University of Oulu

Jansson, M. M., Ala-Kokko, T. I., Ohtonen, P. P., Meriläinen, M. H., Syrjälä, H. P., & Kyngäs, H. A. (2014). Human patient simulation education in the nursing management of patients requiring mechanical ventilation: A randomized, controlled trial. American Journal of Infection Control, 42(3), 271–276.

Human patient simulation education in the nursing management of patients requiring mechanical ventilation : a randomized, controlled trial

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Author: Jansson, Miia M.1,2,3; Ala-Kokko, Tero I.3; Ohtonen, Pasi P.4;
Organizations: 1University of Oulu Graduate School, University of Oulu, Faculty of Medicine, Institute of Health Sciences, Nursing Science, Oulu, Finland
2Medical Research Center Oulu, Oulu, Finland
3Division of Intensive Care Medicine, Department of Anesthesia, Oulu University Hospital, Oulu, Finland
4Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
5Department of Infection Control, Oulu University Hospital, Oulu, Finland
6Institute of Health Science, University of Oulu, Medical Research Center Oulu, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
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Language: English
Published: Elsevier, 2014
Publish Date: 2021-02-12


Background: Knowledge among critical care nurses and their adherence to evidence-based guidelines for preventing ventilator-associated pneumonia is reported to be low. The aim of our study was to evaluate the effectiveness of human patient simulation (HPS) education in the nursing management of patients requiring mechanical ventilation.

Methods: A prospective, parallel, randomized controlled trial with repeated measurements was conducted in a 22-bed adult mixed medical-surgical intensive care unit in Finland from February-October 2012. Thirty critical care nurses were allocated evenly to intervention and control groups (n = 15 each). The effectiveness of HPS education was evaluated through the validated Ventilator Bundle Questionnaire and Ventilator Bundle Observation Schedule at baseline and repeated twice—after the clinical and simulation settings, respectivley.

Results: After HPS education, the average skill scores (Ventilator Bundle Observation Schedule) in the intervention group increased significantly (46.8%-60.0% of the total score) in the final postintervention observation. In the average skill scores, a linear mixed model identified significant time (Pt < .001) and group (Pg = .03) differences and time–group interactions (Pt*g = .02) between the study groups after the HPS education. In contrast, the model did not identify any significant change over time (Pt = .29) or time–group interactions (Pt = .69) between groups in average knowledge scores (Ventilator Bundle Questionnaire).

Conclusions: Our study identified significant transfer of learned skills to clinical practice following HPS education but no influence on the level of participants’ factual knowledge.

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Series: American journal of infection control
ISSN: 0196-6553
ISSN-E: 1527-3296
ISSN-L: 0196-6553
Volume: 42
Issue: 3
Pages: 271 - 276
DOI: 10.1016/j.ajic.2013.11.023
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: The authors thank the Finnish Cultural Foundations, the Finnish Foundation of Nursing Education, Oulu University Hospital, Oulu University of Applied Science, and all of the critical care nurses who participated in this study.
Copyright information: © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier. This manuscript version is made available under the CC-BY-NC-ND 4.0 license