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临床试验/NCT06561737
NCT06561737已完成不适用

Effect of Video-Based Teaching on Urinary Catheterization Skills: Randomized Controlled Study

Ordu University1 个研究点 分布在 1 个国家目标入组 112 人开始时间: 2024年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
112
试验地点
1
主要终点
Urinary System Information Test Score

研究概览

简要总结

Urinary catheters, which can be urethral or suprapubic, are frequently used to measure urine output, control urinary output during surgery, and provide urine output in individuals with urinary excretion problems such as urinary incontinence and urinary retention (Chadha et al., 2024; Feneley, Hopley, & Wells, 2015). This practice, which has an important place in patient safety, should be explained to nursing students in line with current evidence-based knowledge, and students should have access to up-to-date information and improve their skills in this regard (Aldridge & Hummel, 2019; Güven Özdemir & Kaya, 2023). However, nursing students may not have the opportunity to perform this practice in the clinical field due to the high risk of infection and the fact that the practice requires more sensitivity in terms of privacy than many other practices (Aksoy & Paslı Gürdoğan, 2022; Chang, 2022; Güven Özdemir & Kaya, 2023). This situation may prevent students from reinforcing their knowledge and skills, and therefore, after graduation, newly graduated nurses may not have the opportunity to practice this practice in their working life (Aksoy & Paslı Gürdoğan, 2022; Chang, 2022; Güven Özdemir & Kaya, 2023).

详细描述

In nursing education, the combination of cognitive, psychomotor and attitudinal behaviors has an important place in the acquisition of professional skills. In the acquisition of psychomotor skills, educational teaching methods such as role playing, skill lists, simulator technologies, scenario-based trainings and video demonstrations are used (Filiz & Dikmen, 2017;McEnroe et al., 2020; Pivac et al., 2021). Smartphones and the internet, which have entered our lives with the developing technology, have led students to acquire new learning environments (McEnroe et al., 2020). Students have the opportunity to easily access the applications of the courses they want to research or watch on the internet. This situation has revealed the need to change the approach of today's nursing students to learning methods. Especially videos with skill-based trainings facilitate nursing students to learn skills (Mete & Uysal, 2010). The use of video demonstrations in education and training can make learning more enjoyable by visualizing the information as well as contributing to the reinforcement of the information learned, keeping it in memory and remembering it in the future. Using the video of the skill to be acquired in the learning process allows students to visualize and interpret the skill in their minds (Korhan et al., 2016).

Based on Bandura's Social Learning Theory and adapted from Applied Behavior Analysis, the Video Modeling Method aims for the individual to learn by observing. Video self-modeling practices are used for the acquisition of new skills, fluency in previously acquired skills, and reduction of problem behaviors. This practice first emerged in the early 1970s and its use in educational settings has been developing more slowly compared to other methods (Buggey & Ogle, 2012). This is a practice based on showing images of individuals performing the target behavior appropriately in order to enable them to exhibit new behaviors or skills (Dowrick & Hood, 1981).

It is very important for nursing students to recognize their own abilities, develop their skills and take responsibility for their learning. In a study investigating the methods preferred by undergraduate nursing students in learning the psychomotor skills required for clinical practice, students reported that clinical skills laboratory practice helped them learn on their own, they felt more sense of control and felt more confident in patient care (Ekeri Açıkgöz & Karaca, 2014).

As much as the learning methods used in education and training of nursing students, the evaluation of the developed skill, the student's ability to see the student's mistakes and to recognize these mistakes are as important as the learning methods used in education and training.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Single (Participant)

盲法说明

The study was single-blind and the participants were blinded.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •A first-year student in the department of nursing,
  • •smartphone users,
  • •taking the nursing principles course for the first time, t
  • •those who volunteered to participate in the study.

排除标准

  • •Graduating from health vocational high school,
  • •having previous knowledge of urinary catheter placement skills,
  • •wanting to withdraw from the study at any stage.

研究组 & 干预措施

Video group

Experimental

For the students in the experimental group, the application was first demonstrated on a model by the course instructor, after which each student was required to perform the application individually. While the students were performing the application, someone not part of the research team recorded them on their phones. During the application, two researchers independently assessed the student's skills using the application checklist. Afterward, the students were asked to watch their videos and evaluate themselves over a 15-day period. After 15 days, the students were called back and asked to perform the same application again. At this stage, the researchers once again evaluated the students independently.

干预措施: Video (Other)

Control group

No Intervention

The process of insertion and removal of urinary catheterization was first explained to the students in the control group by the instructor of the course in the research team by demonstrations on the models. Then, each student was allowed to perform the application. Then, all students were invited again 15 days later for the second application. In both applications, the students were evaluated independently by the researchers.

结局指标

主要结局

Urinary System Information Test Score

时间窗: Through study completion, an average of 2 months

The questionnaire was prepared by the researcher based on the literature (Potter et al., 2022; Akın, 2021). The knowledge test consists of 20 multiple-choice questions about the urinary system (3 questions) and urinary system practices (17 questions). The lowest score to be obtained from the test is 0 and the highest score is 20. Before the test was applied to the students, expert opinion was obtained from five lecturers who are experts in the field of Nursing Principles. The test was finalized in line with the recommendations of the experts.

次要结局

  • Urinary Catheterization Insertion Skill Checklist Score(through study completion, an average of 2 months)

研究者

发起方
Ordu University
申办方类型
Other
责任方
Principal Investigator
主要研究者

Hanife DURGUN

Assos. Prof. (Head of the Fundamentals of Nursing Department)

Ordu University

研究点 (1)

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