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
Beceri Eğitiminde Simüle Edilmiş Flakonların Geliştirilmesi ve Hemşirelik Öğrencilerinin İlaç Hazırlama Eğitimindeki Etkililiğinin Değerlendirilmesi: İki Aşamalı (Bir Tanımlayıcı ve Bir Randomize Kontrollü) 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.
doi: 10.5336/nurses.2024-102782
Article Language: EN
Full Text
ABSTRACT
 Objective: This study is to develop unpackaged vials prepared with non-allergic powdered substance to be used in skill training of students and to evaluate the effectiveness of the vials. Material and Methods: The research was conducted in two stages with faculty members and students of Dokuz Eylül University Faculty of Nursing between July 2020 and August 2021. The first phase was planned as descriptive and the second phase as randomized controlled. In order for the powder used in the vial to serve the skill practice in the best way, 1 g starch was added to the 1st group vial, 1 g powder to the 2nd group vial and 1 g powdered sugar to the 3rd group vial, and the vial was closed with a closure machine. At the first stage of the study, the operability of the simulated vials prepared for the experimental group was evaluated by the nurse instructors who had experienced the ability to withdraw medication from the vial (n=47). In the second stage, the students were given a theoretical presentation about drug preparation from the vial. Students who wanted to participate were randomly divided into experimental (n=122) and control (n=120) groups. After the application was demonstrated by the instructor, the students were asked to perform the skill. At the end of the application, experimental group students performed the skill with a simulated vial, and control group students performed the skill with a previously used vial. The functionality of the vial and skill application were evaluated by the students. SPSS 22.0 program was used for data analysis. The Kruskal-Wallis H test was used to evaluate the effectiveness of the powder substance in terms of number, percentage, average, minimum-maximum values, and vial functionality. The MannWhitney U test was used as a pairwise comparison test in independent groups to compare the functionality of the vial in the experimental and control groups. In the first stage, starch, powder, powdered sugar vial groups were evaluated by faculty members. In the second stage, students randomly practiced with the simulated vial or previously used vials. Data for the study were gathered utilizing several forms, including the faculty member information form, the vial effectiveness assessment form, the student nurse information form, and the feedback form for skills practice. The students' and the lecturers' descriptive data were expressed in numerical figures, percentages, and average values. Kruskal-Wallis test, the Mann-Whitney U test were used to compare the effectiveness of the vials. Results: In the first stage, the most effective vial was determined as powdered sugar (p<0.001). Students evaluated simulated vials as more effective than used vials (p<0.05). Simulated vials prepared with powdered sugar were found to be more effective than vials prepared with starch and powder. They were found to be more effective than used vials utilized for practice by students. Conclusion: Simulated vials containing powdered sugar can be ideal for developing vial drug preparation skills in laboratory conditions as they look like the original drug vials very much.

Keywords: Drug preparation; clinical skills; vial drug preparation; simulation; nursing
ÖZET
 Amaç: Bu çalışmanın amacı, öğrencilerin beceri eğitiminde kullanılmak üzere alerjik olmayan toz madde ile hazırlanmış ambalajsız flakonların geliştirilmesi ve flakonların etkinliğinin değerlendirilmesidir. Gereç ve Yöntemler: Araştırma, Temmuz 2020-Ağustos 2021 tarihleri arasında Dokuz Eylül Üniversitesi Hemşirelik Fakültesi öğretim elemanları ve öğrencileri ile iki aşamada yürütüldü. İlk aşama tanımlayıcı ve ikinci aşama randomize kontrollü olarak planlandı. Flakon içinde kullanılan toz maddenin beceri uygulamasına en iyi şekilde hizmet etmesi için 1. grup flakona 1 g nişasta, 2. grup flakona 1 g pudra ve 3. grup flakona 1 g pudra şekeri eklenerek flakon kapatma makinası ile kapatıldı. Çalışmanın ilk aşamasında deney grubu için hazırlanmış simüle flakonlar, flakondan ilaç çekme becerisini deneyimlemiş hemşire öğretim elemanları tarafından işlerliği değerlendirildi (n=47). İkinci aşamada öğrencilere flakondan ilaç hazırlama ile ilgili teorik sunum anlatıldı. Katılmak isteyen öğrenciler randomize olarak deney (n=122) ve kontrol (n=120) grubuna ayrıldı. Öğretim elemanı tarafından uygulama gösterildikten sonra, deney grubu öğrencileri simüle flakon ile kontrol grubu öğrencileri ise daha önce kullanılmış flakon ile beceriyi gerçekleştirdiler. Simüle flakonun işlevselliği ve beceri uygulaması öğrenciler tarafından değerlendirildi. Çalışma verileri, öğretim üyesi bilgi formu, şişe etkinlik değerlendirme formu, öğrenci hemşire bilgi formu ve beceri uygulama geri bildirim formu kullanılarak toplandı. Öğrenci ve öğretim elemanlarının tanımlayıcı verileri sayısal değerler, yüzdeler ve ortalama değerler olarak ifade edildi. Flakonların etkinliğini karşılaştırmak için Kruskal-Wallis testi ve Mann-Whitney U testi kullanıldı. Bulgular: İlk aşamada en etkili flakon pudra şekeri olarak belirlendi (p<0,001). Öğrenciler simüle edilmiş şişeleri kullanılan şişelere göre daha etkili olarak değerlendirdi (p<0,05). Pudra şekeri ile hazırlanan simüle şişelerin, nişasta ve tozla hazırlanan şişelerden daha etkili olduğu görüldü. Öğrencilerin pratik yapmak için kullandıkları şişelerden daha etkili oldukları bulundu. Sonuç: Pudra şekeri içeren simüle flakonlar, orijinal ilaç flakonlarına çok benzediğinden laboratuar koşullarında flakon ilaç hazırlama becerilerinin geliştirilmesi için ideal olabilir.

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

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