@2024 Afarand., IRAN
ISSN: 2228-5468 Education Strategies in Medical Sciences 2013;6(3):159-164
ISSN: 2228-5468 Education Strategies in Medical Sciences 2013;6(3):159-164
Effect of Injection Teaching by Simulated Patient on Learning and Anxiety Level of Students
ARTICLE INFO
Article Type
Original ResearchAuthors
Ebrahimi Fakhar H. R. (1)Hekmatpou D. (*)
(*) Department of Nursing, Nursing & Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran
(1) Department of Nursing, Nursing & Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran
Correspondence
Address: Medical Research & Informing Management, Arak University of Medical Sciences Paradise, Basij Square, Arak, Iran.Phone: +988614173645
Fax: +988614173645
dr_hekmat@arakmu.ac.ir
Article History
Received: April 30, 2013Accepted: June 28, 2013
ePublished: August 2, 2013
ABSTRACT
Aims
Limitations in clinical learning have increased the need to review learning methods. This study was performed by with the goal of evaluation of the effect of different injection methods teaching by simulation with simulated patient on learning and anxiety level of medical students.
Materials & Methods This quasi-experimental study was done in 179 students of injection course of Arak University of Medical Sciences in 2010 that were selected based on census method. Demographic questionnaire, Beck anxiety test and the checklist of injection status were used to gather data. After theoretical and practical education of all students, they randomly allocated into two intervention and control groups (n=87). Intervention group was taken under extra education with standardized patients. Data were analyzed using SPSS 17 software and independent T and Spearman correlation tests.
Findings The mean of injection skills rate of students was 72.4±4.7 in educational group and 58.1±6.1 in control group (p<0.0001). The mean of students’ anxiety levels during the injection was 9.3±2.9 in educational group and 16.8±7.3 in control group (p<0.0001). Increasing the learning level in educational group led to significant increasing of satisfaction rate.
Conclusion Assimilation the education of injection skills with simulated patient despite of increasing the mean of learning and decreasing the anxiety levels during injections, increases medical students’ satisfaction level.
Materials & Methods This quasi-experimental study was done in 179 students of injection course of Arak University of Medical Sciences in 2010 that were selected based on census method. Demographic questionnaire, Beck anxiety test and the checklist of injection status were used to gather data. After theoretical and practical education of all students, they randomly allocated into two intervention and control groups (n=87). Intervention group was taken under extra education with standardized patients. Data were analyzed using SPSS 17 software and independent T and Spearman correlation tests.
Findings The mean of injection skills rate of students was 72.4±4.7 in educational group and 58.1±6.1 in control group (p<0.0001). The mean of students’ anxiety levels during the injection was 9.3±2.9 in educational group and 16.8±7.3 in control group (p<0.0001). Increasing the learning level in educational group led to significant increasing of satisfaction rate.
Conclusion Assimilation the education of injection skills with simulated patient despite of increasing the mean of learning and decreasing the anxiety levels during injections, increases medical students’ satisfaction level.
CITATION LINKS
[1] Bligh J. Techniques in medical education: The clinical skill unit. Postgrad J. 1995;71:730-2.
[2] Boulay C, Medway C. The clinical skills resource: A review of current practice. Med Educ. 1999;33:185-91.
[3] University of Arkansas for Medical Sciences. The clinical skills center facilities. Fayetteville: University of Arkansas; 2001. Available from: http://www.uams.edu/csc
[4] Chan Yan C, Gillies H, Ruedy Montaner SG, Marshall SA. Clinical skills of medical residents: A review of physical examination. CMAJ. 1988;139:629-32.
[5] Zaghari Tafreshi M, Rasoli M, Sajadi M. Simulation in nursing education. Iran J Med Sci Educ. 2012;12(11):888- 94. [Persian]
[6]Gantt L, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurse Educ. 2010;49(1):48-51.
[7] Triola M, Feldman H, Kalet AL. A randomized trial of teaching clinical skills using virtual and live standardized patients. J Gen Int Med. 2006;21(5):424-9.
[8] Furman GE. The role of standardized patient and trainer training in quality assurance for a high-stakes clinical skills examination. Kaohsiung J Med Sci. 2008;24(12):651-5.
[9] Abe K, Roter D, Erby LH, Ban N. A nationwide survey of standardized patients: Who they are, what they do and how they experience their work. Patient Educ Couns. 2011;84(2):261-4.
[10] Barzansky B, Etzel S. Educational programs in US medical schools, 2003-2004. JAMA. 2004;292(9):1025-31.
[11] Dalen JV, Zuidweg J, Collet J. The curriculum of communication skills teaching at Maastricht. Med Educ. 1989;23:55-61.
[12] Eom MR, Kim HS, Kim EK, Seong K. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness and problem solving ability. J Korean Acad Nurs. 2010;40(2):151-60.
[13] Anderson M, Holmes TL, LeFlore JL, Nelson KL, Jenkins T. Standardized patients in educating student nurses: One school's experience. Clin Simul Nurs. 2010;6(2):61-6.
[14] Molaei M, Moradali R, Gharabi B. Comparison of executive and evidence of psychological nerve in obsessive compulsive disorders and pan anxiety. J Med Sci. 2007;1(2):131-41. [Persian]
[15] Perry AG, Potter PA. Clinical nursing skills and techniques. 7th ed. Louis: Mosby Publication; 2010.
[16] Sachdeva AK, Wolfson PJ, Blair PG. Impact of a standardized patient intervention to teach breast and abdominal examination skills to third-year medical students at two institutions. Am J Surg. 1997;173:320-5.
[17] McGraw RC, O'connor HM. Standardized patients in the early acquisition of clinical skills. Med Educ. 1999;33:572- 8.
