Can human mannequin-based simulation provide a feasible and clinically acceptable method for training tracheostomy management skills for speech-language pathologists?

• Published in: American journal of speech-language pathology Vol. 23; no. 3; pp. 421 - 436
• Main Authors: Ward, Elizabeth C, Baker, Sonia C, Wall, Laurelie R, Duggan, Brooke L J, Hancock, Kelli L, Bassett, Lynell V, Hyde, Trent J
• Format: Journal Article
• Language: English
• Published: United States American Speech-Language-Hearing Association 01.08.2014
• Subjects: Adult; Analysis; Clinical Competence; Computer Simulation; Curriculum; Educational Environment; Educational Opportunities; Female; Hospitals; Humans; Inservice Training; Language; Male; Manikins; Methods; Ostomy; Pathology; Simulation; Skill Development; Speech therapists; Speech therapy; Speech-Language Pathology - education; Surveys and Questionnaires; Tracheostomy; Tracheostomy - education; Training; United States
• ISSN: 1058-0360; 1558-9110
• DOI: 10.1044/2014_AJSLP-13-0050

Workplace training for tracheostomy management is currently recognized to be inconsistent and insufficient. A novel approach, using technology-enhanced simulation, may provide a solution to training tracheostomy management skills by providing a consistent, time-efficient, and risk-free learning environment. The current research evaluated clinicians' tracheostomy skills acquisition after training in a simulated learning environment and explored changes in clinicians' confidence and perceptions after the experience. Forty-two clinicians with no or low levels of tracheostomy skill attended one of six, 1-day simulation courses. The training involved both part-task skill learning and immersive simulated scenarios. To evaluate clinicians' acquisition of manual skills, performance of core tasks during the scenarios was assessed by independent observers. Questionnaires were used to examine perceived outcomes, benefits, and perceptions of the learning environment at pre-, post-, and 4 months post-training. Only 1 clinician failed to successfully execute all core practical tasks. Clinicians' confidence increased significantly ( p < .05) from pre- to post-workshop and was maintained to 4 months post-workshop across most parameters. All clinicians reported positive perceptions regarding their learning outcomes and learning in a simulated environment. These findings validate the use of simulation as a clinical training medium and support its future use in tracheostomy competency-training pathways.