İnci MERCAN ANNAK, Hülya BULUT

20437

Hemşirelik Öğrencilerinin Bilgi ve Becerilerinin Geliştirilmesinde Sanal Simülasyon Oyununun Etkisi: Paralel Grup Randomize Kontrollü Çalışma İçin Çalışma Protokolü

Hemşirelik öğrencilerinin kateter ilişkili üriner sistem enfeksiyonunu (KİÜSE) önlemeye ilişkin bilgi ve beceri geliştirilmesinde sanal simülasyon oyununun (SSO) etkisini değerlendirmektir. Bu araştırma paralel grup, randomize kontrollü çalışma protokolü olarak tasarlanmıştır. Araştırma Nisan 2022 tarihinde ClinicalTrials.gov adresine kayıt edilmiştir (NCT05309317). Araştırma Hemşirelikte Meslek Dersleri Uygulaması II dersine kayıtlı 82 hemşirelik öğrencisi ile Nisan-Mayıs 2022 tarihleri arasında yapılacaktır. Araştırmanın uygulanması üç aşamada gerçekleştirilecektir. Birinci aşamasında KİÜSE’yi önlemeye ilişkin sanal simülasyon oyun uygulaması geliştirilmiştir. İkinci aşamasında veri toplama araçlarının ön uygulaması yapılacaktır. Üçüncü aşamasında ise, hemşirelik öğrencilerinin KİÜSE’yi önlemeye ilişkin bilgi ve becerilerinin geliştirilmesinde sanal simülasyon oyununun etkisi belirlenecektir. Tüm öğrencilere ön test ile bilgi ve beceri değerlendirilmesi yapıldıktan sonra “KİÜSE’nin Önlenmesi” konulu bir eğitim verilecektir. Eğitim sonrasında öğrenciler deney (n=41) ve kontrol (n=41) gruplarına random ataması yapılacaktır. Kontrol grubu sadece eğitim alırken, deney grubu araştırmacı tarafından geliştirilen sanal simülasyon oyununu oynayabilecektir. Eğitimden yedi gün sonra son test ile bilgi ve beceri değerlendirilmesi yapılacaktır. Böylelikle ön test ve son test arasında farklılık değerlendirilecektir. SSOyeni nesil öğrencilerin öğrenme yaklaşımlarına uygundur. Sanal simülasyon oyununun kullanılması öğrencilere KİÜSE’nin önlenmesi için yapılacak uygulamaları eğlenerek, istediği kadar tekrar edebilmesine, zaman ve mekan farketmeden oynayabilmesine olanak sağlayacaktır. Öğrencilerin oyunda vereceği kararlar gerçek hayata etkisi olmayacağı için hasta güvenliğini koruyacaktır. Sonuç olarak çalışmamızın literatüre katkı sağlayacağına ve SSO’nun psikomotor becerileri geliştirmek için kullanılacağını düşünüyoruz.
Anahtar Kelimeler:

Sanal Simülasyon Oyunu, Kateter İlişkili Üriner Sistem Enfeksiyonu, Hemşirelik Eğitimi, Hemşirelik Öğrencileri, Çalışma Protokolü

The Effect of a Virtual Simulation Game on the Development of Nursing Students' Knowledge and Skills: A Protocol for a Parallel-Group Randomized Controlled Trial

This study will investigate the effect of a virtual simulation game (VSG) on nursing students' knowledge and skills in preventing catheter-associated urinary tract infections (CAUTI). This study is parallel-group randomized controlled trial. It was registered at ClinicalTrials.gov in April 2022 (NCT05309317). The sample will consist of 82 nursing students. The study will be conducted between April and May 2022. The study will consist of three stages. In the first stage, a virtual simulation game was developed to prevent CAUTI. In the second stage, a pretest will be administered. In the third stage, the effect of the virtual simulation game on participants’ knowledge and skills for the prevention of CAUTI will be evaluated (a posttest). All participants will take the pretest and then receive training on preventing CAUTI. After the training, participants will be randomly assigned to experimental (n=41) and control (n=41) groups. The control group will only receive the training, while the experimental group will receive the training and play the VSG. Seven days after the training, participants will take the posttest. VSG are appropriate for new generation students' learning approaches. The virtual simulation game will help the experimental group participants have fun learning the interventions to prevent CAUTI. The game will allow them to go over the topics whenever and wherever they like. The game will ensure patient safety because players’ decisions will not affect real life. As a result, we believe that our study will add to the literature, and that this game will be used to improve psychomotor skills.
Keywords:

Virtual Simulation Game, Catheter-Associated Urinary Tract Infection, Nursing Education, Nursing Students, Study Protocol,

