Korean J Adult Nurs.  2015 Apr;27(2):135-145. 10.7475/kjan.2015.27.2.135.

Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students

Affiliations
  • 1Mokpo Christian Hospital, Mokpo, Korea.
  • 2Department of Nursing, Honam University, Gwangju, Korea. rahn00@hanmail.net

Abstract

PURPOSE
The purpose of this study was to evaluate the effects of a colonoscopy simulation program on knowledge and clinical performance among nursing students.
METHODS
The program consisted of a scenario with three objectives: health assessment, nursing before/after colonoscopy and emergency care for bleeding following the colonoscopy. A nonequivalent control group pretest-posttest design was used. The sample was 149 nursing students recruited from H University in G city from August, 2013 to December, 2014. The treatment group (n=71) received the simulation and the comparison group (n=78) received the usual lecture program. Data were analyzed using descriptive statistics, chi2 test, t-test and repeated measure ANOVA using the SPSS/WIN 20.0 program. RESULT: Participants in the treatment group had significantly increased reported scores on both knowledge and clinical performance.
CONCLUSION
Results indicate that the simulated program is a useful strategy for improving knowledge and clinical performance among nursing students. The development of simulation practice programs in a variety of fields are needed in order to promote the practical competence of nursing students.


MeSH Terms

Colonoscopy*
Education*
Emergency Medical Services
Hemorrhage
Humans
Mental Competency
Nursing
Nursing Assessment
Students, Nursing*

Figure

  • Figure 1. Research design of this study.

  • Figure 2. Flow of this study.


