RT Journal Article
SR Electronic
T1 Educational intervention to improve intravenous cannulation skills in paediatric nurses using low-fidelity simulation: Indian experience
JF BMJ Paediatrics Open
FD BMJ Publishing Group Ltd
SP e000148
DO 10.1136/bmjpo-2017-000148
VO 1
IS 1
A1 Vallaree Anant Morgaonkar
A1 Binoy Viresh Shah
A1 Somashekhar Marutirao Nimbalkar
A1 Ajay Gajanan Phatak
A1 Dipen Vasudev Patel
A1 Archana Somashekhar Nimbalkar
YR 2017
UL http://bmjpaedsopen.bmj.com/content/1/1/e000148.abstract
AB 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.