Open Access, Peer-reviewed
pISSN 1225-9330
eISSN 2288-4955
    J Korean Acad Nurs Adm. 2017 Dec;23(5):548-557. Korean.
    Published online Dec 31, 2017.
    https://doi.org/10.11111/jkana.2017.23.5.548
    Copyright © 2017 Korean Academy of Nursing Administration
    Original Article

    Development and Effects of Simulation Program for Fall Management

    Mi Yu,1 Jong Kyung Kim,2 Se Young Kim,3 Sung Hyun Cho,4 Myung Ja Kim,5 and GyeongAe Seomun6
      • 1College of Nursing, Institute of Health Sciences, Gyeongsang National University, Korea.
      • 2College of Nursing, Dankook University, Korea.
      • 3Department of Nursing, Changwon National University, Korea.
      • 4College of Nursing, Seoul National University, Korea.
      • 5Department of Nursing, Dong-eui University, Korea.
      • 6College of Nursing, Korea University, Korea.
    • Corresponding author: Kim, Se Young. Department of Nursing, Changwon National University, 20 Changwondaehak-ro, Uichang-gu, Changwon 51140, Korea. Tel: +82-55-213-3576, Fax: +82-55-213-3579, Email: sarakimk@changwon.ac.kr
    Received November 17, 2017; Revised December 19, 2017; Accepted December 19, 2017.

    This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses.

    Methods

    The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing.

    Results

    When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented.

    Conclusion

    Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall.

    Keywords
    Accidental falls; Nursing students; Patient care management; Self report; Simulation training

    Tables

    Table 1
    Comparison of Nursing Students' Knowledge Related to Risk Factors, Prevention and Interventions for Patient Falls Before and After Implementing the Simulation Program (N=30)

    Table 2
    Evaluation of Nursing Students' Clinical Practice Competency for Fall Management (N=30)

    Table 3
    Evaluation of Nursing Students' Reporting the Patient Fall to Physician Using SBAR (N=30)

    Table 4
    Comparison of Nursing Students' Confidence in Reporting Patient Falls to Physician before and after Implementing the Simulation Program (N=30)

    Notes

    This work was supported by the Korean Academy of Nursing Administration fund in 2017.

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    MeSH Terms
    Accidental Falls
    Humans
    Non-Randomized Controlled Trials as Topic
    Nursing
    Patient Care Management
    Research Design
    Self Report
    Simulation Training
    Students, Nursing
    Metrics
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    Tables
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