Highlights
- •Errors in behaviors related to donning and doffing equipment for isolation care were noted among the nurses in the study despite knowing that they were being video recorded.
- •This simulation-based approach to clinical behavior analysis provided rich data on patient care delivery.
- •This study demonstrated the potential for using video feedback to enhance learning and ultimately reduce behaviors, which routinely increase the likelihood of disease transmission.
Background
Although an emphasis has been placed on protecting patients by improving health care
worker compliance with infection control techniques, challenges associated with patient
isolation do exist. To address these issues, a more consistent mechanism to evaluate
specific clinical behaviors safely is needed.
Methods
The research method described in this study used a high fidelity simulation using
a live standardized patient recorded by small cameras. Immediately after the simulation
experience, nurses were asked to view and comment on their performance. A demographic
survey and a video recorded physical evaluation provided participant description.
A questionnaire component 1 month after the simulation experience offered insight
into the timing of behavior change in clinical practice.
Results
Errors in behaviors related to donning and doffing equipment for isolation care were
noted among the nurses in the study despite knowing they were being video recorded.
This simulation-based approach to clinical behavior analysis provided rich data on
patient care delivery.
Conclusion
Standard educational techniques have not led to ideal compliance, and this study demonstrated
the potential for using video feedback to enhance learning and ultimately reduce behaviors,
which routinely increase the likelihood of disease transmission. This educational
research method could be applied to many complicated clinical skills.
Key Words
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Article info
Footnotes
Conflict of interest: None to report.
Identification
Copyright
© 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
