Peripheral intravenous catheter insertion and therapy administration: simulator learning
Keywords:
simulator, mannequin, intravenous therapy, nursing students, learningAbstract
Background and aim: Obtaining, positioning and managing intravenous access is complex but common procedure in nursing care practice. Learning the right knowledge and skills during basic nurse education is an essential goal. The use of simulators allows for a better acquisition of skills, guaranteeing safety for patients and nursing students. However, the literature is still lacking on the use of simulation for intravenous cannulation procedures and device management, presenting few conflicting results. The aim of this study was to examine the effect of simulator-based learning on vascular access management in a population of nursing students.
Methods: Using comparative observational study design we evaluated the effect of simulator learning on vascular access management in a nursing student population.
Results: The differences between the scores at t1 between the groups of students are significant for obtaining vascular access with relative management of the device and intravenous therapy (t = 3.062, p = 0.001), while at t0, albeit with strong differences in scores means (t = 0.061, p = 0.871) are not statistically significant. Early use of the simulator is also fundamental over time (t = 5.362, p = 0.001). Furthermore, the satisfaction noted by the students during the clinical simulations improves with the increase in the number of the same, as it can influence the single performance.
Conclusions: Nursing training based on the use of simulators favors a better acquisition of skills compared to traditional didactic.
References
Gorski LA. The 2016 infusion therapy standards of practice. Home Healthcare Now. 2017 Jan;35(1):10-18.
Arslan S, Kuzu Kurban N, Takmak S, Sanlialp Zeyrek A, Oztik S, Senol H. Effectiveness of simulation-based peripheral intravenous catheterization training for nursing students and hospital nurses:a systematic review and meta-analysis. Journal of Clinical Nursing. 2022 Mar;31(5-6):483-496.
Kus B, Buyukyilmaz F. Effectiveness of vialon biomaterial versus teflon catheters for peripheral intravenous placement: a randomized clinical trial. Japan Journal of Nursing Science: JJNS. 2020 Jul;17(3):e12328.
Lee JS. Implementation and evaluation of a virtual reality simulation: intravenous injection training system. International Journal of Environmental Research and Public Health. 2022 Apr 29;19(9).
Uzelli Yilmaz D, Sari D. Examining the effect of simulation-based learning on intravenous therapy administration' knowledge, performance, and clinical assessment skills of first-year nursing students. Nurse Education Today. 2021 Jul;102:104924.
Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society. 2015 May-Jun;38(3):189-203.
Keleekai NL, Schuster CA, Murray CL, et al. Improving nurses' peripheral intravenous catheter insertion knowledge, confidence, and skills using a simulation-based blended learning program:a randomized trial. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare. 2016 Dec;11(6):376-384.
Frey AM. Success rates for peripheral iv insertion in a children's hospital. Financial implications. Journal of Intravenous Nursing: the Official Publication of the Intravenous Nurses Society. 1998 May-Jun;21(3):160-165.
Jacobson AF, Winslow EH. Variables influencing intravenous catheter insertion difficulty and failure: an analysis of 339 intravenous catheter insertions. Heart &Lung: the Journal of Critical Care. 2005 Sep-Oct;34(5):345-359.
Ahlin C, Klang-Soderkvist B, Johansson E, Bjorkholm M, Lofmark A. Assessing nursing students' knowledge and skills in performing venepuncture and inserting peripheral venous catheters. Nurse Education in Practice. 2017 Mar;23:8-14.
Sherwood RJ, Francis G. The effect of mannequin fidelity on the achievement of learning outcomes for nursing, midwifery and allied healthcare practitioners: systematic review and meta-analysis. Nurse Education Today. 2018 Oct;69:81-94.
de Souza-Junior VD, Mendes IAC, Marchi-Alves LM, Jackman D, Wilson-Keates B, de Godoy S. Peripheral venipuncture education strategies for nursing students: an integrative literature review. Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society. 2020 Jan/Feb;43(1):24-32.
Roh YS, Lim EJ. Pre-course simulation as a predictor of satisfaction with an emergency nursing clinical course. International Journal of Nursing Education Scholarship. 2014 Apr 15;11.
Ewertsson M, Allvin R, Holmstrom IK, Blomberg K. Walking the bridge: nursing students' learning in clinical skill laboratories. Nurse Education in Practice. 2015 Jul;15(4):277-283.