PDF

___

  • 1. Centers for Disease Control and Prevention (2021). National Healthcare Safety Network (NHSN) Patient Safety Component Manual. 2020. Chapter 7. Urinary Tract Infection (Catheter-Associated Urinary Tract Infection (CAUTI) and Non-Catheter-Associated Urinary Tract Infection (UTI)) Events.
  • 2. Gould C, Umscheid C, Agarwal R, Kuntz, G., Pegues, D., Committee, HICPAC. Guideline for prevention of catheter-associated urinary tract infections 2009. 2019. Men's Liberty website: https://images. mensliberty. com/wp-content/uploads/2019/02/CDC-cauti-guidelines. pdf.
  • 3. Lo E, Nicolle LE, Coffin SE, Gould C, Maragakis LL, Meddings J, et al. Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology 2014; 35(5):464-479.
  • 4. Pashnik B, Creta A, Alberti L. Effectiveness of a nurse-led initiative, peer-to-peer teaching, on organizational CAUTI rates and associated costs. Journal of Nursing Care Quality 2017; 32(4):324-330. https://doi.org/10.1097/NCQ.0000000000000249
  • 5. Anggi A, Wijaya DW, Ramayani OR. Risk factors for catheter-associated urinary tract infection and uropathogen bacterial profile in the intensive care unit in hospitals in Medan, Indonesia. Open Access Macedonian Journal of Medical Sciences 2019;7(20):3488. https://doi.org/10.3889/oamjms.2019.684
  • 6. Fekete T. (2020). Catheter-associated urinary tract infection in adults. Retrieved from https://www.uptodate.com/contents/catheter-associated-urinary-tract-infection-in-adults?search=CAUT%C4%B0&source=search_result&selectedTitle=1~81&usage_type=default&display_rank=1#H3
  • 7. Kranz J, Schmidt S, Wagenlehner F, Schneidewind L. Catheter-Associated Urinary Tract Infections in Adult Patients: Preventive Strategies and Treatment Options. Deutsches Ärzteblatt International 2020;117(6):83. https://doi.org/10.3238/arztebl.2020.0083
  • 8. Schaeffer AJ. Placement and management of urinary bladder catheters in adults. UpToDate 2021;Waltham (MA): UpToDate.
  • 9. Metersky ML, Eldridge N, Wang Y, Mortensen EM, Meddings J. National trends in the frequency of bladder catheterization and physician-diagnosed catheter-associated urinary tract infections: Results from the Medicare Patient Safety Monitoring System. American Journal of Infection Control 2017;45(8):901-904. https://doi.org/10.1016/j.ajic.2017.03.008
  • 10. Seyhan Ak E, Özbaş A. The effect of education of nurses on preventing catheter‐associated urinary tract infections in patients who undergo hip fracture surgery. Journal of Clinical Nursing 2018;27(5-6):1078-1088. https://doi.org/10.1111/jocn.14160
  • 11. Rosenthal VD, Al-Abdely HM, El-Kholy AA, AlKhawaja SAA, Leblebicioglu H, Mehta Y. et al. International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module. American Journal of Infection Control 2016;44(12):1495-1504. https://doi.org/10.1016/j.ajic.2016.08.007
  • 12. Tyson AF, Campbell EF, Spangler LR, Ross SW, Reinke CE, Passaretti CL.,et al. Implementation of a nurse-driven protocol for catheter removal to decrease catheter-associated urinary tract infection rate in a surgical trauma ICU. Journal of Intensive Care Medicine 2020;35(8):738-744. https://doi.org/10.1177/0885066618781304
  • 13. Ahmed GH, Shehata GA. Effect of catheter care maintenance bundle on reducing incidence of urinary tract infection among catheterized patients. American Journal of Nursing 2020;8(4):477-482. https://doi.org/10.12691/ajnr-8-4-8
  • 14. Taksande V, Shrivastvas D, Sebastian ST. A care bundle approach: quality nursing care. International Journal of Advances in Nursing Management 2020;8(3):257-259. https://doi.org/10.5958/2454-2652.2020.00056.6
  • 15. Mahesh, Angelina K, Renuka. effectiveness of nursing care bundle on catheter associated urinary tract infection (cauti) among patients with indwelling catheter in selected wards of Mgmcri, Kasturba Gandhi Nursing College, Puducherry India-An Experimental Study. Archives of Pulmonology 2018;1(2):10-17.
