J Korean Acad Nurs.  2011 Apr;41(2):245-255. 10.4040/jkan.2011.41.2.245.

Effect of a Simulation-based Education on Cardio-pulmonary Emergency Care Knowledge, Clinical Performance Ability and Problem Solving Process in New Nurses

• Kim YH
• Jang KS

• KMID: 1754166
• DOI: http://doi.org/10.4040/jkan.2011.41.2.245

Abstract

PURPOSE
This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses.
METHODS
An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program.
RESULTS
The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138).
CONCLUSION
The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

Keyword

Patient simulation; Knowledge; Clinical competency; Problem solving; Nurses

MeSH Terms

Adult
Cardiopulmonary Resuscitation/*nursing
*Clinical Competence
*Competency-Based Education
Educational Measurement
Emergency Medical Services
Female
Humans
Male
*Problem Solving
Program Evaluation
Questionnaires
Young Adult

Figure

• 

  Figure 1 Research design. Exp.=experimental group; Cont.=control group; CPA=clinical performance ability; PSP=problem solving process; SBE=simulation based education; LBE=lecture based education.

• 

  Figure 2 Development and process of simulation based education on cardiopulmonary emergency care. ACLS=advanced cardiac life support; CPR=cardiopulmonary resuscitation.

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