Training of airway management for anesthesia teams – Measurement of transfer into daily work routine by questionnaire

Abstract

THEORY: Problems in airway management are rare in anesthesia but when they occur, they have serious consequences for the patient. For this reason, training is recommended for professionals involved in anesthetic care. Here we investigated, if a newly developed technical/non-technical hybrid airway training would be relevant for daily practice in a tertiary referral hospital. HYPOTHESES: We hypothesized that: (a) both parts of the validated questionnaires meet the quality criteria for the application in anesthesia teams, (b) even though the team regularly deals with airway management, airway management training is relevant to all professions and (c) contents of the developed training can be integrated into the behaviour of the teams. METHOD: In this observational study, 104 professionals took part in a one-day technical/non-technical hybrid airway training programme. Participants received a questionnaire six months after training, based on selected scales of the validated tools; ``Training Evaluation Inventory'' and ``Transfer Climate Questionnaire''. RESULTS: The scales of ``perceived usefulness'', ``task cues'' and ``positive reinforcement'' showed good internal consistency and all were rated higher than 3.9 on a 5-point Likert scale (1=complete rejection; 5=fullest approval). The scale ``negative reinforcement and punishment'' showed satisfactory internal consistency for physicians (rated 2.75 +/- 0.8). By removing an item in each case, the scales ``attitude towards training'' (rated 4.93 +/- 0.2) and ``extinction'' (rated 3.02 +/- 0.8) showed satisfactory internal consistency for nurses and anesthetic technicians. ``Social Cues'' did not meet qualitative criteria. There was no difference in the assessment by the professional groups. CONCLUSIONS: The presented training course was perceived as useful by both professional groups equally, which supported the interprofessional concept. The content was positively reinforced in practice six months after training and is relevant for professionals who are regularly confronted with the topic ``airway management''. Scales which meet qualitative criteria for only one profession and the scale ``social cues'' should be reconsidered in the context of an interprofessional team.