The Implementation Of A Preparation Checklist And Simulation For Out Of Or Intubation: A Quality Improvement Project

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)

Stephanie Schaeffer (Creator)

Institution

The University of North Carolina at Greensboro (UNCG )

Web Site: http://library.uncg.edu/

Advisor

Vadim Korogoda

Abstract: Background: Endotracheal intubation (ETI) in the intensive care unit (ICU) poses a significantly higher risk of life-threatening complications compared to procedures in the operating room (OR). Limited resources and the complex, critical condition of ICU patients make ETI more challenging. To bridge the gap in care, implementing standardized checklists and simulation training for ETI procedures in intensive care units will enhance patient outcomes by ensuring proper preparation, equipment, medications, and communication between healthcare providers. Purpose: This project aims to improve knowledge and ICU nurses’ confidence in preparing for and managing endotracheal intubation procedures in critically ill patients, thereby enhancing patient safety during emergent intubations outside the operating room. Methods: The Lewin’s Three-Step Model of Change and the Iowa model of evidence-based practice provided context for implementation. A PowerPoint presentation which reviewed the contents of a standardized preparedness checklist was followed by a simulation exercise led by the primary investigator. A mixed-methods design using a pre-and post-test survey was utilized for data collection. Results: Sixty-two ICU RNs participated in the intervention. A paired T-test was utilized to analyze the data from the pre-and post-test surveys. 70% of ICU RNs participating in this project reported increased confidence with the greatest improvement in self-reported confidence exemplified in the group of nurses with less than two years of experience working in the ICU. Conclusion: The results indicated that the intervention effectively increased confidence and knowledge of ETI, which improves patient safety and decreases morbidity and mortality. Additionally, results indicated that simulation training is beneficial to increase confidence levels while preparing for life-threatening emergencies in a safe, controlled environment.

The Implementation Of A Preparation Checklist And Simulation For Out Of Or Intubation: A Quality Improvement Project
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Created on 6/27/2024
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Additional Information

Publication

Other

Language: English

Date: 2024

Keywords

endotracheal intubation, checklist, education, Intensive care nurses’ confidence

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