The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study
OBJECTIVES The objectives of this study were to standardize airway management among critical care fellows and to evaluate whether the completion of a web-based preintubation airway preparation module improves their knowledge and behaviors in the identification and preparation of difficult airways. M...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-10-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/23821205231210066 |
| _version_ | 1797644723939180544 |
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| author | Fahad Alroumi Ernest Dinino Mark Tidswell Rebecca Blanchard John Shatzer |
| author_facet | Fahad Alroumi Ernest Dinino Mark Tidswell Rebecca Blanchard John Shatzer |
| author_sort | Fahad Alroumi |
| collection | DOAJ |
| description | OBJECTIVES The objectives of this study were to standardize airway management among critical care fellows and to evaluate whether the completion of a web-based preintubation airway preparation module improves their knowledge and behaviors in the identification and preparation of difficult airways. METHODS Critical care experts used international guidelines to develop the module, which contained mandatory readings, brief lectures, and a case-based activity. We measured learner satisfaction, improvements in fellows’ preintubation preparation knowledge, and safety-oriented behavior. The paired t-test was used to compare knowledge assessment scores and the chi-square test was used to compare the categorical variables in the evaluation of the behavior construct. RESULTS All trainees ( N = 14) completed the module and were satisfied with its contents and structure. Fellows logged 114 intubations during the study period. The mean score on the knowledge test increased (pre 79% vs post 90%, P = .02) postmodule and there was a significant increase in documentation of airway risk stratification in fellows’ procedure notes (65.9% vs 72.9%, P = .049). All respondents were confident that they would be able to apply what they learned in the module into clinical practice and that their patients would likely benefit from their new knowledge. CONCLUSION The implementation of an asynchronous web-based module on airway assessment and intubation preparation was feasible. The module was engaging, enhanced the knowledge of our trainees, and improved procedural documentation. |
| first_indexed | 2024-03-11T14:34:57Z |
| format | Article |
| id | doaj.art-ed31e14e03664c448fc838ed3ede98e3 |
| institution | Directory Open Access Journal |
| issn | 2382-1205 |
| language | English |
| last_indexed | 2024-03-11T14:34:57Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj.art-ed31e14e03664c448fc838ed3ede98e32023-10-31T05:33:54ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052023-10-011010.1177/23821205231210066The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot StudyFahad Alroumi0Ernest Dinino1Mark Tidswell2Rebecca Blanchard3John Shatzer4 Chan Medical School—Baystate, University of Massachusetts, Springfield, MA, USA Chan Medical School—Baystate, University of Massachusetts, Springfield, MA, USA Chan Medical School—Baystate, University of Massachusetts, Springfield, MA, USA Chan Medical School—Baystate, University of Massachusetts, Springfield, MA, USA School of Education, Johns Hopkins University, Baltimore, MD, USAOBJECTIVES The objectives of this study were to standardize airway management among critical care fellows and to evaluate whether the completion of a web-based preintubation airway preparation module improves their knowledge and behaviors in the identification and preparation of difficult airways. METHODS Critical care experts used international guidelines to develop the module, which contained mandatory readings, brief lectures, and a case-based activity. We measured learner satisfaction, improvements in fellows’ preintubation preparation knowledge, and safety-oriented behavior. The paired t-test was used to compare knowledge assessment scores and the chi-square test was used to compare the categorical variables in the evaluation of the behavior construct. RESULTS All trainees ( N = 14) completed the module and were satisfied with its contents and structure. Fellows logged 114 intubations during the study period. The mean score on the knowledge test increased (pre 79% vs post 90%, P = .02) postmodule and there was a significant increase in documentation of airway risk stratification in fellows’ procedure notes (65.9% vs 72.9%, P = .049). All respondents were confident that they would be able to apply what they learned in the module into clinical practice and that their patients would likely benefit from their new knowledge. CONCLUSION The implementation of an asynchronous web-based module on airway assessment and intubation preparation was feasible. The module was engaging, enhanced the knowledge of our trainees, and improved procedural documentation.https://doi.org/10.1177/23821205231210066 |
| spellingShingle | Fahad Alroumi Ernest Dinino Mark Tidswell Rebecca Blanchard John Shatzer The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study Journal of Medical Education and Curricular Development |
| title | The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study |
| title_full | The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study |
| title_fullStr | The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study |
| title_full_unstemmed | The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study |
| title_short | The Impact of a Web-Based Preintubation Preparation Module on the Knowledge, Confidence, and Behavior of Critical Care Fellows: A Single-Center Pilot Study |
| title_sort | impact of a web based preintubation preparation module on the knowledge confidence and behavior of critical care fellows a single center pilot study |
| url | https://doi.org/10.1177/23821205231210066 |
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