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Clinical dyspnea scenario: Using high-fidelity situation simulation teaching program to evaluate learning
Yu-Hsin Liu1, Yi-Maun Subeq2, Po-Han Lin3
1Department of Nursing, China Medical University Hospital, Taichung City, Taiwan.
High-realistic situational simulation effectively improved nursing students' and junior nurses' ability to manage patients with breathing difficulties. This program enhanced their skills, attitude, and teamwork in dyspnea evaluation and treatment.
Area of Science:
- Nursing Education
- Medical Simulation
- Respiratory Care
Background:
- Junior nurses and pre-clinical nursing students struggle with managing patients experiencing breathing difficulties.
- Lack of proper evaluation and treatment skills leads to pressure and frustration in novice nurses.
Purpose of the Study:
- To explore the effectiveness of a high-realistic situational simulation program for dyspnea teaching.
- To assess the impact on pre-clinical and first-year post-graduate nurses.
Main Methods:
- Quasi-experimental, pre-post-test design with a nonequivalent control group.
- 135 participants: 69 post-graduate year (NPGY) nurses and 66 pre-clinical nursing students.
- Simulation-based education integrated into a high-realistic dyspnea teaching program; data analyzed using SPSS and generalized estimating equations.
Main Results:
- Significant improvements in cognition, skills, attitude, self-efficacy, and teamwork were observed in both NPGY and pre-clinical nurses post-intervention.
- NPGY nurses demonstrated superior learning effectiveness in skills, attitude, and teamwork compared to pre-clinical nurses.
Conclusions:
- The high-realistic situational simulation program significantly enhances learning effectiveness for NPGY and pre-clinical nurses.
- The program improves clinical evaluation and treatment skills for dyspnea management.
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