  • 16. Butt AL, Kardong-Edgren S, Ellertson A. Using game-based virtual reality with haptics for skill acquisition. Clinical Simulation in Nursing 2018;16:25-32. https://doi.org/10.1016/j.ecns.2017.09.010
  • 17. Bahar A. Temel hemşirelik becerisi eğitiminde bir yenilik: Web tabanlı eğitim. Journal of Anatolia Nursing and Health Sciences 2015;18(4):304-311.
  • 18. Bayram SB, Caliskan N. Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: a randomized controlled trial. Nurse Education Today 2019;79:25-31. https://doi.org/10.1016/j.nedt.2019.05.010
  • 19. Şendir M, Kızıl H, Inangil D, Kabuk A, Türkoğlu İ. Effectiveness of haptic technology in teaching urinary catheterization skill: A randomized controlled study. Teaching and Learning in Nursing 2022;17(1):42-48. https://doi.org/10.1016/j.teln.2021.08.001
  • 20. Bao W. COVID‐19 and online teaching in higher education: A case study of Peking University. Human Behavior and Emerging Technologies 2020;2(2):113-115. https://doi.org/10.1002/hbe2.191
  • 21. Sahu P. Closure of universities due to coronavirus disease 2019 (COVID-19): impact on education and mental health of students and academic staff. Cureus 2020;12(4). https://doi.org/10.7759/cureus.7541
  • 22. Yüksek Öğretim Kurumu (YÖK). YÖK’ten, Salgın Sürecinde Üniversitelerdeki Uzaktan Eğitimin Bir Aylık Durum Tespiti, 03.05.2020. https://www.yok.gov.tr/Sayfalar/Haberler/2020/uzaktan-egitime-yonelik-degerlendirme.aspx?fbclid=IwAR2KzZwUqqjE6InsGV1Ocbtz8pWDimPhI6arTMY bVss2YtjuMUOs7WBrNM, Erişim tarihi: 02.11.2020.
  • 23. Verkuyl M, Lapum JL, St-Amant O, Hughes M, Romaniuk D. Curricular uptake of virtual gaming simulation in nursing education. Nurse Education in Practice 2021;50:102967. https://doi.org/10.1016/j.nepr.2021.102967
  • 24. de Lima Lopes J, Baptista RCN, Lopes CT, Rossi MB, Swanson EA, de Barros ALBL. Efficacy of a video during bed bath simulation on improving the performance of psychomotor skills of nursing undergraduates: A randomized clinical trial. International journal of Nursing Studies 2019;99:103333. https://doi.org/10.1016/j.ijnurstu.2019.04.001
  • 25. Korhan EA, Tokem Y, Yilmaz DU, Dilemek H. Hemşirelikte psikomotor beceri eğitiminde video destekli öğretim ve OSCE uygulaması: Bir deneyim paylaşımı. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2016;1(1):35-37.
  • 26. Kresevic D, Heath B, Fine-Smilovich E, Jennings A, Carter J, Chen P, et al. Simulation training, coaching, and cue cards improve delirium care. Federal Practitioner 2016;33(12):22.
  • 27. Shorey S, Ng ED. The use of virtual reality simulation among nursing students and registered nurses: A systematic review. Nurse Education Today 2021;98:104662. https://doi.org/10.1016/j.nedt.2020.104662
  • 28. Atthill S, Witmer D, Luctkar-Flude M, Tyerman J. Exploring the impact of a virtual asynchronous debriefing method after a virtual simulation game to support clinical decision-making. Clinical Simulation in Nursing 2021;50:10-18. https://doi.org/10.1016/j.ecns.2020.06.008
  • 29. Luctkar-Flude M, Tyerman J, Tregunno D, Bell C, Lalonde M, McParland T. et al. Designing a virtual simulation game as presimulation preparation for a respiratory distress simulation for senior nursing students: Usability, feasibility, and perceived impact on learning. Clinical Simulation in Nursing 2021;52:35-42. https://doi.org/10.1016/j.ecns.2020.11.009
  • 30. Padilha JM, Machado PP, Ribeiro A, Ramos J, Costa P. Clinical virtual simulation in nursing education: randomized controlled trial. Journal of Medical Internet Research 2019;21(3):11529. https://doi.org/10.2196/11529
  • 31. Erlinger LR, Bartlett A, Perez A. High-fidelity mannequin simulation versus virtual simulation for recognition of critical events by student registered nurse anesthetists. AANAJ 2019;87(2):105-109.
  • 32. Kang SJ, Kim Y. What should be included in web-based simulation for new nurses?. Nurse Education Today 2020;92:104508. https://doi.org/10.1016/j.nedt.2020.104508
