Randomized, controlled trial of the effectiveness of simulation education: A 24-month follow-up study in a clinical setting - 31/03/16
, Hannu P. Syrjälä, MD, PhD c, d, Pasi P. Ohtonen, MSc (Statistics) e, Merja H. Meriläinen, PhD a, c, Helvi A. Kyngäs, PhD b, c, f, Tero I. Ala-Kokko, MD, PhD a, cHighlights |
• | The skill scores improved significantly in both group over time. |
• | Improvements were significant only at six months measurement. |
• | The knowledge scores did not change significantly within either group. |
Abstract |
Background |
Critical care nurses' knowledge and skills in adhering to evidence-based guidelines for avoiding complications associated with intubation and mechanical ventilation are currently limited. We hypothesized that single simulation education session would lead to a long-lasting higher level of skills among critical care nurses.
Material and methods |
A randomized controlled trial was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Finland during the period February 2012-March 2014. Thirty out of 40 initially randomized critical care nurses participated in a 24-month follow-up study. Behavior and cognitive development was evaluated through a validated Ventilator Bundle Observation Schedule and Questionnaire at the baseline measurement and repeated 3 times during simulation and real-life clinic settings.
Results |
After simulation education, the average skills score increased from 46.8%-58.8% of the total score in the final postintervention measurement (Ptime < .001, Ptime × group = .040, and Pgroup = .11). The average knowledge scores within groups did not change significantly. The average between-group difference in skills scores was significant only at the measurement taken at 6 months (P = .006).
Conclusions |
Critical care nurses' skills in adhering to evidence-based guidelines improved in both groups over time, but the improvements between the study groups was significantly different only at 6 months and was no longer evident after 2 years following a single simulation education.
Le texte complet de cet article est disponible en PDF.Key Words : Critical care, Nursing education, Knowledge, Skills, Mechanical ventilation
Plan
| Conflicts of Interest: None to report. |
|
| MMJ, HPS, PPO, MHM, HAK, and TIA-K contributed to the study design. MMJ contributed to data collection. MMJ and PPO performed the data analysis. MMJ, HPS, PPO, MHM, HAK, and TIA-K contributed to data interpretation and manuscript preparation. |
Vol 44 - N° 4
P. 387-393 - avril 2016 Retour au numéro
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