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Research Snapshot Theater: Quality and Patient Safety, Pediatric III

Low-Fidelity Simulation-Based Mask Ventilation Skill Drill for Pediatric Critical Care Nurses

Monday, March 23, 2026
10:15 AM - 11:15 AM Central Time
Location: Connections Central - RST 10
  • NM

    Nathaniel Minigh, MD (he/him/his)

    University of Florida, Florida

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • HM

    Heushler Moise, n/a

    Medical Student
    University of Florida College of Medicine

    Disclosure information not submitted.

  • CG

    Cynthia Garvan, PhD

    Professor, Director of Statistics
    University of Florida

    Disclosure information not submitted.

  • ZV

    Zasha Vazquez-Colon, MD

    Pediatric Cardiac ICU Attending
    University of Florida College of Medicine

    Disclosure information not submitted.

  • XC

    Xiaofei Chi, n/a

    Data Management Analyst
    University of Florida

    Disclosure information not submitted.

  • MH

    Mona Huq, PhD, CHES

    Assistant Director of Clinical Research
    University of Florida

    Disclosure information not submitted.

  • WW

    Wei Wang, MD

    Pediatric Cardiac ICU Attending
    Univeristy of Florida

    Disclosure information not submitted.

Introduction: Bedside nurses are frequently the first responders to airway emergencies. The goal of this project is to assess the feasibility of a short low-fidelity simulation (LFS) session in improving pediatric nursing comfort in performing BMV.


Methods: Pediatric critical care and cardiac critical care nurses at a single center, tertiary children’s hospital participated in a 5-minute LFS session during their clinical shifts. Pre- and post- participation surveys on a Likert-type scale were distributed, followed by a 5 minute feedback phase. Participants’ performance was graded on a 13-point scale. We used Spearman correlation, Wilcoxon rank sum, and Wilcoxon signed rank tests for data analysis depending on variable type (e.g., binary, ordinal, numeric) using SAS software version 9.4 (Cary, NC). The level of significance was set at .05.


Results: Out of 32 pediatric critical care nurses who participated in the LFS sessions, the median [Q1, Q3] years of ICU nursing experience was 1.8 [0.8, 3.3] and the median frequency of BMV performed per nurse over the last 6 months was 2.0 [0, 4.0]. Pre-intervention, 22% felt very confident and 47% felt somewhat confident at BMV. Confidence in BMV was correlated with years of ICU nursing experience (rs = .46, p = .0073) and frequency of BMV performed in the last six months (rs = .57, p = .0006). On a 13 point simulation grading scale, the median score among the cohort was 10.0 [8.0, 11.5]. The lowest scoring skills included: choosing the appropriate sized mask and bag (69%), minimizing pauses on ventilation performance (69%), proper mask hold (50%), and adjusting PEEP (28%). There was a significant increase in nurses’ self-perceived confidence in BMV immediately post-intervention (22% very confident pre vs 53% very confident post, p = .0015). All participants felt that this LFS session improved their ability to perform BMV and is a feasible educational method during clinical shift hours.


Conclusions: A single 5-minute LFS session led to perceived improved BMV confidence in nursing participants. LFS is effective and feasible as either a procedural education tool or a skills refresher for both new and experienced nurses during clinical shifts. Grading rubrics can be utilized to identify areas in need of improvement.