Effectiveness of a helmet noninvasive ventilation simulation training: A quasi-experimental study

Area of Science:

• Critical Care Medicine
• Nursing Education
• Respiratory Therapy

Background:

• Helmet noninvasive ventilation (NIV) use is increasing, but requires specialized skills.
• Existing training programs for helmet NIV are inadequate.
• Nurses need effective training to manage helmet NIV safely and efficiently.

Purpose of the Study:

• To develop and evaluate a helmet NIV simulation-based training program using the National League for Nursing/Jeffries Simulation Theory (NLN/JST).
• To compare the effectiveness of simulation-based training versus traditional lecture-based education.
• To assess the impact on ICU nurses' knowledge, self-efficacy, and clinical performance.

Main Methods:

• A quasi-experimental, non-equivalent control group design was used.
• Forty-three ICU nurses were allocated to either simulation-based (experimental) or lecture-based (control) training.
• Knowledge and self-efficacy were measured pre- and post-intervention; clinical performance was assessed post-intervention.

Main Results:

• Both groups demonstrated increased knowledge and self-efficacy, with no significant differences between them.
• The simulation group exhibited significantly higher post-intervention clinical performance scores compared to the lecture group (p < .001).
• No baseline clinical performance data were available for direct comparison of improvement.

Conclusions:

• The NLN/JST-based helmet NIV simulation training program is feasible for educating ICU nurses.
• Simulation-based training appears more effective for improving practical clinical performance in helmet NIV.
• Further research is needed to confirm the long-term impact and cost-effectiveness of simulation training.