Yüksek Geçerlikli Simülasyon Eğitimiyle COVID-19’lu Hastaya Yaklaşım

Yıl 2024, Cilt: 5 Sayı: 3, 101 - 109, 30.11.2024

Özlem Doğu , Ramazan Bozkurt

Öz

Giriş: Simülasyona dayalı öğrenme, hemşirelik eğitiminde yaygın bir şekilde kullanılmaktadır ve simülasyona dayalı eğitim ile hemşirelik öğrencilerinin birçok psikomotor becerilerinin geliştirilerek kaygı düzeylerinin azaltılmasında yardımcı olabilir. Bu çalışma, pandemi döneminde hemşirelik birinci sınıf öğrencilerine senaryo tabanlı simülasyon eğitimi ile kişisel koruyucu ekipman kullanımının COVID-19 hastalarına yönelik korku, memnuniyet ve beceri durumlarına etkisini incelemek amacıyla planlanmıştır.
Yöntem: Bu çalışma randomize, kontrollü bir deneysel tasarım yapısına sahiptir. Müdahale grubuna (n=26) senaryo tabanlı simülasyon eğitimi, kontrol grubuna (n=26) ise rutin eğitim verilmiştir. Çalışmanın verileri Birey Tanılama Formu, İşlem Basamakları Kontrol Listesi, Görsel Analog Skala memnuniyet ve COVID-19 Korkusu Ölçeği kullanılarak toplanmıştır.
Bulgular: Müdahale ve kontrol gruplarının ortalama kontrol listesi puanları 13,76±1,60 ve 10,73±2,21'dir. Müdahale grubunun Görsel Analog Skala Memnuniyet ve kontrol listesi puanı kontrol grubundan daha yüksek yüksek olduğu ve istatiksel olarak anlamlı farklılık bulunduğu saptanmıştır. COVID-19 Korkusu Ölçeği puan ortalaması ile gruplar arasında istatiksel olarak anlamlı fark bulunmamıştır.
Sonuç: Senaryo tabanlı simülasyon eğitimi alan hemşirelik öğrencilerinin memnuniyet ve kontrol listesi puan ortalamaları daha yüksek bulunmuştur. Senaryo temelli eğitimin pandemi sürecinde eğitim gereksinimlerini etkin bir şekilde karşıladığı sonucuna varılmıştır.

Anahtar Kelimeler

kişisel koruyucu ekipman, simülasyon, memnuniyet, COVID-19

Etik Beyan

Bu çalışmanın yürütülebilmesi için Sakarya Üniversitesi Eğitim araştırmaları ve Yayın Etik Kurulundan onay alınmıştır (12.05.2022 tarihli ve E-61923333-050.99-130416 sayılı yazı).

Destekleyen Kurum

Yok

Teşekkür

Bu çalışmaya katılan tüm hemşirelik öğrencilerine teşekkür ederiz.

Approach to the Patient with COVID-19 with High-Fidelity Simulation Education

Öz

Introduction: Simulation-based learning is widely used in nursing education, and simulation-based education can help nursing students reduce their anxiety levels by improving many psychomotor skills. This study was planned to examine the effect of using personal protective equipment with scenario-based simulation training for first-year nursing students during the pandemic on their fears, satisfaction, and skill status toward COVID-19 patients.
Method: This study was a randomized, controlled experimental design. Simulation was given to the intervention group (n = 26), and routine training was given to the control group (n = 26). The data were collected from the Personnel Identification Form, Personal Protective Equipment Steps Checklist, Visual Analog Scale Satisfaction, and Fear of COVID-19 Scale.
Results: The mean PPESC scores in the intervention and control groups were 13.76±1.60 and 10.73±2.21. The intervention group's Visual Analog Scale Satisfaction score and Personal Protective Equipment Steps Checklist score were higher than the control group, and there was a statistically significant difference. There was no significant difference between the Fear of COVID-19 Scale and the groups.
Conclusion: The satisfaction status and the mean score of the Personal Protective Equipment Steps Checklist of the nursing students who received scenario-based simulation training were higher. It was concluded that scenario-based training effectively managed the training requirements during the pandemic.

Anahtar Kelimeler

Personal protective equipment, simulation, satisfaction, COVID-19

Etik Beyan

Approval was obtained from Sakarya University Educational Research and Publication Ethics Committee (12.05.2022, E-61923333-050.99-130416).

Destekleyen Kurum

None

Teşekkür

We thank all nursing students who participated in this study.

