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http://dx.doi.org/10.4040/jkan.2011.41.2.245

Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses  

Kim, Yun-Hee (Department of Nursing, Dong Shin University)
Jang, Keum-Seong (College of Nursing, Chonnam National University.Chonnam Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.41, no.2, 2011 , pp. 245-255 More about this Journal
Abstract
Purpose: This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses. Methods: An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program. Results: The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138). Conclusion: The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.
Keywords
Patient simulation; Knowledge; Clinical competency; Problem solving; Nurses;
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Times Cited By Web Of Science : 1  (Related Records In Web of Science)
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1 McCausland, L. L., Curran, C. C., & Cataldi, P. (2004). Use of human simulator for undergraduate nurse education. International Journal of Nursing Education Scholarship, 1, 1-17.
2 Medley, C. F., & Horne, C. (2005). Using simulation technology for undergraduate nursing education. Journal of Nursing Education, 44, 31-34.
3 Nephring, W. N., & Lashley, F. R. (2004). Human patient simulators in nursing education. Nursing Education Perspectives, 25, 244-248.
4 Oh, S. H., Jang, K. S., & Choi, J. Y. (2009). Protocol development of cardiopulmonary resuscitation nursing tasks targeting patients with ventricular fibrillation generation. The Journal of Korean Nursing Administration Academic Society, 15, 203-215.
5 Chen, P. T., Cheng, H. W., Yen, C. R., Yin, I. W., Huang, Y. C., Wang, C. C., et al. (2008). Instructor-based real-time multimedia medical simulation to update concepts of difficult airway management for experienced airway practitioners. Journal of Chinese Medical Association, 71, 174-179.   DOI   ScienceOn
6 Crofts, J. F., Draycott, T. J., Winter, C., Hunt, L. P., & Akande, V. A. (2007). Change in knowledge of midwives and obstericians following obsteric emergency training: A randomized controlled trial of local hospital, simulation centre and teamwork training. BJOG: An International Journal of Obstetrics and Gynaecology, 114, 1534-1541.   DOI   ScienceOn
7 Hoyt, P. (2007). An international approach to problem solving for better health nursing TM(PSBHN). International Nursing Review, 34, 712-721.
8 Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26, 96-103.
9 Kang, L. W., & Lee, E. J. (2001). A Study on new nurse's job analysis for improvement of efficiently nursing educational curriculum. Journal of Gachon, 29, 59-73.
10 Kim, N. Y. (2005). The effects of web-based evidence-based nursing job education on the job knowledge, performance and motivation. Doctoral dissertation, Chonnam National University, Gwangju.
11 Kim, Y. M., Oh, Y. M., Kim, H. J., Lee, W. J., Im, T. H., Chung, H. S., et al. (2007). Development and pilot applications of simulation-based comprehensive emergency airway management courses. Journal of The Korean Society of Emergency Medicine, 18, 1-9.
12 Ko, C. H. (2007). The effect of simulation-based training on the competence of basic life support of the students emergency medical technology. The Journal of the Korean Society of Emergency Medical Technology, 11(3), 31-45.
13 Lee, J. S. (1978). The effects of process behaviors on problem solving performance on various test. Doctoral dissertation, University of Chicago, Chicago, USA.
14 Bremner, M. N., Aduddell, K., Bennett, D. N., & VanGeest, J. B. (2006). The use of human patient simulators best practices with novice nursing students. Nurse Educator, 31, 170-174.   DOI   ScienceOn
15 Back, C. Y. (2006). Effects of advanced cardiac life support simulation-based training on nurses' competence in critical care setting. Unpublished master's thesis, Yonsei University, Seoul.
16 Bond, W. F., & Spillane, L. (2002). The use of simulation for emergency medicine resident assessment. Academic Emergency Medicine, 9, 1295-1298.   DOI   ScienceOn
17 Brannam, J. D., White, A., & Bezanson, J. L. (2008). Simulator effects on cognitive skills and confidence levels. Journal of Nursing Education, 47, 495-500.   DOI   ScienceOn
18 American Heart Association. (2006a). Advanced cardiovascular life support. Dallas, TX: American Heart Association.
19 Ackermann, A. D., Kenny, G., & Walker, C. (2007). Simulator programs for new nurses' orientation. Journal for Nurses in Staff Development, 23, 136-139.   DOI   ScienceOn
20 Alinier, G., Hunt, W. B., & Gordon, R. (2004). Determining the value of simulation in nurse education: Study design and initial results. Nurse Education in Practice, 4, 200-207.   DOI   ScienceOn
21 American Heart Association. (2006b). Basic life support for healthcare providers. Dallas, TX: American Heart Association.
22 Lim, N. Y., Yun, S. N., Kim, J. E., Lee, Y. S., Jung, Y. Y., & Song J. H. (2003). Frequency and importance of nurse's job in new graduate nurses working in musculoskeletal ward. Journal of Muscle and Joint Health, 13, 108-118.
23 Steinwachs, B. (1992). How to facilitate a debriefing. Simulation Gaming, 23, 186-195.   DOI
24 Turcato, N., Robertson, C., & Covert, K. (2008). Simulation-based education: What's in it for nurse anesthesia educators? Journal of the American Association of Nurse Anesthetists, 76, 257-262.
25 Wayne, D. B., Butter, J., Viva, J., Fudala, M. J., Lindquist, L. A., Feinglass, J., et al. (2004). Simulation-based training of internal medicine residents in advanced cardiac life support protocols: A randomized trial. Teaching and Learning Medicine, 17, 210-216.
26 Yang, J. J. (2008). Development and evaluation of a simulation-based education course for nursing students. Journal of Korean Academy Adult Nursing, 20, 584-560.
27 Park, J. W., & Woo, O. K. (1999). The effect of PBL (problem-based learning) on problem solving process by learner's metacognitive level. Journal of Educational Technology, 15(3), 55-81.
28 Ragsdale, M. A., & Mueller, J. (2005). Plan, do, study, act model to improve an orientation program. Journal of Nursing Care Quality, 20, 268-272.   DOI   ScienceOn
29 Silvestri, L. A. (2002). Saunders Q & A Review for NCLEX-RN. Philadelphia, PA: W. B. Saunders Company.