Reference

1.Liaw SY., Chan SW., Chen FG., Hooi SC., Siau C. Comparison of virtual patient simulation with mannequin-based simulation for improving clinical performances in assessing and managing clinical deterioration: randomized controlled trial. Journal of Medical Internet Research. 2014. 16(9):e214. http://dx.doi.org/10.2196/jmir.3322.
Article
2.Jho MY. An analysis of research on nursing practice education in Korea. The Journal of Korean AcademicSociety of Nursing Education. 2010. 16(2):239–48.
Article
3.Kwon YJ., Son SS., Lim YD. The rights ofpatients as consumers. Health Policy and Management. 2012. 22(3):315–46. http://dx.doi.org/10.4332/KJHPA.2012.22.3.315.
4.Song JH., Kim MW. Study on clinical education for nursing in hospitals in Korea. The Journal of Korean Academic Society Of Nursing Education. 2013. 19(2):251–64. http://dx.doi.org/10.5977/jkasne.2013.19.2.251.
Article
5.Sin KM., Kwon JO., Kim EY. Factors associatedwith newgradu-ate nurses'reality shock. The Journal of Korean Nursing Administration Academic Society. 2014. 20(3):293–302. http://dx.doi.org/10.11111/jkana.2014.20.3.292.
6.Son SS., Yang SJ. Job stress and job satisfaction among nurses in gastrointestinal endoscopy units. Journal of Korean Clinical Nursing Research. 2014. 20(2):189–99.
7.Lee SJ., Park YM., Noh SM. The effects of simulation training with hybrid model for nursing students on nursing performance ability and self confidence. Korean Journal of Adult Nursing. 2013. 25(1):170–82. http://dx.doi.org/10.7475/kjan.2013.25.1.170.
Article
8.Park JS. Certification standards for an accreditation of nursing education. Presentation meeting for Nursing Education Accreditation Evaluation in 2012;2012 March 15; Catholic Research Institute of Medical Science Auditorium. Seoul: Korean Accreditation Board of Nursing Education;2012. p. 111–41.
9.Ballangrud R., Persenius M., Hedelin B., Hall-Lord ML. Exploring intensive care nurses' team performance in a simulation-based emergency situation,-expert raters' assessments versus self-assessments: an explorative study. BioMed Central Nursing. 2014. 13(1):47. http://dx.doi.org/10.1186/s12912-014-0047-5.
Article
10.Powell-Laney S., Keen C., Hall K. The use of human patient simulators to enhance clinical decision-making of nursing students. Education for Health. 2012. 25(1):11–5.
Article
11.Meyer MN., Connors H., Hou Q., Gajewski B. The effect of simulation on clinical performance: a junior nursing student clinical comparison study. Journal of the Society for Simulation in Healthcare. 2011. 6(5):269–77. http://dx.doi.org/10.1097/SIH.0b013e318223a048.
12.Aqel AA., Ahmad MM. High-fidelity simulation effects on CPR knowledge, skills, acquisition, and retention in nursing students. Worldviews on Evidence-based Nursing. 2014. 11(6):394–400. http://dx.doi.org/10.1111/wvn.12063.
Article
13.Arafeh JM. Simulation-based training: the future of competency? Journal of Perinatal and Neonatal Nursing. 2011. 25(2):171–4. http://dx.doi.org/10.1097/JPN.0b013e3182116e55.
14.National Cancer Information Center. National cancer statistics. [Internet]. Seoul: National Cancer Information Center;2012. [cited 2013 August 10]. Available from:. http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040102000000.
15.Anderloni A., Jovani M., Hassan C., Repici A. Advances, problems, and complications of polypectomy. Clinical and Experimental Gastroenterology. 2014. 30(7):285–96. http://dx.doi.org/10.2147/CEG.S43084.
16.Lee SH., Park YK., Lee DJ., Kim KM. Colonoscopy procedural skills and training for new beginners. World Journal of Gastroenterology. 2014. 20(45):16984–95. http://dx.doi.org/10.3748/wjg.v20.i45.16984.
Article
17.Lin OS. Performing colonoscopy in elderly and very elderly patients: risks, costs and benefits. World Journal of Gastrointestinal Endoscopy. 2014. 6(6):220–6. http://dx.doi.org/10.4253/wjge.v6.i6.220.
Article
18.Lee YJ., Hong EJ., Kim SO., Kim HS., Yang IS., Cha KH, et al. Effects of walking on discomfort and colon cleansing during colon lavage before colonoscopy. Journal of Korean Clinical Nursing Research. 2010. 16(1):39–49.
19.Trevisani L., Zelante A., Sartori S. Colonoscopy, pain and fears: is it an indissoluble trinomial? World Journal of Gastrointestinal Endoscopy. 2014. 6(6):227–33. http://dx.doi.org/10.4253/wjge.v6.i6.227.
Article
20.McIntosh KS., Gregor JC., Khanna NV. Computer-basedvirtual reality colonoscopy simulation improves patient-based colonoscopy performance. Canadian Journal of Gastroenterology & Hepatology. 2014. 28(4):203–6.
21.White I., Buchberg B., Tsikitis VL., Herzig DO., Vetto JT., Lu KC. A virtual reality endoscopic simulator augments general surgery resident cancer education as measured by performance improvement. Journal of Cancer Education. 2014. 29(2):333–6. http://dx.doi.org/10.1007/s13187-014-0610-5.
Article
22.Yoo SY. Development and effects of a simulation-based education program for newborn emergency care. Journal of Korean Academy of Nursing. 2013. 43(4):468–77. http://dx.doi.org/10.4040/jkan.2013.43.4.468.
Article
23.TheKorea Societyof Coloproctology. Colonoscopy. [Internet]. Seoul: The Korea Society of Coloproctology;2013. [cited 2013 August 2]. Available from:. http://www.colon.or.kr/colonlife/story/index.kin?mode=view&uid=62&no=31&page=1&search=&search_text=&subid=1.
24.Han WJ., Kim YJ., Kim JG., Kim TG., Lee SY., Cho MS, et al. Risk factors for delayed bleeding after colonoscopic polypectomy. The Korean Journal of Gastrointestinal Endoscopy. 2010. 40(3):164–9.
25.Parmelee D., Michaelsen LK. Team-based learning: it's here and it WORKS! Academic Medicine. 2010. 85(11):1658–9. http://dx.doi.org/10.1097/ACM.0b013e3181f55a35.
Article
26.Shin MJ., Ahn SH., Lee MA. Team-spirit experiences for new nurses through off-the job training. The Journal of Korean Academic Society Of Nursing Education. 2008. 14(1):108–16.
Article
27.Lee CK., Ling YY., Leng LW., Chang SY. Comparing effectiveness of high-fidelity human patient simulation vs case-based learning in pharmacy education. American Journal of Pharmaceutical Education. 2014. 78(8):153. http://dx.doi.org/10.5688/ajpe788153.
28.Kim JH., Park IH., Shin SJ. Systematic review of Koreanstudies on simulation within nursing education. The Journal of Korean Academic Society Of Nursing Education. 2013. 19(3):307–19. http://dx.doi.org/10.5977/jkasne.2013.19.3.307.
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