Araştırma Makalesi
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HASTANE ÖNCESİ SAĞLIK PERSONELİNİN HİZMET İÇİ EĞİTİMİNDE SİMÜLE HASTA UYGULAMASININ ACİL OLGU YÖNETİMİNDEKİ ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Yıl 2022, Cilt: 7 Sayı: 3, 317 - 330, 01.01.2023
https://doi.org/10.54409/hod.1181296

Öz

Amaç: Araştırma, hastane öncesi acil sağlık hizmetleri personelinin hizmet içi eğitim programlarında kullanılan simüle hasta uygulamasının acil olgu yönetimindeki etkinliğinin değerlendirilmesi amacıyla yapılmıştır.
Gereç ve Yöntem: Araştırma Mart 2020-2022 tarihleri arasında Simülasyon Merkezi’nde düzenlenen hizmet içi modül eğitimlerine davet edilen 198 katılımcı ile gerçekleştirilmiştir. Araştırmada veriler için Kişisel Bilgi Formu, Simüle Hasta Uygulama Etkinlik Ölçeği, Simülasyon Tasarım Ölçeği ve Öğrenmede Öğrenci Memnuniyeti ve Özgüven Ölçeği kullanılmıştır.
Bulgular: Araştırmadan elde edilen bulgulara göre Simüle Hasta Uygulama Etkinlik Ölçeği toplam skor ortalaması 114,3±14,4; Simülasyon Tasarım Ölçeği toplam skor ortalaması 4,1 ve Öğrenmede Öğrenci Memnuniyeti ve Özgüven Ölçeği toplam skor ortalaması 50,5±8,4 olarak saptanmıştır. Araştırmamızda katılımcıların cinsiyetler arasında kendilerini yeterli hissetme düzeyi (p>0,04) ve meslek grupları ile kendilerini yeterli hissetme düzeyleri arasında (p>0,182) istatistiksel olarak anlamlı fark bulunmamıştır. Cinsiyetler arasında mesleki anksiyete durumlarının karşılaştırılmasında (p<0,001) ve yaş değişkeni ile Öğrenmede Öğrenci Memnuniyeti ve Özgüven Ölçeği ve Simülasyon Tasarım Ölçeği skorları arasında (p<0,001) istatistiksel olarak anlamlı fark bulunmuştur. Simülasyon tasarımı ile öğrenci memnuniyeti ve özgüveninin simüle hasta uygulamasındaki etkinliğin %59’unu yordayan bir parametre olduğu belirlenmiştir.
Sonuç: Hastane öncesi acil sağlık hizmetleri çalışanlarının hizmet içi eğitim programlarında, katılımcıların mesleki öz yeterliliklerini geliştirmek ve kaygı düzeylerini azaltmak için simülasyon temelli öğretim yöntemlerinin kullanımı önerilmektedir.

