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The following is a summary of “Factors influencing confidence in tracheal intubation among neonatal trainees: A questionnaire-based study,” published in the December 2024 issue of Pediatrics by Rao et al.
Tracheal intubation (TI) is essential for managing critically ill neonates, with the confidence of healthcare trainees impacting the procedure’s success.
Researchers conducted a prospective study to assess factors influencing neonatal trainees’ confidence in performing TI.
They conducted a structured, questionnaire-based survey among 93 neonatal trainees (October to November 2022) to assess their self-perceived confidence in TI using a Likert scale (1-10). Trainees scoring below 7 were categorized as under-confident, and those scoring 7 or more as confident. Differences in exposure, training, and clinical policies were analyzed, with a P-value <0.05 considered significant.
The results showed that confidence was higher among trainees who had independently performed TI on more than 30 neonates during 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 programs 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 programs (RR 1.4 [1.1–1.8], P=0.0006).
They concluded that neonatal trainees with more opportunities for intubation and training programs featuring simulations and debriefing sessions tend to have higher self-perceived confidence in performing TI.
Source: onlinelibrary.wiley.com/doi/abs/10.1111/jpc.16747
