COMPARISON OF THE EFFECTS OF THE IN SITU SIMULATION AND SIMULATED CLINICAL IMMERSION METHODS ON CANCER NURSING STUDENTS’ EXTRAVASATION MANAGEMENT: RANDOMIZED CONTROLLED TRIAL

Vildan KOCATEPE, Yasemin USLU, Vesile ÜNVER, Ayşin KAYIŞ, Ükke KARABACAK, Mehmet Emin AKSOY
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Abstract

In situ simulation is thought to offer a good learning environment due to the fact that it is carried out in real clinical practice. This study was performed to compare the effect of in situ simulation and simulated clinical immersion environment on cancer nursing students extravasation management. The study was carried out with a randomized controlled pretest-posttest comparative design. The participants were randomly assigned to either the simulated clinical immersion group (n=19) or the in situ simulation group (n=24). The study data were collected using Extravasation Management Knowledge Test, Objective Structured Clinical Assessment, Students’ Satisfaction and Self-Confidence Scale and the State Anxiety Inventory. The pre-posttest mean scores for the knowledge level and anxiety mean scores of the participants in the simulated clinical immersion group and the in situ group were not statistically significant (p˃.05). The satisfaction and self-confidence scale mean scores and the skill levels of the students in both settings were similar after the implementation (p˃.05). The students' knowledge, skills, anxiety, self-confidence and satisfaction were similar in both simulation-based learning environments. In situ simulation can be recommended for use in nursing education. Considering cost-effectiveness and resources, both simulation methods can be used.
现场模拟与模拟临床浸泡法对肿瘤护生外渗管理效果的比较:随机对照试验
原位模拟被认为提供了一个良好的学习环境,因为它是在真实的临床实践中进行的。本研究旨在比较原位模拟与模拟临床浸泡环境对肿瘤护生外渗管理的影响。本研究采用随机对照前测后比较设计。参与者被随机分配到模拟临床浸泡组(n=19)或原位模拟组(n=24)。采用外渗管理知识测验、客观结构化临床评估、学生满意度与自信心量表和状态焦虑量表收集研究数据。模拟临床浸泡组和原位组的知识水平和焦虑平均得分的前、后测试均值比较,差异均无统计学意义(p < 0.05)。实施后两组学生的满意度、自信量表平均得分及技能水平基本一致(p < 0.05)。在两种模拟学习环境中,学生的知识、技能、焦虑、自信和满意度相似。现场模拟可以推荐在护理教育中使用。考虑到成本效益和资源,两种模拟方法都可以使用。
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