Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Development and evaluation of a neonatal intensive care unit medication safety simulation for nursing students in South Korea: a quasi-experimental study

  • Received : 2022.08.08
  • Accepted : 2022.09.07
  • Published : 2022.10.31
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Abstract

Purpose: Nursing students are susceptible to medication safety incidents in the neonatal intensive care unit (NICU) related to a lack of communication experience. The purpose of the present study was to investigate the impact of a NICU medication safety simulation (NMSS) focusing on communication clarity, patient hand-off confidence, and patient safety competency in senior-year nursing students. Methods: The study utilized a nonequivalent control group pretest-posttest design. In total, 60 nursing students were assigned to two groups. The experimental group participated in the NMSS, which included three medication error scenarios. Pairs of students completed the scenarios together in 10 to 20 minutes. Data were analyzed using the chi-squared test, independent t test, and ANCOVA. Results: The experimental group showed significant improvements in communication clarity (p=.015), and patient safety competency (p<.001) compared to the control group. Using the pretest values as covariates, patient hand-off confidence scores significantly increased (p=.027). Conclusion: Implementing the NMSS focusing on communication in the pediatric nursing curriculum helped students to communicate clearly and concisely about medication errors, and its use is recommended to promote patient safety competency in the NICU.

Keywords

Acknowledgement

This study was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (No. 2019R1H1A2079921).

References

  1. Korea Institute for Healthcare Accreditation. Korean patient safety incident report 2020 [Internet]. Sejong Ministry of Interior And Safety; 2020 [cited 2021 October 19]. Available from: https://www.urology.or.kr/rang_board/list.html?num=15656&start=45&code=notice
  2. National Academies of Sciences, Engineering, and Medicine. Assessing progress on the institute of medicine report: the future of nursing. Washington, D.C.: The National Academies Press; 2016. p. 1-220. https://doi.org/10.17226/21838
  3. INACSL Standards Committee. Healthcare Simulation Standards of Best PracticeTM professional development. Clinical Simulation in Nursing. 2021;58:5-8. https://doi.org/10.1016/j.ecns.2021.08.007
  4. D'Errico S, Zanon M, Radaelli D, Padovano M, Santurro A, Scopetti M, et al. Medication errors in pediatrics: proposals to improve the quality and safety of care through clinical risk management. Frontiers in Medicine. 2022;8:814100. https://doi.org/10.3389/fmed.2021.814100
  5. Groves PS, Bunch JL. Priming patient safety: a middle-range theory of safety goal priming via safety culture communication. Nursing Inquiry. 2018;25(4):e12246. https://doi.org/10.1111/nin.12246
  6. Schmidt J, Gambashidze N, Manser T, Guss T, Klatthaar M, Neugebauer F, et al. Does interprofessional team-training affect nurses' and physicians' perceptions of safety culture and communication practices? Results of a pre-post survey study. BMC Health Services Research. 2021;21:341. https://doi.org/10.1186/s12913-021-06137-5
  7. Bonds RL. SBAR tool implementation to advance communication, teamwork, and the perception of patient safety culture. Creative Nursing. 2018;24(2):116-123. https://doi.org/10.1891/1078-4535.24.2.116
  8. Muller M, Jurgens J, Redaelli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. https://doi.org/10.1136/bmjopen-2018-022202
  9. Uhm JY, Ko Y, Kim S. Implementation of an SBAR communication program based on experiential learning theory in a pediatric nursing practicum: a quasi-experimental study. Nurse Education Today. 2019;80:78-84. https://doi.org/10.1016/j.nedt.2019.05.034
  10. Ji EA. Development and evaluation of extremely low birth weight infant nursing simulation education program for nurses in neonatal intensive care unit. Journal of Korea Academia-Industrial cooperation Society. 2022;23(5):321-333. https://doi.org/10.5762/KAIS.2022.23.5.321
  11. Des Jarlais DC, Lyles C, Crepaz N. TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement. American Journal of Public Health. 2004;94(3):361-366. https://doi.org/10.2105/ajph.94.3.361
  12. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods. 2009;41(4):1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  13. Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005;26(2):96-103.
  14. Cho HJ. The effect of SBAR program education on a nurse's communication clarify and self expression [master's thesis]. Seoul: Yonsei University; 2013. p. 1-58.
  15. Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Quality & Safety in Health Care. 2009;18(2):137-140. https://doi.org/10.1136/qshc.2007.025247
  16. Lewis M, Bell J, Asghar A. Use of simulated patients in development of physiotherapy students' interpersonal skills. International Journal of Therapy and Rehabilitation. 2008;15(5):221-229. https://doi.org/10.12968/ijtr.2008.15.5.29234
  17. Kwong AYY. Using a standardized communication tool SBAR to improve LVN students' shift reporting [dissertation]. San Francisco (CA): University of San Francisco; 2011. p. 1-149.
  18. Lee NJ, An JY, Song TM, Jang H, Park SY. Psychometric evaluation of a patient safety competency self-evaluation tool for nursing students. Journal of Nursing Education. 2014;53(10):550-562. https://doi.org/10.3928/01484834-20140922-01
  19. Kim SJ, Kim B. Effects of communication empowerment program based on situated learning theory for nursing students. Journal of Korean Academy of Nursing. 2018;48(6):708-719. https://doi.org/10.4040/jkan.2018.48.6.708
  20. Kim SK, Seo MS. Effect of hand-over simulation education in the hand-over self efficacy, performance competency, and communication capacity using PASS-BAR for nursing university students. Journal of Learner-Centered Curriculum and Instruction. 2020;20 (15):309-330. https://doi.org/10.22251/jlcci.2020.20.15.309
  21. Park SN, Im YS. Utilizing video vs simulation practice for handoff education of nursing students in pediatric nursing. Child Health Nursing Research. 2018;24(1):27-36. https://doi.org/10.4094/chnr.2018.24.1.27
  22. Rhudy LM, Johnson MR, Krecke CA, Keigley DS, Kraft SJ, Maxson PM, et al. Standardized change-of-shift handoff: nurses' perspectives and implications for evidence-based practice. Association of Critical-Care Nurses. 2022;31(3):181-188. https://doi.org/10.4037/ajcc2022629
  23. Park JH. The effects of simulation program by applying hazard perception training on self-efficacy of patient safety, error recovery and problem-solving process in nursing students. Journal of Korea Society for Simulation in Nursing. 2016;4(1):23-32.
  24. Goolsarran N, Hamo CE, Lane S, Frawley S, Lu WH. Effectiveness of an interprofessional patient safety team-based learning simulation experience on healthcare professional trainees. BMC Medical Education. 2018;18(1):192. https://doi.org/10.1186/s12909-018-1301-4
  25. Chatziioannidis I, Mitsiakos G, Vouzas F. Focusing on patient safety in the neonatal intensive care unit environment. Journal of Pediatric and Neonatal Individualized Medicine. 2017;6(1):e060132. https://doi.org/10.7363/060132