The efficacy of Intensive Simulation Airway Management Training Program on the Final Year Nursing in one of Health Training Institutions in Northern Borneo

M. Musa, Fidelia Ferderik Anis, H. Hassan, Siti Fatimah Saad, F. H. M. Bahar, R. Mamat, S. Rahim
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Abstract

Background: Managing airway is very crucial and it is the essential component in emergency care syllabus throughout nursing program training. It is impossible to learn on artificial airway management in the real clinical zone due to the complexity of clinical conditions and the variations of treatment procedures This study is to evaluate the effectiveness of the simulation airway management training program developed for the final year nursing students whom rarely been assessed before they were posted into the real learning environment. Methodology: This is a quasi-experimental one group of pretest and posttest of final years nursing were exposed with the Intensive simulation of airway management technique which includes BLS, measure and insertion of oropharyngeal, high flow O2 administration, interpret ECG, use of defibrillator and understanding role of arrest team during emergency. Results: There exists adequate evidence to show that there was a significant different in the mean score of pretest and the mean score of posttest. The result shown significant with CI95% (-0.53414, -0.09586), t= -3.009, df = 19 and P<0.05. Conclusion: Intensive simulation training program on airway management serves as a bridge on the breachamid class room teaching and the applied skills. It acts as a reinforcement strategy on the technical and nontechnical skills to determine their competency the most important thing derived from this study is the increases of students' sense of security and confidence before they are exposed to real clinical areas.
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北婆罗洲一所卫生培训机构实施强化模拟气道管理培训方案对最后一年护理的效果
背景:气道管理是急诊护理教学大纲中至关重要的组成部分。由于临床条件的复杂性和治疗程序的变化,在真实的临床区域学习人工气道管理是不可能的。本研究是为了评估模拟气道管理培训计划的有效性,该计划是为最后一年的护理学生开发的,他们在进入真实的学习环境之前很少被评估。方法:这是一个准实验的方法,一组最后一年的护理前测试和后测试暴露在气道管理技术的强化模拟中,包括BLS,口咽测量和插入,高流量氧给药,心电图解释,除颤器的使用和了解在紧急情况下骤停团队的作用。结果:有充分的证据表明,前测平均分和后测平均分存在显著差异。结果显示,CI95% (-0.53414, -0.09586), t= -3.009, df = 19, P<0.05。结论:气道管理强化模拟训练是突破课堂教学与应用技能的桥梁。它作为一种强化策略,对技术和非技术技能,以确定他们的能力,从本研究得出的最重要的是增加安全感和信心,在他们接触到真正的临床领域。
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