  • 33. Mitchell G, Leonard L, Carter G, Santin O, Brown Wilson C. Evaluation of a ‘serious game’on nursing student knowledge and uptake of influenza vaccination. PloS One 2021;16(1):e0245389. https://doi.org/10.1371/journal.pone.0245389
  • 34. Keys E, Luctkar-Flude M, Tyerman J, Sears K, Woo K. Developing a virtual simulation game for nursing resuscitation education. Clinical Simulation in Nursing 2020;39:51-54. https://doi.org/10.1016/j.ecns.2019.10.009
  • 35. Chambers B, Meyer M, Peterson M. Training students to detect delirium: an interprofessional pilot study. Nurse Education Today 2018;65:123-127. https://doi.org/10.1016/j.nedt.2018.02.026
  • 36. Chan AW, Tetzlaff JM, Altman DG, et al. SPIRIT 2013 Statement: Defining standard protocol items for clinical trials. Ann Intern Med. 2013;158(3):200-207. https://doi.org/10.7326/0003-4819-158-3-201302050-00583
  • 37. Schulz KF, Altman DG, Moher D. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMC Medicine 2010;8:18.
  • 38. Cohen J. A power primer. Psychological Bulletin 1992;112(1):155–159.
  • 39. World Medical Association (WMA). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 2013;310(20): 2191-2194. https://doi.org/10.1001/jama.2013.281053
  • 40. Bonkat G, Pickard R, Bartoletti R, Bruyère F, Geerlings SE, Köves B, et al. EAU guidelines on urological infections. European Association of Urology 2020;22-25.
  • 41. Carr AN. CAUTI Prevention: Streaming quality care in a progressive care unit. Medsurg Nursing 2017;26(5), 306-308
  • 42. Shuman EK, Chenoweth CE. Urinary catheter-associated infections. Infectious Disease Clinics 2018;32(4):885-897. https://doi.org/10.1016/j.idc.2018.07.002
  • 43. Weiner-Lastinger LM, Abner S, Edwards JR, Kallen AJ, Karlsson M, Magill S, et al. Antimicrobial-resistant pathogens associated with adult healthcare-associated infections: summary of data reported to the National Healthcare Safety Network, 2015–2017. Infection Control & Hospital Epidemiology 2020;41(1):1-18. https://doi.org/10.1017/ice.2019.296
  • 44. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly 1989;319-340.
  • 45. Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: revisiting the original methods of calculation. Measurement and Evaluation in Counseling and Development 2014; 47(1):79-86. https://doi.org/10.1177/0748175613513808
  • 46. Lawshe CH. A quantitative approach to content validity. Personnel Psychology 1975;28(4): 563-575.
  • 47. INACSL Standards Committee. Healthcare Simulation Standards of Best PracticeTM Simulation Design. Clinical Simulation in Nursing 2021;58:14-21. https://doi.org/10.1016/j.ecns.2021.08.009
  • 48. Park CS, Murphy TF, the Code of Ethics Working Group. Healthcare Simulationist Code of Ethics. 2018. Retrieved from http://www.ssih.org/Code-of-Ethics.
  • 49. Eppich W, Cheng A. Promoting Excellence and Reflective Learning in Simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing. Simulation in Healthcare 2015;10(2):106-115. https://doi.org/10.1097/SIH.0000000000000072
Abant Sağlık Bilimleri ve Teknolojileri Dergisi-Cover
  • Başlangıç: 2021
  • Yayıncı: Bolu Abant İzzet Baysal Üniversitesi
Arşiv
Sayıdaki Diğer Makaleler

İleri Derecede Posterior Mandibular Atrofili Hastalarda Konservatif Implant Cerrahisine Alternatif Konforlu Bir Implant Yerlestirme Teknigi: Bukkale eğimli implant yerlestirme

Besime Ahu KAYNAK

Nadir Bir Varyasyon: Vena Cava İnferior Duplikasyonu

Sıddıka HALICIOĞLU, Saadet ERDEM

Postpartum Dönem Meme Kanseri Tanısı Alan Kadınların Yaşadığı Güçlükler

Seda ÇİÇEK, Kerime Derya BEYDAĞ

Sağlık Bilimleri Eğitiminde Uzaktan Eğitim

Elif Zahide ÇELEBİ

Farklı Yöntemler Kullanarak Meme Kanseri Teşhisinin Uygulamalı Bir Analizi

İclal ÇETİN TAŞ

Hemşirelik Öğrencilerinin Bilgi ve Becerilerinin Geliştirilmesinde Sanal Simülasyon Oyununun Etkisi: Paralel Grup Randomize Kontrollü Çalışma İçin Çalışma Protokolü

İnci MERCAN ANNAK, Hülya BULUT