Effect of rapid cycle deliberate practice in peripheral intravenous catheters insertion training: A simulation...

Area of Science:

• Nursing Education
• Medical Simulation
• Clinical Skills Training

Background:

• Peripheral intravenous catheters are widely used but associated with high complication rates.
• Effective training strategies are crucial to minimize risks associated with intravenous catheter insertion.
• Optimizing training for Licensed Practical Nurses (LPNs) is essential for patient safety.

Purpose of the Study:

• To compare the effectiveness of rapid cycle deliberate practice (RCDP) simulation training versus standard skill-training simulation for peripheral intravenous catheter (PIVC) insertion among LPNs.
• To evaluate the impact of different simulation strategies on PIVC insertion performance.

Main Methods:

• A randomized experimental pre-post interventional study design.
• Sixty LPNs were randomized into two groups: RCDP simulation (n=30) and skill-training simulation (n=30).
• Performance on PIVC insertion was assessed via pre- and post-tests, with statistical analysis using t-Student and Mann-Whitney tests, and effect sizes calculated by Cohen's dm and Glass's Δ.

Main Results:

• Both groups demonstrated significant improvement in PIVC insertion performance from pre-test to post-test (p < 0.001).
• The intervention group improved from 59.4% to 96%, while the control group improved from 57.8% to 93.5%.
• No statistically significant difference in performance was observed between the RCDP and skill-training groups post-intervention (p = 0.225).

Conclusions:

• Rapid cycle deliberate practice simulation effectively improved LPNs' PIVC insertion performance.
• Skill-training simulation also significantly enhanced PIVC insertion skills.
• While both methods improved performance, RCDP did not show a statistically significant advantage over standard skill-training simulation for this specific skill.