Article Text
Abstract
Introduction Inserting, monitoring and maintaining intravenous access are essential components of nursing. We evaluated simulation training on a manikin to improve cannulation skills.
Methods Nursing staff managing paediatric patients were asked to cannulate NITA Newborn-1800 manikin before and after appropriate training. Skills were assessed by a single assessor using an objective structured clinical examination (OSCE) checklist. Four steps were identified as critical. A score of 8/10 (80%) was considered satisfactory. Knowledge was assessed by 10 questions. A training module consisting of theoretical aspects, PowerPoint presentations, videos and hands on training over a manikin was conducted. Post-training assessment was done 1 week later.
Results Seventy-five (80.6%) nurses who completed preassessments and postassessments were assessed for paired comparisons of knowledge and skill. The majority of the nurses were females, had contractual appointment, were in their early career phase and from the paediatric wards. The mean (SD) post-training knowledge score was greater vis-a-vis pretraining score (7.52 (1.58) vs 5.32 (1.57), P<0.001). A similar result was observed for total OSCE scores (9.22 (0.66) vs 7.91 (1.11), P<0.001). Significantly higher proportion of participants exhibited intravenous cannulation satisfactorily after the training vis-a-vis pretraining assessment (69 (92%) vs 36 (48%), P<0.001).
Conclusion Training using manikin showed improvement in post-training score of intravenous cannulation skill of paediatric nurses; however, this finding needs further confirmation by a randomised control trial, as our study does not have a control group.
- neonatology
- evidence based medicine
- nursing
- clinical procedures
- pain
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Footnotes
VAM and SMN contributed equally.
Contributors VAM and DVP contributed to the design of the study, data acquisition, data analysis and writing the manuscript. BVS contributed to the design and plan of analysis of the study, data analysis, writing the manuscript, intellectual contribution and final approval of this manuscript. SMN contributed to the design and planning of the study, data analysis, revision of the manuscript for important intellectual content and final approval of this manuscript. AGP contributed to the design of study, plan of analysis, data analysis, writing the manuscript and final approval of the same. ASN helped in designing the planning strategy, data analysis, wrote the manuscript and approved the final manuscript.
Competing interests None declared.
Ethics approval Instituitonal Ethics Committee of HM Patel Center for Medcal Education.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement Data if required will be available from Dr Somashekhar Nimbalkar.