Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Using High-Fidelity Simulation and Standardized Patient to Improve the Intravenous Therapy of Nursing Students: A Quasi-Experimental Study
Hemşirelik Öğrencilerinin İntravenöz Tedavi Yönetimini Geliştirmek İçin Yüksek Gerçeklikli Simülasyon ve Standartlaştırılmış Hasta Kullanımı: Yarı-Deneysel Çalışma
Gözde ÖZARAS ÖZa , Müjgan ONARICIa
aÇankırı Karatekin University Faculty of Health Sciences, Department of Nursing, Çankırı, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):731-42
doi: 10.5336/nurses.2023-100820
Article Language: EN
Full Text
ABSTRACT
 Objective: To compare the effects of high-fidelity simulations and standardised patients on students' knowledge and skill levels regarding intravenous (IV) therapy administration. Material and Methods: This quasi experimental study was carried out among firstyear nursing students in Türkiye. The study sample included 59 students. The participants were divided into two groups. Group 1 (high-fidelity simulation) comprised 30 students, and Group 2 (standardised patient) comprised 29 students. Pre and post-test IV drug therapy administration knowledge form and IV drug therapy administration performance checklist forms were used for data collection. Mann-Whitney U and Wilcoxon signed-rank tests were used for analyses. Results: In the standardised patient group, participants' post-test knowledge scores were significantly higher than their pre-test knowledge scores. The skill scores of the standardised patient group were significantly higher than those of the high-fidelity simulation group. Students in standardized patient group scored higher on some items of the ''opening the lid of the IV catheter, three-way tap control, closing the three-way faucet, attaching the IV drug injector to the catheter, injecting the drug, removing the injector, using washing solution and closing the lid of the catheter'' in drug administration procedure. Conclusion: The results of this study showed that the use of standardised patients was more effective in increasing students' knowledge and skills in IV drug therapy administration than high-fidelity simulation situations. In the IV drug therapy administration training, nursing instructors can use standardised patients to enable students to gain knowledge and competence.

Keywords: High-fidelity simulator; nursing education; safe medication administration; simulation; standardised patient
ÖZET
 Amaç: Yüksek gerçeklikli simülasyonların ve standardize edilmiş hastaların, öğrencilerin intravenöz (İV) tedavi uygulamasına ilişkin bilgi ve beceri düzeyleri üzerindeki etkilerini karşılaştırmak. Gereç ve Yöntemler: Bu yarı-deneysel çalışma Türkiye'deki hemşirelik birinci sınıf öğrencileri arasında gerçekleştirildi. Araştırmanın örneklemini 59 öğrenci oluşturmuştur. Katılımcılar 2 gruba ayrılmıştır. Grup 1 (yüksek gerçeklikli simülasyon) 30 öğrenciden ve Grup 2 (standardize hasta) 29 öğrenciden oluşuyordu. Verilerin toplanmasında ön-son test İV ilaç tedavisi uygulama bilgi formu ve İV ilaç tedavisi uygulama performans kontrol listesi formları kullanılmıştır. Analizlerde Mann-Whitney U ve Wilcoxon işaretli sıra testleri kullanılmıştır. Bulgular: Standardize edilmiş hasta grubunda katılımcıların son test bilgi puanları, ön test bilgi puanlarına göre anlamlı düzeyde yüksekti. Standardize edilmiş hasta grubunun beceri puanları, yüksek gerçeklikli simülasyon grubundan anlamlı derecede daha yüksekti. Standardize edilmiş hasta grubundaki öğrenciler İV kateterin kapağını açma, üç yönlü musluk kontrolü, üç yollu musluğu kapatma, İV ilaç enjektörünü katetere takma, ilacı enjekte etme, enjektörü çıkarma, ilaç uygulama işleminde yıkama solüsyonu kullanma ve kateterin kapağını kapatma'' maddelerinden daha yüksek puanlar aldılar. Sonuç: Bu çalışmanın sonuçları, standardize edilmiş hasta kullanımının, öğrencilerin İV ilaç tedavisi uygulamasındaki bilgi ve becerilerini arttırmada yüksek gerçeklikli simülasyon grubuna göre daha etkili olduğunu gösterdi. İntravenöz ilaç tedavisi yönetimi eğitiminde hemşirelik eğitmenleri, öğrencilerin bilgi ve yeterlilik kazanmasını sağlamak için standardize edilmiş hastaları kullanabilir.

Anahtar Kelimeler: Yüksek gerçeklikli stimülasyon; hemşirelik eğitimi; güvenli ilaç yönetimi; stimülasyon; standardize edilmiş hasta
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