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Educational Effects of a Virtual IV Simulator and a Mannequin Arm Model Combined Training in Teaching Intravenous Cannulation for Nursing Students

간호대학생을 위한 정맥주사용 가상학습 시뮬레이터와 마네킨 팔 모형을 병합한 정맥주사 실습교육의 효과

  • 김윤지 (조선대학교 일반대학원 간호학과) ;
  • 김진선 (조선대학교 간호학과)
  • Received : 2020.07.21
  • Accepted : 2020.12.04
  • Published : 2020.12.31

Abstract

The purpose of this study is to compare the effects on nursing students' knowledge, performance confidence, and skills from combined virtual IV simulator and mannequin arm IV cannulation training against training with a mannequin arm only. A non-equivalent control group pretest-posttest experimental study was carried out. Ninety-three sophomore nursing students who were just beginning their fundamental skills training were recruited. Participants were divided into two groups (46 for the combined group and 47 for the mannequin-only group). Data were collected from March 18-29. For the experimental group, both virtual IV simulator and mannequin-arm training were provided for 30 minutes (15 minutes each). For the control group, training for 30 minutes with a mannequin arm only was provided. After intervention, there was no statistically significant difference in the knowledge score between the two groups (F=2.52, p=.116). However, there was a significant improvement in performance confidence (t=2.14, p=.035) and nursing skills (t=5.34, p<.001) in the experimental group, compared with the control. Overall, this study provides empirical evidence that the combination of virtual IV simulator and mannequin arm training may further enhance nursing students' performance confidence and nursing skills.

본 연구는 정맥주사용 가상학습 시뮬레이터와 마네킨 팔 모형을 병합한 정맥주사 실습교육이 간호대학생의 지식, 수행자신감, 간호수행능력에 미치는 효과를 확인하기 위한 연구이다. 본 연구설계는 비동등성 대조군 사전 사후 유사실험설계를 사용하였다. 연구의 참여자는 일 대학 기본간호학을 수강하는 2학년 간호대학생으로 총 93명이 모집되었으며 참여자는 병합교육군 46명, 마네킨군 47명으로 두 그룹으로 나누어 진행하였다. 자료수집기간은 2019년 3월 18일부터 3월 29일까지였다. 동일한 기간동안 실험군은 정맥주사용 가상학습 시뮬레이터와 마네킨 팔 모형을 이용한 병합교육을 각 기자재 별로 15분씩, 총 30분간 실시하였으며 대조군은 마네킨 팔 모형만을 이용한 교육을 총 30분간 실시하였다. 실험 중재 후, 실험군과 대조군의 지식점수는 통계적으로 유의한 차이가 나타나지 않았고(F=2.52, p=.116), 수행자신감(t=2.14, p=.035)과 간호수행능력(t=5.34, p<.001)은 병합교육을 받은 실험군이 마네킨 팔 모형만을 이용하여 교육을 받은 대조군보다 통계적으로 유의하게 높았다. 이상의 연구결과를 통해 본 연구에서는 정맥주사용 가상학습 시뮬레이터와 마네킨 팔 모형을 병합한 실습교육이 간호학생의 수행자신감과 간호수행능력을 향상시킨다는 실증적인 근거를 제시하였다는 것을 알 수 있었다.