Kaynakça

• 1. Kuru Alici N, Ozturk Copur E. Anxiety and fear of COVID-19 among nursing students during the COVID-19 pandemic: A descriptive correlation study. Perspect Psychiatr C. 2022;58:141–8.
• 2. Alsolais A, Alquwez N, Alotaibi KA, Alqarni AS, Almalki M, Alsolami F, et al. Risk perceptions, fear, depression, anxiety, stress and coping among Saudi nursing students during the COVID-19 pandemic. J Ment Health. 2021;30:194–201.
• 3. Medina Fernández IA, Carreño Moreno S, Chaparro Díaz L, Gallegos-Torres RM, Medina Fernández JA, Hernández Martínez EK. Fear, Stress, and Knowledge regarding COVID-19 in nursing ttudents and recent graduates in Mexico. Investig Educ Enferm. 2021;39:e05.
• 4. Apisarnthanarak A, Apisarnthanarak P, Siripraparat C, Saengaram P, Leeprechanon N, Weber DJ. Impact of anxiety and fear for COVID-19 toward infection control practices among Thai healthcare workers. Infect Cont Hosp Ep. 2020;41:1093–4.
• 5. Yu M, Yang MR. Effectiveness and utility of virtual reality infection control simulation for children with COVID-19: Quasi-Experimental Study. JMIR Serious Games. 2022;10:e36707.
• 6. Göçmen Baykara Z, Çalışkan N, Öztürk D, Karadağ A. Temel hemşirelik becerileri kontrol listeleri web tabanlı erişim videoları. 3rd ed. Ankara, Ankara Nobel Tıp Kitabevleri; 2020.
• 7. Potter P, Perry A, Stockert P, Hall A. Fundamentals of nursing. 10th ed. Elsevier; 2020.
• 8. Evci Kiraz ED, Türk G, Denat Y, Bulut S, Şahbaz M, Tuğrul E, et al. The effect of use of simulation during task training on students' anxiety, learning attitudes and skill levels. J Nurs Sci. 2019;2:17–22.
• 9. Çetinkaya Ulusoy E. Use of simulation in nursing education: Opinions of students. Suleyman Demirel Univ J Health Sci. 2018;9:13–8.
• 10. Uzelli Yılmaz D, Akın KE. Effectiveness of simulation method in nursing education: A systematic review. Turkiye Klinikleri J Nurs Sci. 2017;9:218–26.
• 11. Aebersold M. Simulation-based learning: no longer a novelty in undergraduate education. OJIN Online J Issues Nurs. 2018;23:646–60.
• 12. Watson C, Gómez-Ibáñez R, Granel N, Bernabeu-Tamayo MD. Nursing students' first experience on high fidelity simulation: a phenomenological research study. Nurse Educ Pract. 2021;55:103162.
• 13. Haddeland K, Slettebø Å, Carstens P, Fossum M. Nursing students managing deteriorating patients: a systematic review and meta-analysis. Clin Simul Nurs. 2018;21:1–15.
• 14. Pol-Castañeda S, Carrero-Planells A, Moreno-Mulet C. Use of simulation to improve nursing students' medication administration competence: a mixed-method study. BMC Nurs. 2022;21:117.
• 15. Cheng A, Kessler D, Mackinnon R, Chang TP, Nadkarni VM, Hunt EA, et al. Reporting guidelines for health care simulation research: extensions to the CONSORT and STROBE statements. Adv Simul. 2016;1:25.
• 16. Bouchoucha SL, Phillips NM, Lucas J, Kilpatrick M, Hutchinson A. An investigation into nursing students' application of infection prevention and control precautions. Nurs Educ Today. 2021;104:104987.
• 17. Kurt D, Sümer Dalkıran S. COVID-19 pandemisi döneminde intörn hemşirelik öğrencilerinin izolasyon önlemlerine uyumunun belirlenmesi. Bezmialem Science. 2021;7:871–82.
• 18. Nehir S, Güngör Tavşanlı N. The effect of COVID-19 pandemic on the nursing and midwifery students' perception of fear and control. Med Sci. 2021;16:141–50.
• 19. Padilha JM, Machado PP, Ribeiro A, Ramos J, Costa P. Clinical virtual simulation in nursing education: randomized controlled trial. J Med Internet Res. 2019;21:e11529.
• 20. World Health Organization. How to guide-putting on PPE for contact/droplet precautions. 2021. Available at: https://extranet.who.int/emt/sites/default/files/training/How-to-Guide_Contact-Droplets-Precautions.pdf. Accessed October 14, 2022.
• 21. Yeşilyurt E. Mastery learning approach. J Hum Soc Sci Res. 2020;9:1548–80.
• 22. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Ad. 2020;20:1537–45.
• 23. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of ıntolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Ad. 2021;19:2369–82.
• 24. International Nursing Association of Clinical Simulation and Learning Standards Committee, Watts PI, McDermott DS, Alinier G, Charnetski M, Nawathe PA. Healthcare simulation standards of best practicetm simulation design. Clin Simul Nurs. 2021;58:14–21.
• 25. Şendir M, Basak T, Dogan P. Sağlık profesyonelleri için klinik simülasyon. 1st ed. Ankara, Nobel Tıp Kitabevi; 2023.
• 26. Sahin G, Basak T. Debriefing methods in simulation-based education. J Educ Res Nurs. 2021;18:341–7.
• 27. Karahan E, Çelik S, Yıldım TD, Göğüş F. Education in a high-fidelity patient simulator: evaluation of nursing student’s satisfaction and self-confidence in learning. Manisa Celal Bayar Univ J Health Sci Inst. 2019;6:106–10.
• 28. Campanati FLDS, Ribeiro LM, Silva ICRD, Hermann PRS, Brasil GDC, Carneiro KKG, et al. Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study. Rev Bras Enferm. 2021;75:e20201155.
• 29. Eyikara E, Baykara ZG. Effect of simulation on the ability of first year nursing students to learn vital signs. Nurs Educ Today. 2018;60:101–6.
• 30. Lei YY, Zhu L, Sa YTR, Cui XS. Effects of high-fidelity simulation teaching on nursing students' knowledge, professional skills and clinical ability: A meta-analysis and systematic review. Nurse Educ Pract. 2022;60:103306.
• 31. Basak T, Unver V, Moss J, Watts P, Gaioso V. Beginning and advanced students' perceptions of the use of low- and high-fidelity mannequins in nursing simulation. Nurs Educ Today. 2016;36:37–43.
• 32. Fawaz MA, Hamdan-Mansour AM. Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurs Educ Today. 2016;46:36–42.
• 33. Haddeland K, Slettebø Å, Svensson E, Tosterud RB, Wangensteen S, Fossum M. The effects of using high-fidelity simulation in undergraduate nursing education: a multicenter randomized controlled trial with a process evaluation. Int J Educ Res. 2021;109:101813.
• 34. Çalışkan E, Kargın M, Ersöğütçü F. The relationship between fear of COVID-19 and attitude towards nursing profession among nursing students. JCME. 2021;30:170–80.