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June 3, 2026Journal of Trauma Nursing

Implementation and Evaluation of a Simulation-Based Educational Intervention for Pediatric Chest Tube Management: A Quality Improvement Initiative

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Authors

RDRyan T. DavisSWSpencer WilhelmATAbigail Teitelbaum

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Overview

Quality improvement initiative demonstrates enhanced confidence and knowledge in pediatric nurses through simulation training.

Key Points

  • The initiative aimed to implement and evaluate a simulation-based educational intervention to enhance pediatric nurses' skills in chest tube management.
  • Single-group pretest-post-test design with delayed follow-up.
  • Participants included registered nurses who underwent a 1-hour simulation at three assessment points.
  • Surveys measuring confidence, anxiety, and knowledge were used to assess the intervention.
  • Mean confidence increased from 3.9 to 4.8 (mean difference 0.9; 95% CI, 0.7-1.1; Cohen d = 1.12).
  • Anxiety decreased from 2.9 to 1.9 (mean difference -1.0; 95% CI, -1.3 to -0.7; Cohen d = -0.83).
  • Knowledge increased from 5.60/7 to 6.65/7 (mean difference 1.05; 95% CI, 0.84-1.26; Cohen d = 1.99).

Cite This Study

Davis et al. (2026) studied this question.

synapsesocial.com/papers/6a260c8dfbc12fa7acd40414https://doi.org/10.1097/jtn.0000000000000932
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Also Consider

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  1. 1Impact of simulator-based chest tube insertion training on surgical residents’ confidence and technical proficiency2025
  2. 2Pediatric Residents' Intubation Competency Through Simulation-Based Training: A Quality Improvement Initiative2026
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  4. 41746: IMPROVING CAREGIVER CONFIDENCE AND SKILLS THROUGH HIGH-FIDELITY PEDIATRIC TRACHEOSTOMY SIMULATION2026
  5. 51245: EXPLORING LATENT SAFETY THREATS THROUGH IN SITU SIMULATION IN PEDIATRIC CRITICAL CARE2026