Graduation Semester and Year
Summer 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Philosophy in Nursing
Department
Nursing
First Advisor
Deborah F. Behan
Second Advisor
Daisha J. Cipher
Third Advisor
Jessica G. Smith
Abstract
Tracheostomy airway patient safety errors are a global, yet preventable problem. Unrecognized tracheostomy airway complications lead to patient deterioration, resulting in hypoxic brain damage and death or permanent disability. The majority of preventable tracheostomy events occur after patient discharge from the intensive care setting. These catastrophic events are attributed to deficiencies in competent and safe nursing care. Prelicensure nursing students have few clinical opportunities to learn tracheostomy management and may enter nursing practice lacking the clinical competency (CC) to recognize a tracheostomy airway problem. Simulation is a modality for learning high-risk skills such as tracheostomy care (TC) in a setting that eliminates patient harm. There is a lack of research exploring nursing students’ tracheostomy management. The purpose of this study was to explore the effectiveness of a simulation-based, e-learning intervention to prepare prelicensure nursing students to provide safe TC and recognize a tracheostomy airway complication. A quasiexperimental pretest-posttest pilot study was conducted with a convenience sample of 34 baccalaureate prelicensure nursing students. A tracheostomy competency survey was administered before and after the intervention. The pretest and posttest CC scores were compared via a paired samples t-test and linear mixed model (LMM) for repeated measures. The t-test and LMM results demonstrated a significant increase (p < .001) in CC scores over time. These results support the adoption of a simulation-based, e-learning modality to teach high-risk TC skills into prelicensure nursing curricula. Learning to recognize a tracheostomy airway complication will enable graduate nurses to provide safe care to tracheostomy patients upon entry to nursing practice.
Keywords
Tracheostomy, tracheostomy care, competency, simulation, e-learning, nursing student, prelicensure, BSN
Disciplines
Curriculum and Instruction | Educational Methods | Nursing | Online and Distance Education | Scholarship of Teaching and Learning
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Bargainer Tobin, Ruth, "EVALUATION OF A SIMULATION-BASED, E-LEARNING INTERVENTION TO DEVELOP PRELICENSURE NURSING STUDENTS' CLINICAL COMPETENCY TO RECOGNIZE TRACHEOSTOMY AIRWAY COMPLICATIONS" (2024). Nursing Dissertations. 84.
https://mavmatrix.uta.edu/nursing_dissertations/84
Included in
Curriculum and Instruction Commons, Educational Methods Commons, Nursing Commons, Online and Distance Education Commons, Scholarship of Teaching and Learning Commons