Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Development of Simulated Vials and Assessment of Their Effectiveness in Students' Drug Preparation Training: Two Stage (A Descriptive and a Randomized Controlled) Study
Simüle Flakonların Geliştirilmesi ve Öğrencilerin İlaç Hazırlama Eğitimindeki Etkinliğinin Değerlendirilmesi: İki Aşamalı (Tanımlayıcı ve Randomize Kontrollü) Bir Çalışma
Nurten ALANa , Dilek ÖZDENa , Gülşah GÜROL ARSLANa , İlkin YILMAZa , Gizem GÖKTUNAa
aDokuz Eylül University Faculty of Nursing, Department of Fundamentals of Nursing, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1069-78
doi: 10.5336/nurses.2024-102782
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to develop simulated vials prepared with non-allergic powder substances for use in skill training and to evaluate their effectiveness. Material and Methods: The research was conducted in two phases between July 2020 and August 2021 with faculty members and students of Dokuz Eylül University Faculty of Nursing. The first phase was descriptive, while the second phase was planned as a randomized-controlled study. Simulated vials were prepared by filling them with 1 g of starch, 1 g of powder, or 1 g of powdered sugar and sealing them with a vial sealing machine. In the first phase, experienced nurse educators (n=47) evaluated the functionality of the vials. In the second phase, students attended a theoretical presentation and were randomized into an experimental group (n=122) and a control group (n=120). The experimental group used simulated vials, while the control group used previously used vials to perform the drug preparation skill. Results: Faculty members identified powdered sugar as the most effective substance in terms of functionality among the starch, powder, and powdered sugar vial groups (p<0.001). Students rated simulated vials (11.72±3.95) as more practical/functional compared to used vials (12.70±3.91) (p<0.05). Conclusion: Simulated vials prepared with powdered sugar were found to be more effective by faculty members compared to vials prepared with starch or powder. During laboratory skill training, students found simulated vials with powdered sugar to be more effective than used vials. Simulated vials containing powdered sugar may be ideal for drug preparation skills in laboratory settings due to their close resemblance to original drug vials.

Keywords: Drug preparation; clinical skills; vial drug preparation; simulation; nursing
ÖZET
 Amaç: Bu çalışma, öğrencilerin beceri eğitiminde kullanılmak üzere alerjik olmayan toz madde ile hazırlanan simüle flakonların geliştirilmesi ve etkinliğinin değerlendirilmesini amaçlamıştır. Gereç ve Yöntemler: Araştırma, Temmuz 2020-Ağustos 2021 arasında Dokuz Eylül Üniversitesi Hemşirelik Fakültesi öğretim elemanları ve öğrencileri ile iki aşamada gerçekleştirildi. İlk aşama tanımlayıcı, ikinci aşama ise randomize kontrollü olarak planlandı. Flakonlarda 1 gr nişasta, 1 gr pudra ve 1 gr pudra şekeri kullanılarak kapatılan simüle flakonlar hazırlandı. İlk aşamada, deneyimli hemşire öğretim elemanları (n=47) flakonların işlevselliğini değerlendirdi. İkinci aşamada, öğrencilere teorik sunum yapıldı ve öğrenciler deney (n=122) ve kontrol (n=120) gruplarına randomize edildi. Deney grubu simüle flakon, kontrol grubu ise daha önceden kullanılan flakonlarla ilaç hazırlama becerisini uyguladı. Bulgular: Öğretim elemanları tarafından nişasta, pudra ve pudra şekeri flakon grupları arasında işlerlik açısından en etkili madde, pudra şekeri olarak belirlendi (p<0,001). Öğrenciler tarafından simüle flakonlar (11.72±3.95), kullanılmış flakonlara (12.70±3.91) göre daha kullanışlı/işler olarak belirlendi (p<0.05). Sonuç: Pudra şekeri ile hazırlanmış simüle flakonlar, öğretim elemanları tarafından nişasta ve pudra şekeri ile hazırlanan flakonlara göre daha etkili bulundu. Laboratuvarda beceri öğrenimi sırasında öğrenciler pudra şekeri ile hazırlanan simüle flakonları kullanılmış flakonlara göre daha etkili buldu. Pudra şekeri içeren simüle flakonlar, orijinal ilaç flakonlarını çok iyi taklit etmesi nedeniyle laboratuvar koşullarında flakondan ilaç hazırlama becerisi için ideal flakonlar olabilir.

Anahtar Kelimeler: İlaç hazırlama; klinik beceri; flakon ilaç hazırlama; stimülasyon; hemşirelik
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