The effect of simulation based training on clinical outcomes of nursing students on postoperative pain management
Ameliyat sonrası ağrı yönetimine ilişkin hemşirelik öğrencilerine verilen simülasyon temelli eğitimin klinik sonuçlara etkisi
DOI:
https://doi.org/10.14687/jhs.v17i2.6008Keywords:
Simulation, Standardized patient, Nursing education, Postoperative pain management, Simülasyon, Standart hasta, Hemşirelik eğitimi, Ameliyat sonrası ağrı yönetimiAbstract
Objective: This study was conducted to assess the effectiveness of simulation-based education for postoperative pain management and pain management on pain-related clinical outcomes.
Methods: The study was carried out with 119 patients and 14 nursing students. The study was conducted in 3 periods. In the pre-education period, patients were followed by clinical nurses. During the education period, theoretical education was given to the students pre-test was performed and then the first performance evaluation was conducted with the standard patient. Then, one week later, pain assessment was explained with the standard patient and the students were allowed to work free of charge. In the post- education period, the students were given clinical practice and data about the patients were followed up by clinical nurses. In this period, the second performance evaluation was performed with the real patient and the post-test was performed. At the end of the study, the effectiveness of simulation based education and clinical outcomes related to pain were evaluated.
Results: Students' knowledge and performance scores related to pain management after simulation education increased significantly (p<0.002).
Conclusion: As a result, it is seen that students' knowledge and performance related to pain management have changed positively after simulation training. In addition, further decrease in pain level on post-op 2nd day is considered to be an important clinical outcome in inpatients in the post-training period.
Extended English summary is in the end of Full Text PDF (TURKISH) file.
Özet
Amaç: Bu araştırmanın amacı ameliyat sonrası ağrı yönetimine ilişkin öğrencilere verilen simülasyon temelli eğitimin etkinliğini ve ağrıyla ilgili klinik sonuçlara etkisini belirlemektir.
Yöntem: Araştırma 119 hasta ve 14 öğrenci hemşire ile yürütülmüştür. Araştırma 3 aşamada gerçekleştirilmiştir. Eğitim öncesi dönemde hastalar klinik hemşireleri tarafından takip edilmiştir. Eğitim döneminde, öğrencilere teorik eğitim verilerek ön-test yapılmış ve ardından standart hasta eşliğinde 1. performans değerlendirmesi yapılmıştır. 1 hafta sonra standart hasta eşliğinde ağrı yönetimi anlatılarak öğrenciler serbest çalışmaya bırakılmıştır. Eğitim sonrası dönemde öğrenciler klinik uygulamaya çıkarılmış ve bu dönemde de hastalara ilişkin veriler klinik hemşireleri tarafından takip edilmiştir. Daha sonra gerçek hasta eşliğinde 2. performans değerlendirmesi yapılarak son-test yapılmıştır. Çalışma sonunda simülasyon temelli eğitimin etkinliği ve ağrıyla ilgili klinik sonuçlar değerlendirilmiştir.
Bulgular: Öğrencilerin simülasyon eğitimi sonrası ağrı yönetimine ilişkin bilgi ve performans puanları anlamlı oranda artmıştır (p<0.002).
Sonuç: Sonuç olarak, öğrencilerin simülasyon eğitimi sonrası ağrı yönetimine ilişkin bilgi ve performanslarının olumlu olarak değiştiği görülmektedir. Ayrıca eğitim sonrası dönemde yatan hastalarda post-op 2. gün ağrı düzeyinin daha fazla azalmasının oldukça önemli bir klinik sonuç olduğu düşünülmektedir.
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