.: ORİJİNAL ARAŞTIRMA
The Effect of High Fidelity Simulation Training Applied to Nursing Students for Improving Endotracheal Suctioning Skills on Clinical Decision Making and Practices: An Experimental Study
Endotrakeal Aspirasyon Becerisini Geliştirmede Hemşirelik Öğrencilerine Uygulanan Yüksek Gerçekli Simülasyon Eğitiminin Klinik Karar Verme ve Klinik Uygulamaya Etkisi: Deneysel Bir Çalışma
Turkiye Klinikleri J Nurs Sci. 2024;16(2):479-88
doi: 10.5336/nurses.2023-99808
Makale Dili: EN
Tam Metin
Ücretsiz Erişim
ABSTRACT
Objective: This study aimed to determine the effect of high fidelity simulation (HFS) training applied to nursing students on clinical decision making and clinical practice in improving endotracheal suctioning skills. Material and Methods: This is an experimental study with pre- and post-test design. The study was conducted to determine the effect of HFS applied to senior nursing students for developing endotracheal suctioning skills and diagnosing patients' needs for endotracheal suctioning on clinical decision making and practices. After those in the experimental group were given HFS training, they were involved in clinical practices, while those in the control group performed clinical practices without this simulation training. Results: Although there was no statistically significant difference between the mean scores in our study (p>0.05), the correct clinical decision-making level of the nursing students in the experimental group increased in clinical practice after the simulation training, and although the level of correct clinical decision-making of the nursing students in the control group was higher than the students in the experimental group when they started clinical practice, it was found that it decreased after endotracheal aspiration. In this study, it was found that simulation training had a statistically significant high effect on diagnosing the need for endotracheal aspiration in the patient and performing this skill with the correct steps (p<0.05). Conclusion: In this study, HFS application is considered to prepare nursing students for clinical practices and strengthen their clinical decision-making skills.
Keywords: Students, nursing; high fidelity simulation training; education, nursing; suction; clinical decision-making
Objective: This study aimed to determine the effect of high fidelity simulation (HFS) training applied to nursing students on clinical decision making and clinical practice in improving endotracheal suctioning skills. Material and Methods: This is an experimental study with pre- and post-test design. The study was conducted to determine the effect of HFS applied to senior nursing students for developing endotracheal suctioning skills and diagnosing patients' needs for endotracheal suctioning on clinical decision making and practices. After those in the experimental group were given HFS training, they were involved in clinical practices, while those in the control group performed clinical practices without this simulation training. Results: Although there was no statistically significant difference between the mean scores in our study (p>0.05), the correct clinical decision-making level of the nursing students in the experimental group increased in clinical practice after the simulation training, and although the level of correct clinical decision-making of the nursing students in the control group was higher than the students in the experimental group when they started clinical practice, it was found that it decreased after endotracheal aspiration. In this study, it was found that simulation training had a statistically significant high effect on diagnosing the need for endotracheal aspiration in the patient and performing this skill with the correct steps (p<0.05). Conclusion: In this study, HFS application is considered to prepare nursing students for clinical practices and strengthen their clinical decision-making skills.
Keywords: Students, nursing; high fidelity simulation training; education, nursing; suction; clinical decision-making
ÖZET
Amaç: Bu çalışmanın amacı, endotrakeal aspirasyon becerisini geliştirmede hemşirelik öğrencilerine uygulanan YGS eğitiminin klinik karar verme ve klinik uygulamaya etkisini incelemektir. Gereç ve Yöntemler: Deneysel tipte ön-test ve son-test desenli ve randomize kontrol gruplu planlanan bu araştırma endotrakeal aspirasyon becerisi geliştirme ve hastanın aspirasyon ihtiyacını tanılamada son sınıf hemşirelik öğrencilerine uygulanan YGS yönteminin klinik karar verme ve klinik uygulama üzerine etkisinin belirlenmesi amacıyla yapılmıştır. Deney grubuna YGS eğitimi verildikten sonra klinik uygulama yaptırılmış, kontrol grubuna ise simülasyon eğitimi verilmeden klinik uygulama yaptırılmıştır. Bulgular: Araştırmamızda puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmamakla birlikte (p>0,05), deney grubundaki hemşirelik öğrencilerinin doğru klinik karar verme düzeyinin simülasyon eğitiminden sonra klinik uygulamada arttığı, kontrol grubundaki hemşirelik öğrencilerinin ise klinik uygulamaya başladığında deney grubundaki öğrencilerden daha yüksek olmasına rağmen hastaya endotrakeal aspirasyon uygulamasından sonra düştüğü saptanmıştır. Bu çalışmada hastada endotrakeal aspirasyon ihtiyacını tanılama ve bu beceriyi doğru adımlarla gerçekleştirmede simülasyon eğitiminin istatistiksel olarak anlamlı düzeyde yüksek etkiye sahip olduğu bulunmuştur (p<0,05). Sonuç: Çalışmamızdan elde edilen tüm bu bulgular doğrultusunda, senaryoya dayalı YGS uygulamasının hemşirelik öğrencilerini klinik uygulamaya hazırladığı ve klinik karar verme becerilerini güçlendirdiği söylenebilir.
Anahtar Kelimeler: Öğrenciler, hemşirelik; yüksek gerçekli simülasyon uygulamaları; eğitim, hemşirelik; emme; klinik karar verme
Amaç: Bu çalışmanın amacı, endotrakeal aspirasyon becerisini geliştirmede hemşirelik öğrencilerine uygulanan YGS eğitiminin klinik karar verme ve klinik uygulamaya etkisini incelemektir. Gereç ve Yöntemler: Deneysel tipte ön-test ve son-test desenli ve randomize kontrol gruplu planlanan bu araştırma endotrakeal aspirasyon becerisi geliştirme ve hastanın aspirasyon ihtiyacını tanılamada son sınıf hemşirelik öğrencilerine uygulanan YGS yönteminin klinik karar verme ve klinik uygulama üzerine etkisinin belirlenmesi amacıyla yapılmıştır. Deney grubuna YGS eğitimi verildikten sonra klinik uygulama yaptırılmış, kontrol grubuna ise simülasyon eğitimi verilmeden klinik uygulama yaptırılmıştır. Bulgular: Araştırmamızda puan ortalamaları arasında istatistiksel olarak anlamlı bir fark bulunmamakla birlikte (p>0,05), deney grubundaki hemşirelik öğrencilerinin doğru klinik karar verme düzeyinin simülasyon eğitiminden sonra klinik uygulamada arttığı, kontrol grubundaki hemşirelik öğrencilerinin ise klinik uygulamaya başladığında deney grubundaki öğrencilerden daha yüksek olmasına rağmen hastaya endotrakeal aspirasyon uygulamasından sonra düştüğü saptanmıştır. Bu çalışmada hastada endotrakeal aspirasyon ihtiyacını tanılama ve bu beceriyi doğru adımlarla gerçekleştirmede simülasyon eğitiminin istatistiksel olarak anlamlı düzeyde yüksek etkiye sahip olduğu bulunmuştur (p<0,05). Sonuç: Çalışmamızdan elde edilen tüm bu bulgular doğrultusunda, senaryoya dayalı YGS uygulamasının hemşirelik öğrencilerini klinik uygulamaya hazırladığı ve klinik karar verme becerilerini güçlendirdiği söylenebilir.
Anahtar Kelimeler: Öğrenciler, hemşirelik; yüksek gerçekli simülasyon uygulamaları; eğitim, hemşirelik; emme; klinik karar verme
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