-facilitated pediatric airway management curriculum successfully supported the ongoing airway management participation and first attempt intubation success by nurse practitioners in the pediatric intensive care unit over the 10-year period.

Keywords

intubation - airway management - simulation education - pediatric critical care - nurse practitioner


Publication History

Received: 12 November 2021

Accepted: 24 February 2022

Article published online:
17 May 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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