Simulation-Based Mastery Learning Improves Central Line Maintenance Skills of ICU Nurses

OBJECTIVE:This study evaluated the impact of a simulation-based mastery learning (SBML) curriculum on central line maintenance and care among a group of ICU nurses. METHODS:The intervention included 5 tasks(a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing ch...

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Veröffentlicht in:The Journal of nursing administration 2015-10, Vol.45 (10), p.511-517
Hauptverfasser: Barsuk, Jeffrey H., Cohen, Elaine R., Mikolajczak, Anessa, Seburn, Stephanie, Slade, Maureen, Wayne, Diane B.
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container_end_page 517
container_issue 10
container_start_page 511
container_title The Journal of nursing administration
container_volume 45
creator Barsuk, Jeffrey H.
Cohen, Elaine R.
Mikolajczak, Anessa
Seburn, Stephanie
Slade, Maureen
Wayne, Diane B.
description OBJECTIVE:This study evaluated the impact of a simulation-based mastery learning (SBML) curriculum on central line maintenance and care among a group of ICU nurses. METHODS:The intervention included 5 tasks(a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing changes, (d) blood drawing, and (e) dressing changes. All participants underwent a pretest, engaged in deliberate practice with directed feedback, and completed a posttest. We compared pretest and posttest scores and assessed correlations between demographics, self-confidence, and pretest performance. RESULTS:The number of nurses passing each task at pretest varied from 24 of 49 (49%) for dressing changes to 44 of 49 (90%) for tubing changes. At pretest, scores ranged from a median of 0.0% to 73.1%. At posttest, all scores rose to a median of 100.0%. Total years in nursing and ICU nursing had significant, negative correlations with medication administration pretest performance (r = −0.42, P = .003; r = −0.42, P = .003, respectively). CONCLUSION:ICU nurses displayed large variability in their ability to perform central line maintenance tasks. After SBML, there was significant improvement, and all nurses reached a predetermined level of competency.
doi_str_mv 10.1097/NNA.0000000000000243
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METHODS:The intervention included 5 tasks(a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing changes, (d) blood drawing, and (e) dressing changes. All participants underwent a pretest, engaged in deliberate practice with directed feedback, and completed a posttest. We compared pretest and posttest scores and assessed correlations between demographics, self-confidence, and pretest performance. RESULTS:The number of nurses passing each task at pretest varied from 24 of 49 (49%) for dressing changes to 44 of 49 (90%) for tubing changes. At pretest, scores ranged from a median of 0.0% to 73.1%. At posttest, all scores rose to a median of 100.0%. Total years in nursing and ICU nursing had significant, negative correlations with medication administration pretest performance (r = −0.42, P = .003; r = −0.42, P = .003, respectively). CONCLUSION:ICU nurses displayed large variability in their ability to perform central line maintenance tasks. After SBML, there was significant improvement, and all nurses reached a predetermined level of competency.</description><identifier>ISSN: 0002-0443</identifier><identifier>EISSN: 1539-0721</identifier><identifier>DOI: 10.1097/NNA.0000000000000243</identifier><identifier>PMID: 26425976</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, a business of Wolters Kluwer Health</publisher><subject>Catheter-Related Infections - nursing ; Catheter-Related Infections - prevention &amp; control ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - nursing ; Catheterization, Central Venous - standards ; Central Venous Catheters - adverse effects ; Central Venous Catheters - standards ; Checklist ; Computer Simulation ; Critical Care Nursing - education ; Critical Care Nursing - methods ; Education, Nursing, Continuing - methods ; Education, Nursing, Continuing - standards ; Educational Measurement - methods ; Educational Measurement - statistics &amp; numerical data ; Humans ; Manikins ; Models, Educational ; Nursing ; Patient Safety - standards ; Program Evaluation</subject><ispartof>The Journal of nursing administration, 2015-10, Vol.45 (10), p.511-517</ispartof><rights>Copyright © 2015 Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4070-14ddbf6d27ff5d55ced7e23d3725ded42a051658bcc301f6a8dd76f2c4aadb113</citedby><cites>FETCH-LOGICAL-c4070-14ddbf6d27ff5d55ced7e23d3725ded42a051658bcc301f6a8dd76f2c4aadb113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26813321$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26813321$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26425976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barsuk, Jeffrey H.</creatorcontrib><creatorcontrib>Cohen, Elaine R.</creatorcontrib><creatorcontrib>Mikolajczak, Anessa</creatorcontrib><creatorcontrib>Seburn, Stephanie</creatorcontrib><creatorcontrib>Slade, Maureen</creatorcontrib><creatorcontrib>Wayne, Diane B.</creatorcontrib><title>Simulation-Based Mastery Learning Improves Central Line Maintenance Skills of ICU Nurses</title><title>The Journal of nursing administration</title><addtitle>J Nurs Adm</addtitle><description>OBJECTIVE:This study evaluated the impact of a simulation-based mastery learning (SBML) curriculum on central line maintenance and care among a group of ICU nurses. METHODS:The intervention included 5 tasks(a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing changes, (d) blood drawing, and (e) dressing changes. All participants underwent a pretest, engaged in deliberate practice with directed feedback, and completed a posttest. We compared pretest and posttest scores and assessed correlations between demographics, self-confidence, and pretest performance. RESULTS:The number of nurses passing each task at pretest varied from 24 of 49 (49%) for dressing changes to 44 of 49 (90%) for tubing changes. At pretest, scores ranged from a median of 0.0% to 73.1%. At posttest, all scores rose to a median of 100.0%. Total years in nursing and ICU nursing had significant, negative correlations with medication administration pretest performance (r = −0.42, P = .003; r = −0.42, P = .003, respectively). CONCLUSION:ICU nurses displayed large variability in their ability to perform central line maintenance tasks. 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subjects Catheter-Related Infections - nursing
Catheter-Related Infections - prevention & control
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - nursing
Catheterization, Central Venous - standards
Central Venous Catheters - adverse effects
Central Venous Catheters - standards
Checklist
Computer Simulation
Critical Care Nursing - education
Critical Care Nursing - methods
Education, Nursing, Continuing - methods
Education, Nursing, Continuing - standards
Educational Measurement - methods
Educational Measurement - statistics & numerical data
Humans
Manikins
Models, Educational
Nursing
Patient Safety - standards
Program Evaluation
title Simulation-Based Mastery Learning Improves Central Line Maintenance Skills of ICU Nurses
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