J Korean Acad Nurs.  2013 Aug;43(4):468-477. 10.4040/jkan.2013.43.4.468.

Development and Effects of a Simulation-based Education Program for Newborn Emergency Care

• Yoo SY

• KMID: 1707148
• DOI: http://doi.org/10.4040/jkan.2013.43.4.468

Abstract

PURPOSE
This study was conducted to develop a simulation-based education program for newborn emergency care based on most needed topics found from the needs assessment. This study consisted of two phases: developing the program and evaluating its effectiveness.
METHODS
The effectiveness of the program was tested in July, 2012, with 49 junior nursing students from C Nursing College in Seoul, who did not have any clinical experience in newborn care. The experimental group was given a three-hour lecture, three hours of clinical training, and a two-hour simulation program, whereas the control group only had the three-hour lecture.
RESULTS
There was significant improvement in knowledge in both groups, but no significant differences according to educational methods. The experiment group was more confident of their care (4.32+/-.29) than the control group (3.60+/-.29) with the difference being significant (t=8.85, p<.001), and the experimental group was also more satisfied with the program (chi2=4.60, p=.032).
CONCLUSION
As the results indicate 'the neonatal emergency care program' increased learners' knowledge, confidence and satisfaction with the program, it should be integrated into clinical training in pediatric nursing curriculum and in-service programs for nurses. To increase generalization further verification studies with various learner groups are needed.

Keyword

Education; Newborn; Emergencies; Nursing

MeSH Terms

Adult
Education, Nursing, Baccalaureate
Educational Measurement
*Emergency Medical Services
Female
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Male
*Pediatric Nursing
Personal Satisfaction
*Program Development
*Program Evaluation
Questionnaires
Students, Nursing/*psychology
Young Adult

Reference

1. Ahn HS, editor. Hong Chang Yee textbook of pediatrics. 9th ed. Seoul: Daehan Printing & Publishing Co., Ltd.;2007.

2. Anderson JM, Warren JB. Using simulation to enhance the acquisition and retention of clinical skills in neonatology. Semin Perinatol. 2011; 35(2):59–67. http://dx.doi.org/10.1053/j.semperi.2011.01.004.

3. Arnold J. The neonatal resuscitation program comes of age. J Pediatr. 2011; 159(3):357–358. http://dx.doi.org/10.1016/j.jpeds.2011.05.053.

4. Chang S, Kwon E, Kwon YO, Kwon HK. The effects of simulation training for new graduate critical care nurses on knowledge, selfefficacy, and performance ability of emergency situations at intensive care unit. J Korean Acad Adult Nurs. 2010; 22(4):375–383.

5. Cheung N, Song Y. Clinical application of objective structured clinical examination (OSCE) for novice nurses. J Korean Acad Fundam Nurs. 2006; 13(3):334–342.

6. Chung SH, Choi YS, Bae CW. Changes in the neonatal and infant mortality rate and the causes of death in Korea. Korean J Pediatr. 2011; 54(11):443–455. http://dx.doi.org/10.3345/kjp.2011.54.11.443.

7. Erdfelder E, Faul F, Buchner A. GPOWER: A general power analysis program. Behav Res Methods Instrum Comput. 1996; 28(1):1–11.

8. Hur HK, Park SM. Effects of simulation based education, for emergency care of patients with dyspnea, on knowledge and performance confidence of nursing students. J Korean Acad Soc Nurs Educ. 2012; 18(1):111–119.

9. Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nurs Educ Perspect. 2005; 26(2):96–103.

10. Jho MY. An analysis of research on nursing practice education in Korea. J Korean Acad Soc Nurs Educ. 2010; 16(2):239–248.

11. Kassab M, Kenner C. Simulation and neonatal nursing education. Newborn Infant Nurs Rev. 2011; 11(1):8–9. http://dx.doi.org/10.1053/j.nainr.2010.12.006.

12. Kattwinkel J, Bloom RS. American Academy of Pediatrics & American Heart Association. Textbook of neonatal resuscitation. 6th ed. Elk Grove Village, IL: American Academy of Pediatrics;2011.

13. Kim HR, Choi EJ. Development of a scenario and evaluation for SimBaby simulation learning of care for children with fever in emergency units. J Korea Contents Assoc. 2011; 11(6):279–288.

14. Kim UO, Brousseau DC, Konduri GG. Evaluation and management of the critically ill neonate in the emergency department. Clin Pediatr Emerg Med. 2008; 9(3):140–148.

15. Kim YH, Jang KS. Effect of a simulation-based education on cardio-pulmonary emergency care knowledge, clinical performance ability and problem solving process in new nurses. J Korean Acad Nurs. 2011; 41(2):245–255. http://dx.doi.org/10.4040/jkan.2011.41.2.245.

16. Kim YM, Oh YM, Kim HJ, Lee WJ, Im TH, Chung HS, et al. Development and pilot applications of simulation-based comprehensive emergency airway management courses. J Korean Soc Emerg Med. 2007; 18(1):1–9.

17. Korean Academy of Nursing. The great encyclopedia of nursing science. Seoul: Korea Dictionary Research Publishing;1996.

18. Lee SJ, Roh YS, Kim JO, Jang KI, Ryoo EN, Park YM. Comparison of multi-mode simulation and SimMan(R) simulation on evaluation of nursing care for patients with dyspnea. J Korean Acad Soc Nurs Educ. 2010; 16(1):51–60.

19. Lee WS, Cho KC, Yang SH, Roh YS, Lee GY. Effects of problem-based learning combined with simulation on the basic nursing competency of nursing students. J Korean Acad Fundam Nurs. 2009; 16(1):64–72.

20. Lee WS, Kim M. Effects and adequacy of high-fidelity simulation- based training for obstetrical nursing. J Korean Acad Nurs. 2011; 41(4):433–443. http://dx.doi.org/10.4040/jkan.2011.41.4.433.

21. Lindamood KE, Rachwal C, Kappus L, Weinstock P, Doherty EG. Development of a neonatal intensive care multidisciplinary crisis resource training program. Newborn Infant Nurs Rev. 2011; 11(1):17–22.

22. Park JY. Self-assessment, self-efficacy and satisfaction after OSCE using smart phone. J Korean Acad Soc Nurs Educ. 2012; 18(1):119–129.

23. Patel D, Piotrowski ZH, Nelson MR, Sabich R. Effect of a statewide neonatal resuscitation training program on Apgar scores among high-risk neonates in illinois. Pediatrics. 2001; 107(4):648–655.

24. Sanford PG. Simulation in nursing education: A review of the research. Qual Rep. 2010; 15(4):1006–1011.

25. Shin HS, Shim KK. Nursing students' experiences on pediatric nursing simulation practice. J East West Nurs Res. 2010; 16(2):147–155.

26. Sung MH. Correlations between motivation to achieve, clinical competency and satisfaction in clinical practice for diploma and baccalaureate nursing students. J Korean Acad Fundam Nurs. 2010; 17(1):90–98.

27. Yang JJ. The effects of a simulation-based education on the knowledge and clinical competence for nursing students. J Korean Acad Soc Nurs Educ. 2012; 18(1):14–24.

28. Yoo SY, Kim SH, Lee JH. Educational needs in the development of a simulation based program on neonatal emergency care for nursing students. J Korean Acad Child Health Nurs. 2012; 18(4):170–176. http://dx.doi.org/10.4094/jkachn.2012.18.4.170.