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Teaching and learning about skills in minor surgery.
Debra Nestel1, Roger Kneebone, Jane Kidd
1Communication Skills, Faculty of Medicine, Imperial College, London, UK. d.nestel@ic.ac.uk
Journal of Clinical Nursing
|February 27, 2003
Summary
This study found that a scenario-based approach is a feasible method for nurses to learn minor surgery skills, integrating technical and communication aspects. Participants valued this formative assessment before real patient care.
Area of Science:
- Medical Education
- Surgical Skills Training
Background:
- Nurses require proficiency in minor surgical procedures.
- Integrating technical skills with communication and contextual factors is crucial for effective patient care.
Purpose of the Study:
- To evaluate the feasibility of a scenario-based learning approach for minor surgery skills.
- To assess the integration of technical and communication skills in a simulated clinical setting.
Main Methods:
- Nurses learned technical skills (ellipse excision, wound closure) then applied them in a scenario-based, quasi-clinical environment.
- Feasibility was assessed via procedure observation and group interviews with nurses, simulated patients, and tutors.
Main Results:
- The scenario-based approach was feasible and well-received by participants.
- Learners valued the formative assessment and feedback on technical and communication skills.
- Anxiety was noted in integrating skills, but the experience was deemed beneficial before supervised practice.
Conclusions:
- Scenario-based learning is a viable method for teaching minor surgery skills to nurses.
- Further emphasis on communication skills training prior to scenario-based exercises is recommended.
- Future research should involve larger cohorts to confirm findings on skill acquisition and integration.