Background: Pediatric tracheostomy care requires effective training and specific
technical skills and knowledge to ensure child's safety and prevent complications.
Aim: Evaluate the effectiveness of simulation versus electronic training regarding
pediatric tracheostomy care on nursing students' knowledge, skills and self-efficacy.
Subjects: A convenience sampling of 200 pediatric nursing students. Setting:
Pediatric Clinical Skills Lab, Faculty of Nursing, Tanta University. Tools: Tool (I)
Students' Knowledge questionnaire about Tracheostomy. Tool (II) Observational
Checklists of Tracheostomy Care. Tool (III) Learning Self-Efficacy Scale. Results:
No statistically significant difference in students' knowledge was found between
simulation and E-training groups at pretest, immediate posttest and one month later.
Statistically significant differences were found in the mean scores regarding students'
skills and self-efficacy between both groups immediately posttest and after one
month. Conclusion: Simulation and E-training were effective strategies in improving
students' knowledge regarding pediatric tracheostomy care. Simulation is more
powerful than E-training in improving nursing students' skills and self-efficacy
regarding pediatric tracheostomy care. Recommendation: Integration of E-learning
with simulation training as a complementary modality, but not as a substitute.