[18] Yoo MS, Yoo IY. The effectiveness of standardized patients as a teaching method for nursing fundamentals. J Nurs Educ. 2003;42(10):444-8.
[19] Leeper K, Veale JR, Westbrook TS, Reed K. The effect of standardized patient feedback in teaching surgical residents informed consent: Results of a pilot study. Cur Surg. 2003;60(6):615-22
[20] De Bourgh GA, Prion SK. Patient safety manifesto: A professional imperative for prelicensure nursing education. J Prof Nurs. 2012;28(2):110-8.
[21] Bruppacher HR, Alam SK, LeBlanc VR. Simulationbased training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology. 2010;112:985-92.
[22] Robinson-Smith G, Bradley PK, Meakim C. Evaluating the use of standardized patients in undergraduate psychiatric nursing experiences. Clin Simul Nurs. 2009;5:203-11.
[23] Carter MB, Wesley G, Larson GM. Lecture versus standardized patient interaction in the surgical clerkship: A randomized prospective cross-over study. Am J Surg. 2006;191:262-7.
[24] Brown B, Anderson D, Szerlip HM. Using standardized patients to teach disease management skills to preclinical students: A pilot project. Teach Learn Med. 2003;15(2):84- 7.
[25] Jenkins K, Schaivone LS. Standardized patients in nursing education. Ann Rev Nurs Educ. 2007;5:1-23.
[2] Boulay C, Medway C. The clinical skills resource: A review of current practice. Med Educ. 1999;33:185-91.
[3] University of Arkansas for Medical Sciences. The clinical skills center facilities. Fayetteville: University of Arkansas; 2001. Available from: http://www.uams.edu/csc
[4] Chan Yan C, Gillies H, Ruedy Montaner SG, Marshall SA. Clinical skills of medical residents: A review of physical examination. CMAJ. 1988;139:629-32.
[5] Zaghari Tafreshi M, Rasoli M, Sajadi M. Simulation in nursing education. Iran J Med Sci Educ. 2012;12(11):888- 94. [Persian]
[6]Gantt L, Webb-Corbett R. Using simulation to teach patient safety behaviors in undergraduate nursing education. J Nurse Educ. 2010;49(1):48-51.
[7] Triola M, Feldman H, Kalet AL. A randomized trial of teaching clinical skills using virtual and live standardized patients. J Gen Int Med. 2006;21(5):424-9.
[8] Furman GE. The role of standardized patient and trainer training in quality assurance for a high-stakes clinical skills examination. Kaohsiung J Med Sci. 2008;24(12):651-5.
[9] Abe K, Roter D, Erby LH, Ban N. A nationwide survey of standardized patients: Who they are, what they do and how they experience their work. Patient Educ Couns. 2011;84(2):261-4.
[10] Barzansky B, Etzel S. Educational programs in US medical schools, 2003-2004. JAMA. 2004;292(9):1025-31.
[11] Dalen JV, Zuidweg J, Collet J. The curriculum of communication skills teaching at Maastricht. Med Educ. 1989;23:55-61.
[12] Eom MR, Kim HS, Kim EK, Seong K. Effects of teaching method using standardized patients on nursing competence in subcutaneous injection, self-directed learning readiness and problem solving ability. J Korean Acad Nurs. 2010;40(2):151-60.
[13] Anderson M, Holmes TL, LeFlore JL, Nelson KL, Jenkins T. Standardized patients in educating student nurses: One school's experience. Clin Simul Nurs. 2010;6(2):61-6.
[14] Molaei M, Moradali R, Gharabi B. Comparison of executive and evidence of psychological nerve in obsessive compulsive disorders and pan anxiety. J Med Sci. 2007;1(2):131-41. [Persian]
[15] Perry AG, Potter PA. Clinical nursing skills and techniques. 7th ed. Louis: Mosby Publication; 2010.
[16] Sachdeva AK, Wolfson PJ, Blair PG. Impact of a standardized patient intervention to teach breast and abdominal examination skills to third-year medical students at two institutions. Am J Surg. 1997;173:320-5.
[17] McGraw RC, O'connor HM. Standardized patients in the early acquisition of clinical skills. Med Educ. 1999;33:572- 8.
[18] Yoo MS, Yoo IY. The effectiveness of standardized patients as a teaching method for nursing fundamentals. J Nurs Educ. 2003;42(10):444-8.
[19] Leeper K, Veale JR, Westbrook TS, Reed K. The effect of standardized patient feedback in teaching surgical residents informed consent: Results of a pilot study. Cur Surg. 2003;60(6):615-22
[20] De Bourgh GA, Prion SK. Patient safety manifesto: A professional imperative for prelicensure nursing education. J Prof Nurs. 2012;28(2):110-8.
[21] Bruppacher HR, Alam SK, LeBlanc VR. Simulationbased training improves physicians’ performance in patient care in high-stakes clinical setting of cardiac surgery. Anesthesiology. 2010;112:985-92.
[22] Robinson-Smith G, Bradley PK, Meakim C. Evaluating the use of standardized patients in undergraduate psychiatric nursing experiences. Clin Simul Nurs. 2009;5:203-11.
[23] Carter MB, Wesley G, Larson GM. Lecture versus standardized patient interaction in the surgical clerkship: A randomized prospective cross-over study. Am J Surg. 2006;191:262-7.
[24] Brown B, Anderson D, Szerlip HM. Using standardized patients to teach disease management skills to preclinical students: A pilot project. Teach Learn Med. 2003;15(2):84- 7.
[25] Jenkins K, Schaivone LS. Standardized patients in nursing education. Ann Rev Nurs Educ. 2007;5:1-23.