Evidence map›Paper›PMID 39188760›Full record

ArticleTracheostomy (Warrenville, Ill.)2024

A Simulated Tracheostomy Tube Change Educational Intervention to Promote Competency Among Novice Healthcare Professionals: A Repeated Measures Study.

Jessica Peter, Chandler H Moser, Vidyadhari Karne, Stanola Stanley, Helen Wilson, Carol S Maragos, Jacqueline Stokes, Kathryn Mattare, Laurie Turner, Michael J Brenner and 1 more

Abstract read
In one paragraph

Article in Tracheostomy (Warrenville, Ill.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
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  5. Effect of AvTrachTracheostomy (Warrenville, Ill.) · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jessica PeterDepartment of Nursing Faculty, Johns Hopkins University School of Nursing, Baltimore, Maryland, United States.
Chandler H MoserCenter for Nursing Science and Clinical Inquiry, Madigan Army Medical Center, Joint Base Lewis-McChord, WA, United States.ORCID 0000-0002-6975-4148
Vidyadhari KarneDepartment of Pathology and Laboratory Medicine, University of Southern California, Los Angeles, CA, United States.
Stanola StanleyCenter for Immersive Learning and Digital Innovation, Johns Hopkins University, Baltimore, Maryland, United States.
Helen WilsonSchool of Nursing, Washington Adventisit University, Takoma, MD, United States.
Carol S MaragosDepartment of Otolaryngology Head-Neck Surgery, The Johns Hopkins Hospital, Baltimore, MD, United States.
Jacqueline StokesAdult Cystic Fibrosis Program, The Johns Hopkins Hospital, Baltimore, MD, United States.
Kathryn MattareAdult Respiratory Care, The Johns Hopkins Hospital, Baltimore, MD, United States.
Laurie TurnerDepartment of Otolaryngology Head-Neck Surgery, The Johns Hopkins Hospital, Baltimore, MD, United States.
Michael J BrennerDepartment of Otolaryngology - Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, United States, and President, Global Tracheostomy Collaborative, Raleigh, North Carolina, United States.ORCID 0000-0003-4926-0957
Vinciya PandianImmersive Learning and Digital Innovation, Johns Hopkins University School of Nursing; Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.ORCID 0000-0002-2260-1080

Funding

Symptoms Assessment and Screening for Laryngeal Injury Post-extubation in ICUR01NR017433 · NINR · JOHNS HOPKINS UNIVERSITY · PI BRODSKY, MARTIN BRUCE, NEEDHAM, DALE MURRAY · 2018 to 2022
$3.2M
Center for Immersive Learning and Digital Innovation: A Patient Safety Learning Lab advancing patient safety through design, systems engineering, and health services researchR18HS029124 · AHRQ · PENNSYLVANIA STATE UNIVERSITY, THE · PI PANDIAN, VINCIYA · 2022 to 2025
$1.8M
AHRQ HHS R18 HS029124NINR NIH HHS R01 NR017433
6 · The paper itself

Abstract

Objective: To evaluate an educational intervention to promote confidence, knowledge, and skills in tracheostomy tube change among nursing students. Methods: The study, conducted at the at the Johns Hopkins Center for Immersive Learning and Digital Innovation, enrolled nursing students without prior experience in tracheostomy tube change. The intervention included a pre-recorded presentation, faculty demonstrations with a Tracheostomy Care Training Simulation Model, and participant practice demonstrating skills. Primary outcomes included confidence, knowledge, and competency with tracheostomy tube changes. Secondary outcomes included number of attempts required to achieve competency and time required per attempt. The study followed STROBE guidelines with repeated measure design. Results: Participants in the study (n=50) had a mean age of 30 years, were predominantly female (83%) with a bachelor's degree (76%), most often in the third semester of nursing school (45%). Participants showed a mean improvement of 3.58 points out of five (SD: 0.56, P<0.001) across 11 pre- and post-test items. Every confidence assessment improved, with the largest increase in assessing tube placement. Knowledge assessments improved across all eight test items in the first test-retest interval, showing an improvement of 1.14 points out of five (SD: 0.89, P<0.001). Competency assessment improved in the first test-retest interval of 1.01 points out of five (SD: 0.65, P<0.001). On serial assessments, time to complete tracheostomy tube change decreased from 2.39 to 0.60 minutes. Faculty deemed 95% of participants competent after only one skill testing iteration. Conclusion: An educational intervention, combining digital presentations with interactive faculty-led simulations and practical skill assessments, successfully elevated nursing students' confidence, knowledge, and competency in tracheostomy tube changes.

Indexed as

Aerosol generating procedureAGPcoronavirusCOVID-19Critical CareEducationICUNursingPatient SafetySARS-CoV-2SimulationTracheostomyTracheotomyTube ChangeVentilation

Identifiers

PMID39188760
PMCPMC11345849

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.