Keywords

References

  1. S. Guinea et al., "Simulation-based learning for patient safety: The development of the Tag Team Patient Safety Simulation methodology for nursing education," Collegian, vol. 26, no. 3, pp. 392-398, 2019. DOI: https://doi.org/10.1016/j.colegn.2018.09.008
  2. J. Song and M. Kim, "Study on clinical education for nursing in hospitals in Korea," The Journal of Korean academic society of nursing education, vol. 19, no. 2, pp. 251-264, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.2.251
  3. H.-C. Jeong, N.-Y. Choi, M.-S. Kim, and M.-Y. Jeon, "Effects of simulation-based training on the clinical competence and confidence of nursing students in intravenous injection performance and the satisfaction of clients," Journal of the Korea Academia-Industrial Cooperation Society, vol. 13, no. 6, pp. 2600-2606, 2012. DOI: https://doi.org/10.5762/kais.2012.13.6.2600
  4. A. C. Reinhardt, I. L. Mullins, C. De Blieck, and P. Schultz, "IV insertion simulation: confidence, skill, and performance," Clinical Simulation in Nursing, vol. 8, no. 5, pp. e157-e167, 2012. DOI: https://doi.org/10.1016/j.ecns.2010.09.001
  5. M.-G. Kim and H. S. Lee, "Effects of core basic nursing education using cellular phone video recordings on self-confidence in performance, achievement, and practice satisfaction," Journal of Korean Academy of Fundamentals of Nursing, vol. 24, no. 2, pp. 128-137, 2017. DOI: https://doi.org/10.7739/jkafn.2017.24.2.128
  6. C. Loukas, N. Nikiteas, M. Kanakis, and E. Georgiou, "Evaluating the Effectiveness of Virtual Reality Simulation Training in Intravenous Cannulation," Simulation in Healthcare, vol. 6, no. 4, pp. 213-217, 2011. DOI: https://doi.org/10.1097/sih.0b013e31821d08a9
  7. E.-Y. Cheon, "The effects of video-aided peer feedback on enhancing nursing students' understanding of foley catheterization," The Journal of Korean Academic Society of Nursing Education, vol. 19, no. 1, pp. 43-51, 2013. DOI: https://doi.org/10.5977/jkasne.2013.19.1.43
  8. D. N. Wilfong, D. J. Falsetti, J. L. McKinnon, and L. H. Daniel, "The effects of virtual intravenous and patient simulator training compared to the traditional approach of teaching nurses: a research project on peripheral IV catheter insertion," Journal of Infusion Nursing, vol. 34, no. 1, pp. 55-62, 2011. DOI: https://doi.org/10.1097/nan.0b013e31820219e2
  9. R. S. Jones, A. Simmons, G. L. Boykin Sr, D. Stamper, and J. C. Thompson, "Measuring intravenous cannulation skills of practical nursing students using rubber mannequin intravenous training arms," Military medicine, vol. 179, no. 11, pp. 1361-1367, 2014. DOI: https://doi.org/10.7205/MILMED-D-13-00576
  10. H. Kim, "Nursing students' experiences on intravenous injection practice using low fidelity simulator," Asia-Pacific Journal of Multimedia Services Convergent with Art, vol. 8, no. 4, pp. 789-797, 2018. DOI: http://dx.doi.org/10.21742/AJMAHS.2018.04.56
  11. E.-Y. Jung, D. K. Park, Y. H. Lee, H. S. Jo, Y. S. Lim, and R. W. Park, "Evaluation of practical exercises using an intravenous simulator incorporating virtual reality and haptics device technologies," Nurse Education Today, vol. 32, no. 4, pp. 458-463, 2012. DOI: https://doi.org/10.1016/j.nedt.2011.05.012
  12. R. J. Jamison, M. T. Hovancsek, and J. M. Clochesy, "A pilot study assessing simulation using two simulation methods for teaching intravenous cannulation," Clinical Simulation in Nursing, vol. 2, no. 1, pp. e9-e12, 2006. DOI: https://doi.org/10.1016/j.ecns.2009.05.007
  13. J. Hwang and H. Kim, "Comparison of training effectiveness for IV injections: Intravenous (IV) arm model versus computer simulator," Journal of Korean Academy of Fundamentals of Nursing, vol. 21, no. 3, p. 302, 2014. DOI: https://doi.org/10.7739/jkafn.2014.21.3.302
  14. I.-S. Seo, S.-M. Oh, D. Choi, H.-O. Park, and R.-W. Ma, "Effects of basic clinical practice program in academic motivation, critical thinking and clinical nursing competence of nursing students," Journal of the Korea Academia-Industrial cooperation Society, vol. 15, no. 4, pp. 2276-2284, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.4.2276
  15. J. K. Hayden, R. A. Smiley, M. Alexander, S. Kardong-Edgren, and P. R. Jeffries, "The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education," Journal of Nursing Regulation, 2014. DOI: https://doi.org/10.1016/S2155-8256(15)30062-4
  16. P. Lavoie and S. P. Clarke, "Simulation in nursing education," Nursing management, vol. 48, no. 2, pp. 16-17, 2017. DOI: https://doi.org/10.1097/01.numa.0000511924.21011.1b
  17. J. M. Padilha, P. P. Machado, A. Ribeiro, J. Ramos, and P. Costa, "Clinical virtual simulation in nursing education: randomized controlled trial," Journal of medical Internet research, vol. 21, no. 3, p. e11529, 2019. DOI: https://doi.org/10.2196/11529
