Abstract
Cost-benefit management trends in Taiwan healthcare settings have led nurses to perform more invasive skills, such as Port-A cath administration of medications. Accordingly, nurses must be well-prepared prior to teaching by the mentor and supervision method. The purpose of the current study was to develop a computer-assisted protocol using virtual reality (VR) in performing Port-A cath as a training program for novice nurses. A pre-tested and post-tested control group experimental design was used in this study. Seventy-seven novice nurses were invited from one large medical center hospital in North Taiwan. Thirty-seven and forty nurses were randomly assigned to experimental and control groups. First, we designed a 40 minute port-A cath injection VR simulation. Then, the experimental group practiced this simulation two times over 3 weeks. The control group attended the traditional class. The post-test 1 was right after completion of the simulation practice. The post-test 2 was after the second simulation practice in 3 weeks. The results showed that most novice nurses lacked Port-A cath experience both in the classroom and during the period of their practice training. The knowledge score regarding the Port-A cath technique was significantly higher in the nurses that participated in the simulation training than in the control group. The novice nurses were most satisfied with the reduction in their fear of performing the Port-A cath technique and their enhanced clinical skills. VR simulation significantly reduced error rates and increased correct equipment selection, showing that nurses who participated in the simulation may be better prepared for inserting Port-A cath.
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References
Billings D.M. (1984). Evaluation of educational programs in nursing Nursing Outlook 32: 50–53
Burdea G., Coiffect P. (1994). Virtual Reality Technology. John Wiley & Sons, New York
Chen W.L. (1992). Application of computer assisted instruction in nursing education The Journal of Nursing 39: 118–123
Chang L. (1999). Special report on indwelling venous catheter nursing care. Host by Taiwan Nurses Association, Nursing conference lecture notes on nursing care of common catheters used in cancers. Koo Foundation Sun Yet-Sen Cancer Center, Taipei
Curless E., Coover-Stone Y.J. (1987). Simulation clinical situations: Interactive videodisk Dimensions of Critical Care Nursing 6: 248–254
Dalton D.W. (1986). The efficacy of computer-assisted video instruction on rual learning and attitudes Journal of Computer-Based Instruction 13: 122–125
Edwards M.J.A., Hannah K.J. (1985). An examination of the use of interactive videodisk cardiopulmonary resuscitation instruction for the lay community Computers in Nursing 3: 250–252
Fishman D.J. (1984). Nursing informatics: The electronic information revolution in education and practice. In: Strickland O.L., Fishman D.J. (Eds) Nursing Issues in the 1990s. Dearm, Albany, NY, pp 471–488
Fishman D.J. (1994). Development and evaluation of computer-assisted video program teaching cancer chemotherapy to nurses Computer in Nursing 2: 16–23
Frame K.B., Chrystal C. (1999). Faculty and clinicians collaborate to teach basic intravenous skills to senior baccalaureate nursing students Journal of Intravenous Nursing 22: 253–259
Gullo S.M. (1993). Implanted ports: Technologic advances and nursing care issues Nursing Clinics of North America 28: 859–871
Hsia C.Y. (1996). Introduction of subcutaneous infusion port implantation for central venous injection Clinical Medicine 38: 189–193
Jelovsek F.R., Adebonojo L. (1993). Learning principles as applied to computer-assisted instruction M.D. Computer 10: 165–173
Kröger K., Grütter R., Rudofsky G., Fink H., Niebel W. (2002). Follow-up after Port-a-cath-induced thrombosis Journal of Clinical Oncology 20: 2605–2606
Lowdermilk D.L., Fishel A.H. (1991). Computer simulations as measure of nursing students’ decision-making skills Journal of Nursing Education 30: 34–38
Lehman J.D., Brickner D. (1996). Teachers’ uses and perception of interactive videodiscs in the science classroom Journal of Computer in Mathematics and Science Teaching 15: 85–102
Lokich J.J., Bothe A. Jr., Benotti P.N., Moore C. (1985). Complications and management of implanted venous access catheters Journal of Clinic Oncology 3: 710–717
McNeil B.J., Nelson K.R. (1991). Meta-analysis of interactive video instruction: A 10 year review of achievement effects Journal of Computer-Based Instruction 18: 1–6
Niederhuber J.E., Ensmimger W.D., Gyves J.W., Liepman M., Doan K., Cozzi E. (1982). Totally implanted venous and arterial access system to replace external catheters in cancer treatment Surgery 92: 706–712
Prystowsky J.B., Regehr G., Rogers D.A., Loan J.P., Hiemenz L.L., Smith K.M. (1999). A virtual reality module for intravenous catheter placement The American Journal of Surgery 177: 171–175
Razziolo M.A. (1990). Factors influencing the development and use of interactive video in nursing education: A Delphi study Computer in Nursing 8: 151–159
Raaf J.H., Phil D. (1991). Vascular access, catheter technology, and infusion pump. In: Mossa A.R., Robson M.C., Schimpff S.C. (Eds) Comprehensive Textbook of Oncology. Willams & Wilkin, Baltimore, pp 247–275
Sparks S.M., Kuenz M.A. (1993). Interactive Instruction in Nursing and other Health Sciences: Review of Evaluation Instruments. Department of Health and Human Services, Bethesda, MD
Sylvia B.M., Yeh M.L. (1994). The Assessment of Clinical Decision Making Outcomes in Nursing. University of Maryland, Baltimore, MD
Smith S.G., Jones L.L., Waugh M.L. (1986). Production and evaluation of interactive videodisc lesson in laboratory instruction Journal of Computer-Based Instruction 13: 117–121
Tuggy M.L. (1998). Virtual reality flexible sigmoidoscopy simulator training: Impact on resident The Journal of the American Board of Family Practice 11: 426–433
Tsai S.L., Tsai W.W., Chai S.K., Sung W.H., Doong J.L., Fung C.P. (2004). Evaluation of computer-assisted multimedia instruction in intravenous injection International Journal of Nursing Studies 41: 191–198
Winters V. (1984). Implantable vascular access devices Oncology Nursing Forum 11: 25–30
Wainstock J.M. (1987). Making a choice: The vein access method you prefer Oncology Nursing Forum 14: 79–82
Wickham R.S. (1990). Advances in venous access devices and nursing management strategies Nursing Clinics of North America 25: 345–363
Ward R. (1992). Interactive video: An analysis of its value to nurse education Nurse Education Today 12: 464–470
Yeh M.L., Chen H.H. (2002). Develo** and testing a computer-assisted instruction program with interactive videodisc system The Journal of Nursing 49: 55–60
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We appreciate the funding of Taipei Veterans General Hospital-93-348 and the novice nurses who participated and provided their valuable time. This research could not be accomplished without them.
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Tsai, SL., Chai, SK., Hsieh, LF. et al. The Use of Virtual Reality Computer Simulation in Learning Port-A Cath Injection. Adv in Health Sci Educ 13, 71–87 (2008). https://doi.org/10.1007/s10459-006-9025-3
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DOI: https://doi.org/10.1007/s10459-006-9025-3