Factors influencing confidence in tracheal intubation among neonatal trainees: A questionnaire-based study

IF 1.6 4区医学 Q2 PEDIATRICS Journal of paediatrics and child health Pub Date : 2024-12-17 DOI:10.1111/jpc.16747

Vishwas Rao, Bharathi Balachander, Pragya Dubey, Suman Rao PN

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Abstract

Aim

Tracheal intubation (TI) is pivotal in managing critically ill neonates. This study aims to investigate the disparities in exposure and training techniques that affect self-perceived confidence in neonatal fellows concerning TI.

Methods

A comprehensive, structured questionnaire-based survey was conducted among neonatal trainees from October to November 2022. Self-perceived confidence in TI was evaluated using a Likert scale, ranging from 1 to 10. The trainees who scored below seven were categorised as under-confident, while those who scored seven or more were considered confident in TI. An analysis was done to assess the differences in exposure, training and clinical policies related to TI in both groups. A P-value <0.05 was considered significant.

Results

The final dataset consisted of 93 trainees. Confidence was higher among those who had independently performed TI on more than 30 neonates during their postgraduate training (relative risk (RR) 1.5 (1.03–2.1), P = 0.02) and super-specialty training (RR 1.5 (1.20–1.93), P = 0.0004). Confidence was also significantly associated with training programmes that incorporated written checklists for intubation instruments and policies (RR 1.4 (1.1–1.8), P = 0.006), conducted debriefing sessions after each TI attempt (RR 1.3 (1.03–1.6), P = 0.005), and implemented regular simulation programmes (RR 1.4 (1.1–1.8), P = 0.0006).

Conclusions

Trainees with increased opportunities for intubation and training programmes featuring regular simulations and debriefing sessions tend to possess higher self-perceived confidence in TI.

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影响新生儿学员气管插管信心的因素：基于问卷的研究。

目的：气管插管（TI）是关键的管理危重新生儿。本研究的目的是调查暴露和训练技术的差异，影响自我感知的信心在新生儿研究员有关TI。方法：于2022年10月至11月对新生儿学员进行全面、结构化的问卷调查。使用李克特量表对TI的自我感知信心进行评估，范围从1到10。得分低于7分的学员被归类为自信心不足，而得分在7分或以上的学员则被认为对TI有信心。分析了两组在接触、训练和与TI相关的临床政策方面的差异。A p值结果：最终数据集由93名学员组成。在研究生培训期间对30名以上的新生儿独立实施TI的患者（相对风险（RR） 1.5 (1.03-2.1), P = 0.02）和超专业培训（RR 1.5 (1.20-1.93), P = 0.0004）的信心更高。信心也与培训计划显著相关，包括插管工具和政策的书面清单（RR 1.4 (1.1-1.8), P = 0.006），每次TI尝试后进行汇报会议（RR 1.3 (1.03-1.6), P = 0.005），以及实施定期模拟计划（RR 1.4 (1.1-1.8), P = 0.0006）。结论：有更多插管机会和定期模拟和汇报会议的培训计划的受训者倾向于在TI中拥有更高的自我感知信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.