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Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience
INTRODUCTION: Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills. METHODS: Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and af...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862185/ https://www.ncbi.nlm.nih.gov/pubmed/29637156 http://dx.doi.org/10.1136/bmjpo-2017-000148 |
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author | Morgaonkar, Vallaree Anant Shah, Binoy Viresh Nimbalkar, Somashekhar Marutirao Phatak, Ajay Gajanan Patel, Dipen Vasudev Nimbalkar, Archana Somashekhar |
author_facet | Morgaonkar, Vallaree Anant Shah, Binoy Viresh Nimbalkar, Somashekhar Marutirao Phatak, Ajay Gajanan Patel, Dipen Vasudev Nimbalkar, Archana Somashekhar |
author_sort | Morgaonkar, Vallaree Anant |
collection | PubMed |
description | INTRODUCTION: Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills. METHODS: Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and after appropriate training. Skills were assessed by a single assessor using an objective structured clinical examination (OSCE) checklist. Four steps were identified as critical. A score of 8/10 (80%) was considered satisfactory. Knowledge was assessed by 10 questions. A training module consisting of theoretical aspects, PowerPoint presentations, videos and hands on training over a manikin was conducted. Post-training assessment was done 1 week later. RESULTS: Seventy-five (80.6%) nurses who completed preassessments and postassessments were assessed for paired comparisons of knowledge and skill. The majority of the nurses were females, had contractual appointment, were in their early career phase and from the paediatric wards. The mean (SD) post-training knowledge score was greater vis-a-vis pretraining score (7.52 (1.58) vs 5.32 (1.57), P<0.001). A similar result was observed for total OSCE scores (9.22 (0.66) vs 7.91 (1.11), P<0.001). Significantly higher proportion of participants exhibited intravenous cannulation satisfactorily after the training vis-a-vis pretraining assessment (69 (92%) vs 36 (48%), P<0.001). CONCLUSION: Training using manikin showed improvement in post-training score of intravenous cannulation skill of paediatric nurses; however, this finding needs further confirmation by a randomised control trial, as our study does not have a control group. |
format | Online Article Text |
id | pubmed-5862185 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-58621852018-04-10 Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience Morgaonkar, Vallaree Anant Shah, Binoy Viresh Nimbalkar, Somashekhar Marutirao Phatak, Ajay Gajanan Patel, Dipen Vasudev Nimbalkar, Archana Somashekhar BMJ Paediatr Open Original Article INTRODUCTION: Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills. METHODS: Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and after appropriate training. Skills were assessed by a single assessor using an objective structured clinical examination (OSCE) checklist. Four steps were identified as critical. A score of 8/10 (80%) was considered satisfactory. Knowledge was assessed by 10 questions. A training module consisting of theoretical aspects, PowerPoint presentations, videos and hands on training over a manikin was conducted. Post-training assessment was done 1 week later. RESULTS: Seventy-five (80.6%) nurses who completed preassessments and postassessments were assessed for paired comparisons of knowledge and skill. The majority of the nurses were females, had contractual appointment, were in their early career phase and from the paediatric wards. The mean (SD) post-training knowledge score was greater vis-a-vis pretraining score (7.52 (1.58) vs 5.32 (1.57), P<0.001). A similar result was observed for total OSCE scores (9.22 (0.66) vs 7.91 (1.11), P<0.001). Significantly higher proportion of participants exhibited intravenous cannulation satisfactorily after the training vis-a-vis pretraining assessment (69 (92%) vs 36 (48%), P<0.001). CONCLUSION: Training using manikin showed improvement in post-training score of intravenous cannulation skill of paediatric nurses; however, this finding needs further confirmation by a randomised control trial, as our study does not have a control group. BMJ Publishing Group 2017-12-22 /pmc/articles/PMC5862185/ /pubmed/29637156 http://dx.doi.org/10.1136/bmjpo-2017-000148 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Original Article Morgaonkar, Vallaree Anant Shah, Binoy Viresh Nimbalkar, Somashekhar Marutirao Phatak, Ajay Gajanan Patel, Dipen Vasudev Nimbalkar, Archana Somashekhar Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title | Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title_full | Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title_fullStr | Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title_full_unstemmed | Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title_short | Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience |
title_sort | educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: indian experience |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862185/ https://www.ncbi.nlm.nih.gov/pubmed/29637156 http://dx.doi.org/10.1136/bmjpo-2017-000148 |
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