Simulation for emergency nurses (SIREN): A quasi-experimental study

被引:13
作者
Boyde, Mary [1 ,2 ,4 ]
Cooper, Emily [2 ]
Putland, Hannah [2 ]
Stanton, Rikki [2 ]
Harding, Christie [2 ]
Learmont, Ben [2 ]
Thomas, Clare [2 ]
Porter, Jade [3 ]
Thompson, Andrea [4 ]
Nicholls, Louise [4 ]
机构
[1] Univ Queensland, Princess Alexandra Hosp, 199 Ipswich Rd, Brisbane, Qld 4102, Australia
[2] Princess Alexandra Hosp, Emergency Dept, 199 Ipswich Rd, Brisbane, Qld 4102, Australia
[3] Lady Cilento Hosp, 501 Stanley St, South Brisbane, Qld 4101, Australia
[4] Princess Alexandra Hosp, Nursing Practice Dev Unit, 199 Ipswich Rd, Brisbane, Qld 4102, Australia
关键词
Simulation; Patient assessment; Clinical performance; Anxiety; Documentation; HIGH-FIDELITY SIMULATION; IN-SITU SIMULATION; NURSING-EDUCATION; CONFIDENCE; STRATEGIES; IMPACT;
D O I
10.1016/j.nedt.2018.05.030
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Background: Within nursing education, simulation has been recognised as an effective learning strategy. Embedding simulation within clinical units has the potential to enhance patient safety and improve clinical outcomes. However it is important to evaluate the effectiveness of this educational technique to support the actual value and effectiveness. Objective: This study aimed to implement and evaluate an innovative simulation experience for registered nurses. Methods: A high-fidelity simulation focusing on nursing assessment was conducted with 50 Registered Nurses in an Emergency Department (ED) at a large tertiary referral hospital. Two questionnaires were completed pre and post simulation to assess anxiety related to participating in the simulation, and self-efficacy in patient assessment. Participant satisfaction and self-confidence in learning was assessed post simulation. Additionally a documentation audit from the patient's electronic chart was completed to review documentation entries before and after participation in the simulation. Results: Anxiety scores decreased significantly from pre (M = 38.56, SD = 9.87) to post (M = 33.54, SD = 8.99), t(49) = 4.273, p < 0.001. There was a statistically significant increase in self-efficacy scores from pre (M = 195.16, SD = 28.09) to post (M = 214.12, SD = 25.77), t(49) = 5.072, p < 0.001. ED nurses were highly satisfied with their simulation training and they were in agreement with the statements about self-confidence in learning. There was a statistically significant increase in two components of the documentation scores; initial clinical handover increased from pre (M = 7.88, SD = 1.76) to post (M = 8.79, SD = 1.22), t(41) = 3.41, p < 0.001 and indicators of urgent illness increased from pre (M = 7.33, SD = 1.95) to post (M = 8.10, SD = 1.45), t(41) = 2.27, p = 0.028. Conclusions: This study has demonstrated that a high fidelity simulation decreased participants' anxiety, increased self-efficiency in patient assessment, and improved documentation in patient records. Additionally ED nurses were highly satisfied with the simulation training.
引用
收藏
页码:100 / 104
页数:5
相关论文
共 29 条
[1]   Intensive care unit nurses' evaluation of simulation used for team training [J].
Ballangrud, Randi ;
Hall-Lord, Marie Louise ;
Hedelin, Birgitta ;
Persenius, Mona .
NURSING IN CRITICAL CARE, 2014, 19 (04) :175-184
[2]   Use of Simulation-Based Education to Reduce Catheter-Related Bloodstream Infections [J].
Barsuk, Jeffrey H. ;
Cohen, Elaine R. ;
Feinglass, Joe ;
McGaghie, William C. ;
Wayne, Diane B. .
ARCHIVES OF INTERNAL MEDICINE, 2009, 169 (15) :1420-1423
[3]  
Boet S, 2014, CAN J ANESTH, V61, P571, DOI 10.1007/s12630-014-0143-8
[4]   Simulation-based learning in nurse education: systematic review [J].
Cant, Robyn P. ;
Cooper, Simon J. .
JOURNAL OF ADVANCED NURSING, 2010, 66 (01) :3-15
[5]   Impact of simulation-based learning on medication error rates in critically ill patients [J].
Ford, Daniel G. ;
Seybert, Amy L. ;
Smithburger, Pamela L. ;
Kobulinsky, Lawrence R. ;
Samosky, Joseph T. ;
Kane-Gill, Sandra L. .
INTENSIVE CARE MEDICINE, 2010, 36 (09) :1526-1531
[6]   Evaluation of Simulation in Undergraduate Nurse Education: An Integrative Review [J].
Foronda, Cynthia ;
Liu, Siwei ;
Bauman, Eric B. .
CLINICAL SIMULATION IN NURSING, 2013, 9 (10) :E409-E416
[7]  
Hollingsworth E, 2006, CAN J NURS RES, V38, P54
[8]   Development and validation of the simulation-based learning evaluation scale [J].
Hung, Chang-Chiao ;
Liu, Hsiu-Chen ;
Lin, Chun-Chih ;
Lee, Bih-O .
NURSE EDUCATION TODAY, 2016, 40 :72-77
[9]   Impact of formal teaching on medical documentation by interns in an emergency department in a Queensland teaching hospital [J].
Isoardi, Jonathon ;
Spencer, Lyndall ;
Sinnott, Michael ;
Eley, Robert .
EMERGENCY MEDICINE AUSTRALASIA, 2015, 27 (01) :6-10
[10]  
Jeffries PR, 2005, NURS EDUC PERSPECT, V26, P96