Development of simulation-based learning programme for improving adherence to time-out protocol on high-risk invasive procedures outside of operating room.
The aim of this study was to develop a simulation-based time-out learning programme targeted to nurses participating in high-risk invasive procedures and to figure out the effects of application of the new programme on acceptance of nurses. This study was performed using a simulation-based learning predesign and postdesign to figure out the effects of implementation of this programme. It was targeted to 48 registered nurses working in the general ward and the emergency department in a tertiary teaching hospital. Difference between acceptance and performance rates has been figured out by using mean, standard deviation, and Wilcoxon-signed rank test. The perception survey and score sheet have been validated through content validation index, and the reliability of evaluator has been verified by using intraclass correlation coefficient. Results showed high level of acceptance of high-risk invasive procedure (P<.01). Further, improvement was consistent regardless of clinical experience, workplace, or experience in simulation-based learning. The face validity of the programme showed over 4.0 out of 5.0. This simulation-based learning programme was effective in improving the recognition of time-out protocol and has given the participants the opportunity to become proactive in cases of high-risk invasive procedures performed outside of operating room.
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Eun Ju
EJ
Jeong
Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Hyun Soo
HS
Chung
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Jeong Yun
JY
Choi
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
In Sook
IS
Kim
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Seong Hee
SH
Hong
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Kyung Sook
KS
Yoo
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Mi Kyoung
MK
Kim
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Mi Yeol
MY
Won
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
So Yeon
SY
Eum
Division of Nursing, Yonsei University Gangnam Severance Hospital, Seoul, South Korea.
Young Soon
YS
Cho
D000328:Adult; D002985:Clinical Protocols; D005260:Female; D019983:Guideline Adherence; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D019300:Medical Errors / Q000517:prevention & control*; D009873:Operating Rooms; D015203:Reproducibility of Results; D000066908:Simulation Training; D011795:Surveys and Questionnaires; D055815:Young Adult
high-risk invasive procedures; nursing; safety; simulation-based learning; surgery; time-out