Kaynakça

  • 29007 sayılı 'Sağlık meslek Mensupları ile Sağlık Hizmetlerinde Çalışan Diğer Meslek Gruplarının İş ve Görev Tanımlarına Dair Yönetmelik'. (22 Mayıs 2014).
  • Abelsson, A, & Lundberg, L. (2018). Trauma simulation in prehospital emergency care. Journal of Trauma Nursing| JTN, 25(3), 201-204. Abelsson, A, Rystedt, I, Suserud, BO, & Lindwall, L. (2016). Learning by simulation in prehospital emergency care–an integrative literature review. Scandinavian journal of caring sciences, 30(2), 234-240.
  • Adamo, G. (2003). Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003. Medical Teacher, 25(3), 262-270.
  • Barrows, HS. (1968). Simulated patients in medical teaching. Can Med Assoc J, 98(14), 674-676.
  • Cleland, JA, Abe, K, & Rethans, JJ. (2009). The use of simulated patients in medical education: AMEE Guide No 42. Medical Teacher, 31(6), 477-486. https://doi.org/10.1080/01421590903002821
  • Donovan, T, Hutchison, T, & Kelly, A. (2003). Using simulated patients in a multiprofessional communications skills programme: reflections from the programme facilitators. European Journal of Cancer Care, 12(2), 123-128.
  • Jeffries, PR, & Rizzolo, MA. (2006). Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: A national, multi-site, multi-method study. New York, NY: National League for Nursing.
  • K. Haracz, G. Arrighi and B. Joyce (2015). Simulated patients in a mental health occupational therapy course: A pilot study. British Journal of Occupational Therapy , 78(12),757-766.
  • Kitapcioglu, D, Tanriover, O, yıldız, S, Aksoy, M, & Gülpınar, M. (2021). Evaluation of A Simulation-Based Clinical Preparation Program by Final-Year Medical Students: A Qualitative Study on Emergency Patient Management. https://doi.org/10.21203/rs.3.rs-152440/v1
  • Kopf, S, Scheele, N, Winschel, L, & Effelsberg, W. (2005). Improving activity and motivation of students with innovative teaching and learning technologies. WIT press.
  • Mercan, N, & Ozcan, CT. (2021). The Standardized Patients Application Effectiveness Scale (SAES): A New Scale-Based Measure of Simulated Patient Application Effectiveness. International Journal of Caring Sciences, 14(1), 127.
  • Okuda, Y, Bryson, EO, DeMaria, S, Jr, Jacobson, L, Quinones, J, Shen, B, & Levine, AI. (2009). The utility of simulation in medical education: what is the evidence? Mt Sinai J Med, 76(4), 330-343. https://doi.org/10.1002/msj.20127
  • Overstreet, M. (2008). The use of simulation technology in the education of nursing students. Nursing Clinics of North America, 43(4), 593-603.
  • Perry, P. (2011). Concept analysis: Confidence/self‐confidence. Nursing forum.
  • Prion, S. (2008). A Practical Framework for Evaluating the Impact of Clinical Simulation Experiences in Prelicensure Nursing Education. Clinical Simulation in Nursing, 4(3),e69-e78. https://doi.org/https://doi.org/10.1016/j.ecns.2008.08.002
  • Sağlık Bakanlığı, (2015). Sağlık Çalışanları Temel Eğitim Kitabı. Sistem Ofset.
  • Sheppard, L. (2016). Effectiveness of Standardized Patient Simulation Scenarios on Medication Administration Confidence in Nursing Students. Available at SSRN 3144117.
  • Sikon, JR, & Lei, C. (2020). Orientation to the Medical Simulation Environment. In StatPearls. StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.
  • Unver, V, Basak, T, Watts, P, Gaioso, V, Moss, J, Tastan, S, Iyigun, E, & Tosun, N. (2017). The reliability and validity of three questionnaires: the student satisfaction and self-confidence in learning scale, simulation design scale, and educational practices questionnaire. Contemporary nurse, 53(1),60-74.
  • Zapko, KA, Ferranto, MLG, Blasiman, R, & Shelestak, D. (2018). Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Education Today,60, 28-34.

EVALUATION OF THE EFFICIENCY OF SIMULATED PATIENT APPLICATION IN EMERGENCY CASE MANAGEMENT IN-SERVICE TRAINING OF PREHOSPITAL HEALTH PERSONNEL

Yıl 2022, Cilt: 7 Sayı: 3, 317 - 330, 01.01.2023
https://doi.org/10.54409/hod.1181296

Öz

Objective: This study aimed to evaluate the effectiveness of the simulated patient application used in the in-service training programs of prehospital emergency health care personnel in emergency case management.
Materials and Methods: The research was carried out with 198 participants who were invited to in-service modules of training held at the Simulation Center between March 2020-2022. Data were collected by using the Personal Information Form, Simulated Patient Practice Effectiveness Scale, Simulation Design Scale, and Student Satisfaction and Self-Confidence Scale in Learning.
Results: According to the findings, the mean score of the Simulated Patient Practice Efficiency Scale was determined as 114.3±14.4, the total score of the Simulation Design Scale was 4.1, and the total score of the Student Satisfaction and Self-Confidence Scale in Learning was 50.5±8.4. No statistically significant differences were found between gender variable and their level of self-efficacy (p>0.04); occupational groups and their level of self-efficacy (p>0.182). A statistically significant difference was found between the age variable and the Student Satisfaction in Learning and Self-Confidence Scale and Simulation Design Scale scores (p<0.001) when comparing occupational anxiety levels between genders (p<0.001). The simulation design determined that student satisfaction and self-confidence were a parameter that predicted 59% of the efficiency in the simulated patient application.
Conclusion: In the in-service training programs of pre-hospital emergency health care workers, our suggestion is to use simulation-based teaching methods to improve the professional self-efficacy of the participants and reduce their anxiety levels.