Herrmann-Werner A, Nikendei C, Keifenheim K, et al. "Best practices" skills lab training vs. a "see one, do one" approach in undergraduate medical education: an RCT on students' long-term ability to perform procedural clinical skills. PloS One. 2013;8(9):e76354.
Nikendei C, Zeuch A, Dieckmann P, et al. Role-playing for more realistic technical skills training. Medical Teacher. 2005 Mar;27(2):122-126.
Haraldseid C, Friberg F, Aase K. Nursing students' perceptions of factors influencing their learning environment in a clinical skills laboratory: a qualitative study. Nurse Education Today. 2015 Sep;35(9):e1-6.
Loukas C, Nikiteas N, Kanakis M, Georgiou E. Evaluating the effectiveness of virtual reality simulation training in intravenous cannulation. Simulation in Healthcare: Journal of the Society for Simulation in Healthcare. 2011 Aug;6(4):213-217.
Au ML, Lo MS, Cheong W, Wang SC, Van IK. Nursing students' perception of high-fidelity simulation activity instead of clinical placement: a qualitative study. Nurse Education Today. 2016 Apr;39:16-21.
Kim M, Ha J. Simulation-based education program on postpartum hemorrhage for nursing students. Korean Journal of Women Health Nursing. 2020 Mar 31;26(1):19-27.
Guasconi M, Tansini B, Granata C, et al. First Italian validation of the "Satisfaction with simulation experience" scale (SSE) for the evaluation of the learning experience through simulation. Acta Biomedica: Atenei Parmensis. 2021 Mar 31;92(S2):e2021002.
Sprawls P. Evolving models for medical physics education and training: a global perspective. Biomedical Imaging and Intervention Journal. 2008 Jan;4(1):e16.
Rubbi I, Ferri P, Andreina G, Cremonini V. Learning in clinical simulation: observational study on satisfaction perceived by students of nursing. Nursing Professions. 2016 Apr-Jun;69(2):84-94.
Cremonini V, Ferri P, Artioli G, Sarli L, Piccioni E, Rubbi I. Nursing students' experiences of and satisfaction with the clinical learning environment: the role of educational models in the simulation laboratory and in clinical practice. Acta Biomedica: Atenei Parmensis. 2015;86 Suppl 3:194-204.
Jeffries PR. A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives. 2005 Mar-Apr;26(2):96-103.
McKenna L, Bogossian F, Hall H, Brady S, Fox-Young S, Cooper S. Is simulation a substitute for real life clinical experience in midwifery? A qualitative examination of perceptions of educational leaders. Nurse Education Today. 2011 Oct;31(7):682-686.
Shin S, Park JH, Kim JH. Effectiveness of patient simulation in nursing education: meta-analysis. Nurse Education Today. 2015 Jan;35(1):176-182.
Jones RS, Simmons A, Boykin GL, Sr., Stamper D, Thompson JC. Measuring intravenous cannulation skills of practical nursing students using rubber mannequin intravenous training arms. Military Medicine. 2014 Nov;179(11):1361-1367.
Hegland PA, Aarlie H, Stromme H, Jamtvedt G. Simulation-based training for nurses: systematic review and meta-analysis. Nurse Education Today. 2017 Jul;54:6-20.
Gorski LA. A look at 2021 infusion therapy standards of practice. Home Healthcare Now. 2021 Mar-Apr 01;39(2):62-71.
Levett-Jones T, McCoy M, Lapkin S, et al. The development and psychometric testing of the Satisfaction with Simulation Experience scale. Nurse Education Today. 2011 Oct;31(7):705-710.
Marsh N, Webster J, Larsen E, et al. Expert versus generalist inserters for peripheral intravenous catheter insertion: a pilot randomized controlled trial. Trials. 2018 Oct 17;19(1):564.
Sabzwari SR, Afzal A, Nanji K. Mimicking rashes: use of moulage technique in undergraduate assessment at the aga khan university, Karachi. Education for Health. 2017 Jan-Apr;30(1):60-63.
Williams B, Abel C, Khasawneh E, Ross L, Levett-Jones T. Simulation experiences of paramedic students: a cross-cultural examination. Advances in Medical Education and Practice. 2016;7:181-186.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Silvio Simeone, Gianpaolo Gargiulo, Vincenzo Bosco, Caterina Mercuri, Stefano Botti; Stefano Candido; Giuseppe Paonessa, Daniela Bruni, Nicola Serra, Patrizia Doldo
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.