Enhancing Team Competencies and Self-efficacy in Airway Management Through the PDCA Cycle: A Simulation-based Study in Standardized Anesthesiology Resident Training
Journal: Journal of Higher Education Research DOI: 10.32629/jher.v5i3.2467
Abstract
Background: Effective management of difficult airway scenarios in healthcare demands continual skill development among teams. The Plan-Do-Check-Act (PDCA) cycle presents a promising methodology for bolstering team competencies via iterative enhancement processes. Methods: This study explored the effectiveness of healthcare teams trained using the PDCA cycle compared to those trained with standard protocols in simulated airway management scenarios. Team performance was assessed using the team skill checklist for airway management algorithm. Both groups of anesthesiology residents underwent evaluations before and after training to measure changes in their self-efficacy levels. Results: The PDCA group demonstrated significantly higher mean checklist skill scores on the simulation scenario test (89.50) compared to the Standard group (82.50), indicating enhanced technical proficiency. Moreover, the PDCA group exhibited a substantial increase in self-efficacy (27.81%) compared to the Standard group (19.82%). Conclusion: Implementing the PDCA cycle enhances technical proficiency and cultivates a culture of continuous learning and development among healthcare teams. By integrating PDCA into training protocols, teams gain a structured framework for ongoing evaluation, adaptation, and skill enhancement, particularly in challenging airway management scenarios. These results underscore the PDCA cycle's crucial role in advancing team dynamics, improving personal self-efficacy, and optimizing readiness for critical healthcare situations.
Keywords
Plan–Do–Check–Act cycle; airway management; simulation training; medical education; anesthesia
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[2]Fritz C, Monos S, Ng J, Romeo D, Xu K, Moreira A, Rajasekaran K: Management of the Difficult Airway: An Appraisal of Clinical Practice Guidelines. Otolaryngology–Head and Neck Surgery. 2024, 170(1):112-121.
[3]Nachshon A, Firman S, Batzofin BM, Miklosh B, van Heerden PV: Can’t intubate, can’t oxygenate? What is the preferred surgical strategy? A retrospective analysis. Anaesthesiology Intensive Therapy. 2024, 56(1):37-46.
[4]Bielka K, Kuchyn I, Fomina H, Khomenko O, Kyselova I, Frank M: Difficult airway simulation-based training for anaesthesiologists: efficacy and skills retention within six months. BMC Anesthesiol. 2024, 24(1):44.
[5]Maurya I, Ahmed SM, Garg R: Simulation in airway management teaching and training. Indian J Anaesth. 2024, 68(1):52-57.
[6]Frerk C, Mitchell VS, McNarry AF, Mendonca C, Bhagrath R, Patel A, O'Sullivan EP, Woodall NM, Ahmad I: Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015, 115(6):827-848.
[7]Huang Y, Huang Y, Yi L, Pan W, Chen Y: A FOCUS-PDCA quality improvement model for reducing the distribution defect rate of sterile packages. Sci Rep. 2023, 13(1):15016.
[8]He K, Li JX, Yang C, Wu JP, Wu BL, Xia H: Clinical application and nursing experience of the plan-do-check-act cycle in daytime varicocelectomy. Bmc Nursing. 2024, 23(1).
[9]Zhong XM, Wu XX, Xie X, Zhou Q, Xu RH, Wang J, He LY, He YW, Qiu XB: A descriptive study on clinical department managers' cognition of the Plan-Do-Check-Act cycle and factors influencing their cognition. Bmc Medical Education. 2023, 23(1).
[10]Gong X, Yu SF, Xu J, Qiao AL, Han H: The effect of PDCA cycle strategy on pupils' tangible programming skills and reflective thinking. Education and Information Technologies. 2024, 29(5):6383-6405.
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