Kaynakça

  • 29007 sayılı 'Sağlık meslek Mensupları ile Sağlık Hizmetlerinde Çalışan Diğer Meslek Gruplarının İş ve Görev Tanımlarına Dair Yönetmelik'. (22 Mayıs 2014).
  • Abelsson, A, & Lundberg, L. (2018). Trauma simulation in prehospital emergency care. Journal of Trauma Nursing| JTN, 25(3), 201-204. Abelsson, A, Rystedt, I, Suserud, BO, & Lindwall, L. (2016). Learning by simulation in prehospital emergency care–an integrative literature review. Scandinavian journal of caring sciences, 30(2), 234-240.
  • Adamo, G. (2003). Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003. Medical Teacher, 25(3), 262-270.
  • Barrows, HS. (1968). Simulated patients in medical teaching. Can Med Assoc J, 98(14), 674-676.
  • Cleland, JA, Abe, K, & Rethans, JJ. (2009). The use of simulated patients in medical education: AMEE Guide No 42. Medical Teacher, 31(6), 477-486. https://doi.org/10.1080/01421590903002821
  • Donovan, T, Hutchison, T, & Kelly, A. (2003). Using simulated patients in a multiprofessional communications skills programme: reflections from the programme facilitators. European Journal of Cancer Care, 12(2), 123-128.
  • Jeffries, PR, & Rizzolo, MA. (2006). Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: A national, multi-site, multi-method study. New York, NY: National League for Nursing.
  • K. Haracz, G. Arrighi and B. Joyce (2015). Simulated patients in a mental health occupational therapy course: A pilot study. British Journal of Occupational Therapy , 78(12),757-766.
  • Kitapcioglu, D, Tanriover, O, yıldız, S, Aksoy, M, & Gülpınar, M. (2021). Evaluation of A Simulation-Based Clinical Preparation Program by Final-Year Medical Students: A Qualitative Study on Emergency Patient Management. https://doi.org/10.21203/rs.3.rs-152440/v1
  • Kopf, S, Scheele, N, Winschel, L, & Effelsberg, W. (2005). Improving activity and motivation of students with innovative teaching and learning technologies. WIT press.
  • Mercan, N, & Ozcan, CT. (2021). The Standardized Patients Application Effectiveness Scale (SAES): A New Scale-Based Measure of Simulated Patient Application Effectiveness. International Journal of Caring Sciences, 14(1), 127.
  • Okuda, Y, Bryson, EO, DeMaria, S, Jr, Jacobson, L, Quinones, J, Shen, B, & Levine, AI. (2009). The utility of simulation in medical education: what is the evidence? Mt Sinai J Med, 76(4), 330-343. https://doi.org/10.1002/msj.20127
  • Overstreet, M. (2008). The use of simulation technology in the education of nursing students. Nursing Clinics of North America, 43(4), 593-603.
  • Perry, P. (2011). Concept analysis: Confidence/self‐confidence. Nursing forum.
  • Prion, S. (2008). A Practical Framework for Evaluating the Impact of Clinical Simulation Experiences in Prelicensure Nursing Education. Clinical Simulation in Nursing, 4(3),e69-e78. https://doi.org/https://doi.org/10.1016/j.ecns.2008.08.002
  • Sağlık Bakanlığı, (2015). Sağlık Çalışanları Temel Eğitim Kitabı. Sistem Ofset.
  • Sheppard, L. (2016). Effectiveness of Standardized Patient Simulation Scenarios on Medication Administration Confidence in Nursing Students. Available at SSRN 3144117.
  • Sikon, JR, & Lei, C. (2020). Orientation to the Medical Simulation Environment. In StatPearls. StatPearls Publishing Copyright © 2020, StatPearls Publishing LLC.
  • Unver, V, Basak, T, Watts, P, Gaioso, V, Moss, J, Tastan, S, Iyigun, E, & Tosun, N. (2017). The reliability and validity of three questionnaires: the student satisfaction and self-confidence in learning scale, simulation design scale, and educational practices questionnaire. Contemporary nurse, 53(1),60-74.
  • Zapko, KA, Ferranto, MLG, Blasiman, R, & Shelestak, D. (2018). Evaluating best educational practices, student satisfaction, and self-confidence in simulation: A descriptive study. Nurse Education Today,60, 28-34.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Birinci Basamak Sağlık Hizmetleri
Bölüm Araştırma Makaleleri
Yazarlar

Ahu Sezgin 0000-0002-0956-6428

Gizem İrem Kınıklı 0000-0003-1013-6393

Merve Kasikci 0000-0003-3211-2093

Yayımlanma Tarihi 1 Ocak 2023
Gönderilme Tarihi 30 Eylül 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 7 Sayı: 3

Kaynak Göster

APA Sezgin, A., Kınıklı, G. İ., & Kasikci, M. (2023). HASTANE ÖNCESİ SAĞLIK PERSONELİNİN HİZMET İÇİ EĞİTİMİNDE SİMÜLE HASTA UYGULAMASININ ACİL OLGU YÖNETİMİNDEKİ ETKİNLİĞİNİN DEĞERLENDİRİLMESİ. Hastane Öncesi Dergisi, 7(3), 317-330. https://doi.org/10.54409/hod.1181296