Measuring intravenous cannulation skills of practical nursing students using rubber mannequin intravenous training arms.
This study examined the effectiveness of two training methods for peripheral intravenous (IV) cannulation; one using rubber mannequin IV training arms, and the other consisting of students performing the procedure on each other. Two hundred-sixty Phase II Army Practical Nursing students were randomized into two groups and trained to perform an IV cannulation procedure. All students watched a 12-minute training video covering standard IV placement procedures. Afterward, both groups practiced the procedure for an hour according to their assigned group. Students were then tested on IV placement in a live human arm using a 14-item testing instrument in three trials that were scored pass/fail. There was no difference in the groups' performance of the IV procedure on the first attempt: 51.7% (n = 92) of the human arm group passed the test, and 48.3% (n = 86) of the rubber mannequin group passed the test (p = 0.074). These data suggest that using rubber mannequin IV arms for IV skills training may be just as effective as training students using traditional methods. In addition, using simulation provides an extra benefit of reducing risks associated with learning the procedure on a fellow student.
Army Medical Department Center & School, Department of Nursing Science, 3490 Forage Road, Fort Sam Houston, Texas 78234.
Robert S
RS
Jones
Center for Nursing Science & Clinical Inquiry, Brooke Army, Medical Center, 3600 Roger Brooke Drive, Fort Sam Houston, Texas 78234.
Angela
A
Simmons
U.S. Army Research Laboratory, AMEDD, Field Element, 2377 Greeley Road, Fort Sam Houston, Texas 78234.
Gary L
GL
Boykin
Graduate Medical Education, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, Texas 78234.
David
D
Stamper
Orlando VA Medical Center, 5201 Raymond Street, Orlando, Florida 32803.
Jennifer C
JC
Thompson
D061605:Administration, Intravenous / Q000295:instrumentation / Q000379:methods; D000328:Adult; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods*; D057189:Checklist; D002983:Clinical Competence; D015331:Cohort Studies; D004521:Educational Measurement / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008348:Manikins; D008889:Military Personnel; D009743:Nursing, Practical / Q000193:education*; D011446:Prospective Studies; D012649:Self Concept; D000066908:Simulation Training / Q000379:methods; D013338:Students, Nursing / Q000523:psychology; D013663:Teaching / Q000379:methods*; D013664:Teaching Materials; D014481:United States; D055815:Young Adult