Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study
Background: Investing in clinical education is important for adult urgent and emergency surgery and traumatology as it promotes registered nurses’ competencies by providing professional development training to respond to urgent or emergency surgeries. Objective: To examine registered nurses' se...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023075497 |
| _version_ | 1797646589168189440 |
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| author | Virya Koy Sunida Preechawong Jintana Yunibhand Andrew Rauth Nicholas Bircher Manila Prak Richard Henker |
| author_facet | Virya Koy Sunida Preechawong Jintana Yunibhand Andrew Rauth Nicholas Bircher Manila Prak Richard Henker |
| author_sort | Virya Koy |
| collection | DOAJ |
| description | Background: Investing in clinical education is important for adult urgent and emergency surgery and traumatology as it promotes registered nurses’ competencies by providing professional development training to respond to urgent or emergency surgeries. Objective: To examine registered nurses' self-assessment of the effects of virtual video simulation with an immediate debriefing approach on nursing process competencies, nursing care quality, incomplete care, and patient safety in surgical units. Methods: This study used a quasi-experimental two-group pre- and post-test design. The study was conducted at two provincial hospitals in Cambodia. Participants included registered nurses employed in surgical units. The experimental group (n = 46) completed a virtual video simulation and immediate debriefing. The control group (n = 35) completed virtual training on the nursing process. Data were collected two months after a successful second-week follow-up using Competency of Nursing Process, Cambodian Nursing Care Quality, Care Left Undone, and Patient Safety scales. Wilcoxon signed-rank test and Mann-Whitney U test were used to evaluate the differences before and after the sessions. Generalized linear model was used to compare the differences between the two groups. Results: The results showed statistically significant improvements in the experimental group on competency, nursing care quality, patient safety, and reducing care left undone after the intervention. However, the control group revealed statistically insignificant differences. In addition, the experimental group provided positive feedback, such as experiencing a real patient scenario, developing critical-thinking, improving communication skills, and having an opportunity to ask questions. Conclusion: Our study showed that VVS and immediate debriefing have the potential to support in-service training of RNs from diverse backgrounds. Particularly, integrating virtual video simulation and immediate debriefing may to promote competency in the nursing process and improve care outcomes. |
| first_indexed | 2024-03-11T15:03:52Z |
| format | Article |
| id | doaj.art-71c915e47e6f4c0d9d7b3188a201a67a |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-03-11T15:03:52Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-71c915e47e6f4c0d9d7b3188a201a67a2023-10-30T06:05:45ZengElsevierHeliyon2405-84402023-10-01910e20341Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental studyVirya Koy0Sunida Preechawong1Jintana Yunibhand2Andrew Rauth3Nicholas Bircher4Manila Prak5Richard Henker6Faculty of Nursing, Chulalongkorn University, Thailand; Department of Hospital Services, Ministry of Health, CambodiaFaculty of Nursing, Chulalongkorn University, Thailand; Corresponding author. Faculty of Nursing, Chulalongkorn University, Rama 1 Road, Pathumwan, Bangkok, 10330, Thailand.Faculty of Nursing, Chulalongkorn University, ThailandSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, USASchool of Nursing, University of Pittsburgh, Pittsburgh, PA, USAFHI 360, CambodiaSchool of Nursing, University of Pittsburgh, Pittsburgh, PA, USABackground: Investing in clinical education is important for adult urgent and emergency surgery and traumatology as it promotes registered nurses’ competencies by providing professional development training to respond to urgent or emergency surgeries. Objective: To examine registered nurses' self-assessment of the effects of virtual video simulation with an immediate debriefing approach on nursing process competencies, nursing care quality, incomplete care, and patient safety in surgical units. Methods: This study used a quasi-experimental two-group pre- and post-test design. The study was conducted at two provincial hospitals in Cambodia. Participants included registered nurses employed in surgical units. The experimental group (n = 46) completed a virtual video simulation and immediate debriefing. The control group (n = 35) completed virtual training on the nursing process. Data were collected two months after a successful second-week follow-up using Competency of Nursing Process, Cambodian Nursing Care Quality, Care Left Undone, and Patient Safety scales. Wilcoxon signed-rank test and Mann-Whitney U test were used to evaluate the differences before and after the sessions. Generalized linear model was used to compare the differences between the two groups. Results: The results showed statistically significant improvements in the experimental group on competency, nursing care quality, patient safety, and reducing care left undone after the intervention. However, the control group revealed statistically insignificant differences. In addition, the experimental group provided positive feedback, such as experiencing a real patient scenario, developing critical-thinking, improving communication skills, and having an opportunity to ask questions. Conclusion: Our study showed that VVS and immediate debriefing have the potential to support in-service training of RNs from diverse backgrounds. Particularly, integrating virtual video simulation and immediate debriefing may to promote competency in the nursing process and improve care outcomes.http://www.sciencedirect.com/science/article/pii/S2405844023075497DebriefingCompetency of nursing processNursing care qualityPatient safetyRegistered nursesVirtual video simulation |
| spellingShingle | Virya Koy Sunida Preechawong Jintana Yunibhand Andrew Rauth Nicholas Bircher Manila Prak Richard Henker Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study Heliyon Debriefing Competency of nursing process Nursing care quality Patient safety Registered nurses Virtual video simulation |
| title | Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study |
| title_full | Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study |
| title_fullStr | Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study |
| title_full_unstemmed | Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study |
| title_short | Evaluation of nursing process competencies, nursing quality, and patient safety using virtual simulation with debriefing: A quasi-experimental study |
| title_sort | evaluation of nursing process competencies nursing quality and patient safety using virtual simulation with debriefing a quasi experimental study |
| topic | Debriefing Competency of nursing process Nursing care quality Patient safety Registered nurses Virtual video simulation |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023075497 |
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