Pre-experimental study to assess effectiveness of airway management training among nurses and resident doctors working at Goyal Hospital, Jodhpur

Abstract

Background: Airway management is a critical lifesaving skill essential for preventing hypoxia, morbidity, and mortality during emergencies. Evidence shows that nurses and resident doctors often lack adequate hands-on training and confidence in performing key airway procedures. Structured simulation-based training can significantly enhance competence. Aim: To assess the effectiveness of a structured airway management training program on the knowledge and practical skills of nurses and resident doctors at Goyal Hospital, Jodhpur. Methods: A pre-experimental one-group pretest–post-test design was used among 40 participants (20 nurses, 20 residents) selected through convenience sampling. The intervention consisted of a standardized 4-hour training program with theory sessions, skills stations, and simulation. Knowledge was assessed using a 20-item MCQ test, and practical skills were evaluated using a 40-point OSCE checklist. Participant feedback was obtained using a 5-point Likert scale. Data were analysed using paired t-tests and effect sizes. Results: Knowledge scores significantly improved from 9.15 ± 2.80 to 16.30 ± 2.10 (p < 0.001; mean gain 7.15; Cohen’s d = 2.8). OSCE skill scores increased from 18.75 ± 4.60 to 34.10 ± 3.50 (p < 0.001; mean gain 15.35; Cohen’s d = 3.5). Both cadres showed comparable improvements. Participant feedback indicated very high satisfaction (mean scores 4.55–4.95). Conclusion: The structured airway management training program was highly effective in improving both knowledge and practical skills among nurses and resident doctors. High satisfaction and confidence gains highlight the value of incorporating regular simulation-based airway training into routine hospital education.

Keywords: Airway management, simulation training, nurses, resident doctors, OSCE, clinical skills, pretest–post test study.