  18. W.-W. Tsai, C.-P. Fung, S.-L. Tsai, M.-C. Jeng, and J.-L. Doong, "The assessment of stability and reliability of a virtual reality-based intravenous injection simulator," CIN: Computers, Informatics, Nursing, vol. 26, no. 4, pp. 221-226, 2008. DOI: https://doi.org/10.1097/01.ncn.0000304804.46369.5a
  19. Y. Dong et al., "Simulation-based objective assessment discerns clinical proficiency in central line placement: a construct validation," Chest, vol. 137, no. 5, pp. 1050-1056, 2010. DOI: https://doi.org/10.1378/chest.09-1451
  20. J. H. Barsuk, W. C. McGaghie, E. R. Cohen, K. J. O'Leary, and D. B. Wayne, "Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit," Critical care medicine, vol. 37, no. 10, pp. 2697-2701, 2009. DOI: https://doi.org/10.1097/ccm.0b013e3181a57bc1
  21. Korean Accreditation Board of Nursing Education, [internet] "Korean nursing education evaluation criteria", [cited 2019 Aug 12], Available From: http://www.kabone.or.kr/kabon02/index04.php. (assessed July 20, 2020)
  22. H. Kim, Development and application of phased nursing simulation modules: Based on a conceptual framework of 3-D nursing simulation education, Ph.D dissertation, Seoul National University, Seoul, Korea, pp.1-168, 2013.
  23. P. C. Smith and B. K. Hamilton, "The effects of virtual reality simulation as a teaching strategy for skills preparation in nursing students," Clinical Simulation in Nursing, vol. 11, no. 1, pp. 52-58, 2015. DOI: https://doi.org/10.1016/j.ecns.2014.10.001
  24. C. E. Jenson and D. M. Forsyth, "Virtual reality simulation: using three-dimensional technology to teach nursing students," CIN: Computers, Informatics, Nursing, vol. 30, no. 6, pp. 312-318, 2012. DOI: http://doi.org/10.1097/NXN.0b013e31824af6ae
  25. L. A. McWilliams and A. Malecha, "Comparing intravenous insertion instructional methods with haptic simulators," Nursing research and practice, vol. vol 2017, no. 1, pp.1-11, 2017. DOI: https://doi.org/10.1155/2017/4685157
  26. E. Alexandrou, L. Ramjan, J. Murphy, L. Hunt, V. Betihavas, and S. A. Frost, "Training of undergraduate clinicians in vascular access: an integrative review," Journal of the Association for Vascular Access, vol. 17, no. 3, pp. 146-158, 2012. DOI: https://doi.org/10.1016/j.java.2012.07.001
  27. W. Isaranuwatchai, R. Brydges, H. Carnahan, D. Backstein, and A. Dubrowski, "Comparing the cost-effectiveness of simulation modalities: a case study of peripheral intravenous catheterization training," Advances in Health Sciences Education, vol. 19, no. 2, pp. 219-232, 2014. DOI: https://doi.org/10.1007/s10459-013-9464-6
  28. S. Lapkin and T. Levett‐Jones, "A cost-utility analysis of medium vs. high‐fidelity human patient simulation manikins in nursing education," Journal of clinical nursing, vol. 20, no. 23‐24, pp. 3543-3552, 2011. DOI: https://doi.org/10.1111/j.1365-2702.2011.03843.x
  29. M.-Y. Jho, "An analysis of research on nursing practice education in Korea," The Journal of Korean Academic Society of Nursing Education, vol. 16, no. 2, pp. 239-248, 2010. DOI: https://doi.org/10.5977/JKASNE.2010.16.2.239
  30. H. Kim, Self-directed Learning Ability, Confidence in Nursing Skills and Learning Satisfaction According to Web-based Pre-Learning of Nursing Students, Master's thesis, Nambu University, Gwangju, Korea, pp.1-60, 2017.
  31. E. G. Ismailoglu and A. Zaybak, "Comparison of the effectiveness of a virtual simulator with a plastic arm model in teaching intravenous catheter insertion skills," CIN: Computers, Informatics, Nursing, vol. 36, no. 2, pp. 98-105, 2018. DOI: https://doi.org/10.1097/cin.0000000000000405
  32. N. L. Keleekai et al., "Improving nurses' peripheral intravenous catheter insertion knowledge, confidence, and skills using a simulation-based blended learning program: a randomized trial," Simulation in Healthcare, vol. 11, no. 6, p. 376, 2016. DOI: https://doi.org/10.1097/sih.0000000000000186
  33. R. Ma and E. Lee, "Factors affecting academic self-efficacy in nursing students," Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, vol. 7, no. 10, pp. 521-531, 2017. DOI: http://dx.doi.org/10.14257/ajmahs.2017.10.90
  34. M.-O. Yoon and Y.-S. Ju, "The effects of Peer Mentoring Learnings-based Preclinical OSCE program on Self-Confidence on Core Basic Nursing Skills and Critical Thinking Disposition for Nursing Student," Journal of Digital Convergence, vol. 15, no. 7, pp. 285-295, 2017. DOI: https://doi.org/10.14400/JDC.2017.15.7.285
  35. L. A. McWilliams, A. Malecha, R. Langford, and P. Clutter, "Comparisons of cooperative-based versus independent learning while using a Haptic Intravenous Simulator," Clinical Simulation in Nursing, vol. 13, no. 4, pp. 154-160, 2017. DOI: https://doi.org/10.1016/j.ecns.2016.12.008
  36. S. Maloney and T. Haines, "Issues of cost-benefit and cost-effectiveness for simulation in health professions education," Advances in Simulation, vol. 1, no. 1, p. 1-13, 2016. DOI: https://doi.org/10.1186/s41077-016-0020-3