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http://dx.doi.org/10.5762/KAIS.2020.21.12.131

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

Kim, Yun-Ji (Department of Nursing, Chosun University)
Kim, Jin Sun (Department of Nursing, Chosun University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.12, 2020 , pp. 131-141 More about this Journal
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.
Keywords
Computer Simulation; Confidence; Intravenous Injection; Nursing Students; Skill;
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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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
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   DOI
14 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   DOI
15 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   DOI
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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   DOI
23 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   DOI
24 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)
25 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.
26 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   DOI
27 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   DOI
28 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   DOI
29 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   DOI
30 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   DOI
31 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.
32 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   DOI
33 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   DOI
34 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   DOI
35 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   DOI
36 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   DOI