A Pilot Study to Evaluate the Effectiveness of Simulation on Knowledge and Skills of Pediatric Intravenous (IV) Cannulation among Staff Nurses Working in Tertiary Care Hospital Dharwad

Abstract

Background of the study: Pediatric IV cannulation is an integral part of modern medicine and is practiced in virtually every health care setting. Children have approximately half the number of usable veins than adults, but they have less accessible veins. Pediatric IV cannulation can be challenging. Nurses performing IV procedures in children should be skillful and knowledgeable in basic IV therapy applications. Simulation provides effective and efficient Knowledge and skills regarding pediatric IV cannulation. Objectives of the study are to assess the pre-interventional knowledge of staff nurses regarding pediatric IV cannulation, To assess the pre-interventional skills of staff nurses regarding pediatric IV cannulation, To evaluate the effectiveness of Simulation on Knowledge and Skills of staff nurses regarding pediatric IV cannulation. Conceptual framework adopted for the present study was based on the Ludwig Von Bertalanffy’s general system theory. Methodology: To achieve the objective of the study with a Quantitative Evaluative Approach Pre–experimental one group pre-test and post-test research design was adopted for the present study. The subject was selected by applying Non–probability purposive sampling technique to participate in the study. The tool prepared for data collection comprised of structured knowledge questionnaires and a Modified Intravenous Cannulation Skills Check List. Data analyzed using descriptive and inferential statistics appropriate to achieve the set of objectives. Results: The pre-test mean Knowledge score was +12.1 and Standard Deviation (SD) ±3.14 whereas the post-test mean Knowledge score was ±16.9 and Standard Deviation (SD) ±2.88. The calculated paired ‘t’ value was (13.37) higher than the table value of (2.26) at a 0.05 level of significance. Hence H1 was accepted. The pre-test mean Skills score was +18.8 and Standard Deviation (SD) ±1.8whereas the post-test mean Skills score was ±16.9 and Standard Deviation (SD) ±2.88. The calculated paired ‘t’ value was (3.15) higher than the table value of 2.26 at a 0.05 level of significance. Hence H2 was accepted. Interpretation and Conclusion: The results of the study clearly indicated that, after the introduction of the Simulation technique, all the staff nurses (10)100% of them had adequate knowledge and skills scores which explains that the Simulation technique was effective to increase the knowledge and skills of staff nurses regarding Pediatric IV Cannulation. Since Nursing is a practice discipline. The findings of the study revealed that in-service education for nursing staff should always be a plan with Simulation which helps the staff nurses to develop necessary confidence and competencies in any given procedure. So Nursing staff can able to practice procedures properly.