title: Method for investigating nursing behaviors related to isolation care.
abstract: BACKGROUND
  Although an emphasis has been placed on protecting patients by improving health care worker compliance with infection control techniques, challenges associated with patient isolation do exist. To address these issues, a more consistent mechanism to evaluate specific clinical behaviors safely is needed.
  
  
  METHODS
  The research method described in this study used a high fidelity simulation using a live standardized patient recorded by small cameras. Immediately after the simulation experience, nurses were asked to view and comment on their performance. A demographic survey and a video recorded physical evaluation provided participant description. A questionnaire component 1 month after the simulation experience offered insight into the timing of behavior change in clinical practice.
  
  
  RESULTS
  Errors in behaviors related to donning and doffing equipment for isolation care were noted among the nurses in the study despite knowing they were being video recorded. This simulation-based approach to clinical behavior analysis provided rich data on patient care delivery.
  
  
  CONCLUSIONS
  Standard educational techniques have not led to ideal compliance, and this study demonstrated the potential for using video feedback to enhance learning and ultimately reduce behaviors, which routinely increase the likelihood of disease transmission. This educational research method could be applied to many complicated clinical skills.
authors.affiliation: College of Nursing, University of Nebraska Medical Center, Omaha, NE. Electronic address: ebeam@unmc.edu.
authors.forename: Elizabeth L
authors.initials: EL
authors.lastname: Beam
authors.affiliation: Environmental, Agricultural, and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Shawn G
authors.initials: SG
authors.lastname: Gibbs
authors.affiliation: Infectious Diseases, College of Medicine, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Angela L
authors.initials: AL
authors.lastname: Hewlett
authors.affiliation: Pathology/Microbiology, College of Medicine, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Iwen
authors.affiliation: Care Transitions and Nursing Outcomes, Nebraska Medical Center, Omaha, NE.
authors.forename: Suzanne L
authors.initials: SL
authors.lastname: Nuss
authors.affiliation: Infectious Diseases, College of Medicine, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Philip W
authors.initials: PW
authors.lastname: Smith
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001521:Behavior Therapy / Q000379:methods; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D005260:Female; D019983:Guideline Adherence / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses; D010356:Patient Isolation / Q000379:methods*; D055815:Young Adult
keywords: Education; Isolation; Nursing; Personal protective equipment