University of Oulu

Jansson, M. M., Syrjälä, H. P., Ohtonen, P. P., Meriläinen, M. H., Kyngäs, H. A., & Ala-Kokko, T. I. (2016). Randomized, controlled trial of the effectiveness of simulation education: A 24-month follow-up study in a clinical setting. American Journal of Infection Control, 44(4), 387–393.

Randomized, controlled trial of the effectiveness of simulation education : a 24-month follow-up study in a clinical setting

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Author: Jansson, Miia M.1,2,3; Syrjälä, Hannu P.3,4; Ohtonen, Pasi P.5;
Organizations: 1Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
2Institute of Health Science, University of Oulu, Oulu, Finland
3Medical Research Center Oulu, Oulu, Finland
4Department of Infection Control, Oulu University Hospital, Oulu, Finland
5Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
6Northern Ostrobothnia Hospital District, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link:
Language: English
Published: Elsevier, 2016
Publish Date: 2019-09-02


Background: Critical care nurses’ knowledge and skills in adhering to evidence-based guidelines for avoiding complications associated with intubation and mechanical ventilation are currently limited. We hypothesized that single simulation education session would lead to a long-lasting higher level of skills among critical care nurses.

Material and methods: A randomized controlled trial was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Finland during the period February 2012–March 2014. Thirty out of 40 initially randomized critical care nurses participated in a 24-month follow-up study. Behavior and cognitive development was evaluated through a validated Ventilator Bundle Observation Schedule and Questionnaire at the baseline measurement and repeated 3 times during simulation and real-life clinic settings.

Results: After simulation education, the average skills score increased from 46.8%–58.8% of the total score in the final postintervention measurement (Ptime < .001, Ptime × group = .040, and Pgroup = .11). The average knowledge scores within groups did not change significantly. The average between-group difference in skills scores was significant only at the measurement taken at 6 months (P = .006).

Conclusions: Critical care nurses’ skills in adhering to evidence-based guidelines improved in both groups over time, but the improvements between the study groups was significantly different only at 6 months and was no longer evident after 2 years following a single simulation education.

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Series: American journal of infection control
ISSN: 0196-6553
ISSN-E: 1527-3296
ISSN-L: 0196-6553
Volume: 44
Issue: 4
Pages: 387 - 393
DOI: 10.1016/j.ajic.2015.10.035
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
3126 Surgery, anesthesiology, intensive care, radiology
Copyright information: © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license