Background
Knowledge among critical care nurses and their adherence to evidence-based guidelines
for preventing ventilator-associated pneumonia is reported to be low. The aim of our
study was to evaluate the effectiveness of human patient simulation (HPS) education
in the nursing management of patients requiring mechanical ventilation.
Methods
A prospective, parallel, randomized controlled trial with repeated measurements was
conducted in a 22-bed adult mixed medical-surgical intensive care unit in Finland
from February-October 2012. Thirty critical care nurses were allocated evenly to intervention
and control groups (n = 15 each). The effectiveness of HPS education was evaluated
through the validated Ventilator Bundle Questionnaire and Ventilator Bundle Observation
Schedule at baseline and repeated twice—after the clinical and simulation settings,
respectivley.
Results
After HPS education, the average skill scores (Ventilator Bundle Observation Schedule)
in the intervention group increased significantly (46.8%-60.0% of the total score)
in the final postintervention observation. In the average skill scores, a linear mixed
model identified significant time (Pt < .001) and group (Pg = .03) differences and time–group interactions (Pt*g = .02) between the study groups after the HPS education. In contrast, the model did
not identify any significant change over time (Pt = .29) or time–group interactions (Pt = .69) between groups in average knowledge scores (Ventilator Bundle Questionnaire).
Conclusions
Our study identified significant transfer of learned skills to clinical practice following
HPS education but no influence on the level of participants’ factual knowledge.
Key Words
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Article info
Footnotes
M.M.J. received grants from the Finnish Cultural Foundations and the Finnish Foundation of Nursing Education for her doctoral thesis.
M.M.J., T.I.A.-K., P.P.O., M.H.M., H.P.S., and H.A.K. contributed to the study design, data interpretation, and manuscript preparation. M.M.J. contributed to data collection. M.M.J and P.P.O. performed the data analysis.
Conflicts of interest: None to report.
Identification
Copyright
© 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
