EFFECTIVENESS OF AN E-MODULE FOR NURSING SKILLS DEVELOPMENT ON USING MECHANICAL VENTILATORS AMONG ADULT PATIENTS ADMITTED TO THE INTENSIVE CARE UNITS
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Keywords
Mechanical ventilators, intensive care unit, nursing skills, e-module, Saudi
Abstract
Background In the realm of intensive care nursing, the demand for proficient skills in continuing education using e-modules is paramount. Methodology A quasi-experimental study was conducted using purposive sampling based on specific inclusion and exclusion criteria. The study involved 97 intensive care unit nurses, with 58 experimental and 39 control. The enrolled participants took the same pre- and post-tests divided in to a multiple-choice questions and competency skills checklist with a designated passing score. T-test was used to determine the effectiveness of the e-module. Findings A detailed independent t-test analysis revealed significant differences with higher post-test scores in the experimental group (p < 0.05). The pre-test results indicated that all participants failed the multiple-choice exam component (p ≥ 0.05), while 100% successfully passed the skills demonstration checklist (p ≤ 0.05). In the post-test evaluation, all participants successfully passed, with a calculated probability of 1.0 (100%) success rate for overall performance across both assessments. The paired t-test revealed a non-significant difference in pre-test scores between the control (M = 62.3, SD = 4.5) and experimental groups (M = 62.7, SD = 4.8), t (95) = 0.42, p = 0.68, but a significant improvement in post-test scores for the experimental group (M = 85.2, SD = 3.9) compared to the control group (M = 65.1, SD = 4.3), t (95) = 19.87, p < 0.001. The Pearson correlation showed a weak, non-significant relationship (r = 0.12, p > 0.05) between the multiple-choice exam and competency checklist pre-experiment, but a strong, significant positive correlation (r = 0.85, p < 0.001) post-experiment. Conclusion An e-module was an effective tool for nursing skills development on using mechanical ventilators among adult patients admitted to the intensive care unit. A varying baseline competency in theoretical knowledge versus practical skills was concluded.
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References
Benner, P. (1984). From novice to expert: Excellence and power in clinical practice. Addison-Wesley. Dongelmans, D. A., Pilcher, D., Beane, A., Soares, M., del Pilar Arias Lopez, M., Fernandez, A., Guidet, B., Haniffa, R., & Salluh, J. I. F. (2020). Linking of global intensive care (LOGIC): An international benchmarking in critical care initiative. Journal of Critical Care, 60, 305–310. https://doi.org/10.1016/j.jcrc.2020.08.031 Georgiou, E., Hadjibalassi, M., Friganović, A., Sabou, A., Gutysz-Wojnicka, A., Constantinescu-Dobra, A., Alfonso-Arias, C., Curado-Santos, E., Slijepčević, J., Coţiu, M. ădălin.-A., Llaurado-Serra, M., Borzuchowska, M., Režić, S., & Dobrowolska, B. (2023). Evaluation of a blended training solution for critical care nurses’ work environment: Lessons learned from focus groups in four European countries. Nurse Education in Practice, 73, 103811. https://doi.org/10.1016/j.nepr.2023.103811 Hawsawi, T. H., Al-Naghshabandi, E., & Sofar, S. M. (2021). Effectiveness of Electronic Learning Module in Implementing VentilatorAssociated Pneumonia Prevention Measures of Intensive Care Unit Nurses. Nursing & Primary Care, 2(2), 1–9. https://doi.org/10.33425/2639-9474.1062 Lowenthal, P. R., & Lomellini, A. (2023). Accessible Online Learning: A Preliminary Investigation of Educational Technologists’ and Faculty Members’ Knowledge and Skills. TechTrends, 67(2), 384–392. https://doi.org/10.1007/s11528-022-00790-1 Mortimore, G., Reynolds, J., Forman, D., Brannigan, C., & Mitchell, K. (2021). From expert to advanced clinical practitioner and beyond. British Journal of Nursing, 30(11), 656–659. https://doi.org/10.12968/bjon.2021.30.11.656 Peine, A., Hallawa, A., Bickenbach, J., Dartmann, G., Fazlic, L. B., Schmeink, A., Ascheid, G., Thiemermann, C., Schuppert, A., Kindle, R., Celi, L., Marx, G., & Martin, L. (2021). Development and validation of a reinforcement learning algorithm to dynamically optimize mechanical ventilation in critical care. Npj Digital Medicine, 4(1), 32. https://doi.org/10.1038/s41746-021-00388-6 Quinn, B. (2020). Using Benner’s model of clinical competency to promote nursing leadership. Nursing Management, 27(2), 33–41. https://doi.org/10.7748/nm.2020.e1911 Rezayi, S., Amanollahi, A., Shahmoradi, L., Rezaei, N., Katigari, M. R., Zolfaghari, M., & Manafi, B. (2022). Effects of technology-based educational tools on nursing learning outcomes in intensive care units: a systematic review and meta-analysis. BMC Medical Education, 22(1), 835. https://doi.org/10.1186/s12909-022-03810-z Silva, P. L., Ball, L., Rocco, P. R. M., & Pelosi, P. (2022). Physiological and Pathophysiological Consequences of Mechanical Ventilation. Seminars in Respiratory and Critical Care Medicine, 43(03), 321–334. https://doi.org/10.1055/s-0042-1744447 Zimmerman, J. J., Harmon, L. A., Smithburger, P. L., Chaykosky, D., Heffner, A. C., Hravnak, M., Kane, J. M., Kayser, J. B., Lane-Fall, M. B., Matos, R. I., Mauricio, R. V., Murphy, D. J., Nurok, M., Reddy, A. J., Ringle, E., Seferian, E. G., Smalls-Mantey, N. M., To, K. B., & Kaplan, L. J. (2021). Choosing Wisely For Critical Care: The Next Five. Critical Care Medicine, 49(3), 472–481. https://doi.org/10.1097/CCM.0000000000004876
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