Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

SangJin Ko; Eun-Hee Choi

doi:10.7469/KJAN.2017.29.6.667

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Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

SangJin Ko, RN, MSN¹, Eun-Hee Choi, Ph.D., RN²

Korean Journal of Adult Nursing 2017;29(6):667-676.
Published online: December 18, 2017

DOI: https://doi.org/10.7469/KJAN.2017.29.6.667

¹College of Nursing ․ Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea

²Department of Nursing, Yeungnam University College, Daegu, Korea

Corresponding author: Choi, Eun-Hee Department of Nursing, Yeungnam University College, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, Korea. Tel: +82-53-650-9388, Fax: +82-53-625-4705, E-mail: eh5472@ync.ac.kr

• Received: September 30, 2017 • Accepted: December 18, 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.

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Abstract
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Abstract

Purpose
The aim of this study was to verify the effect of simulation and examine the effect of within-team debriefing for cardiac arrest emergency nursing education.
Methods
A non-equivalent control group quasi-experimental de-sign was used. The participants in this study were 199 senior nursing students from one nursing school in Daegu, Korea. Data were analyzed using x² test, t-test, Fisher's exact test with SPSS 22.0 program.
Results
Developed simulation protocol in this study increased the learning immersion (t=12.19, p<.001, t=5.07, p<.001), learning confidence (t=-10.36, p<.001, t=-5.99, p<.001) and clinical performance ability (t=-10.88, p<.001, t=-3.84, p=.002) among nursing students. In addition to this, learning immersion (t=2.66, p=.008), learning confidence (t=-2.78, p=.006), simulation satisfaction (t=-3.15, p=.002) and clinical performance (t=-3.02, p=.005) were sig-nificantly higher in the experiment group using within-team debriefing.
Conclusion
The results indicate that simulation using within-team debriefing was an effective educational method for nursing students.
Key Words: Simulation training; Emergency nursing; Education; Heart arrest

Figure 1.

Flowchart of study.

Table 1.

Homogeneity Test of General Characteristics and Dependent Variables (N=199)

Characteristics	Categories	Total	Exp. (n=98)	Cont. (n=101)	x² or t	p
Characteristics	Categories	n (%) or M± SD	n (%) or M± SD	n (%) or M± SD	x² or t	p
Age (year)		23.60±1.32	23.54±1.32	23.66±1.32	0.66	.513
Gender	Male	12 (6.0)	7 (7.1)	5 (5.0)	0.42	.516
Gender	Female	187 (94.0)	91 (92.9)	96 (95.0)
Religion	Yes	136 (68.3)	70 (71.4)	66 (65.3)	0.85	.356
Religion	No	63 (31.7)	28 (28.6)	35 (34.7)
Satisfaction about nursing major	High	73 (36.7)	30 (30.6)	43 (42.6)	3.72	.180^†
	Average	122 (61.3)	65 (66.3)	57 (56.4)
	Low	4 (2.0)	3 (3.1)	1 (1.0)
Satisfaction about clinical practice	High	44 (22.1)	22 (22.4)	22 (21.8)	2.47	.332^†
	Average	149 (74.9)	75 (76.5)	74 (73.3)
	Low	6 (3.0)	1 (1.0)	5 (5.0)
Interpersonal relationship	High	125 (62.8)	59 (60.2)	66 (65.3)	1.11	.592^†
	Average	71 (35.7)	38 (38.8)	33 (32.7)
	Low	3 (1.5)	1 (1.0)	2 (2.0)
Coping ability	High	122 (61.3)	63 (64.3)	59 (58.4)	2.22	.330
	Average	69 (34.7)	33 (33.7)	36 (35.6)
	Low	8 (4.0)	2 (2.0)	6 (6.0)
Grade point average	4.0~4.5	7 (3.5)	6 (6.1)	1 (1.0)	5.54	.219^†
	3.5~3.9	81 (40.7)	43 (43.9)	38 (37.6)
	3.0~3.4	76 (38.2)	33 (33.7)	43 (42.6)
	2.5~2.9	32 (16.1)	15 (15.3)	17 (16.8)
	＜2.5	3 (1.5)	1 (1.0)	2 (2.0)
Learning immersion		35.64±4.79	36.22±4.97	35.07±4.56	1.71	.089
Learning confidence		29.46±3.69	29.94±3.68	29.00±3.66	1.80	.073

Exp.=experimental group; Cont.=control group;

^†Fisher's exact test.

Table 2.

Comparison of Clinical Performance Ability of Team (N=30)

Variables	Groups	Pretest	Posttest	t	p	Differences	t	p
Variables	Groups	M± SD	M± SD	t	p	M± SD	t	p
Clinical performance ability	Exp. (n=15)	11.53±2.55	28.37±6.85	-10.88	＜.001	16.83±5.99	-3.02	.005
	Cont. (n=15)	12.67±7.71	21.27±7.26	-3.84	.002	8.60±8.69
	t (p)	-0.54 (.593)	2.75 (.010)
Attitude	Exp. (n=15)	1.43±0.65	6.13±1.77	-9.79	＜.001	4.70±1.86	-3.31	.003
	Cont. (n=15)	2.47±2.59	4.60±2.20	-3.51	.003	2.13±2.36
	t (p)	-1.50 (.145)	2.11 (.044)
Knowledge and skill	Exp. (n=15)	10.10±2.28	22.23±5.33	-10.07	＜.001	12.13±4.67	-2.64	.014
	Cont. (n=15)	10.20±5.38	16.67±5.70	-3.63	.003	6.47±6.89
	t (p)	-0.07 (.948)	2.76 (.010)

Exp.=experimental group; Cont.=control group.

Table 3.

Comparison of Learning Immersion, Learning Confidence and Simulation Satisfaction (N=199)

Variables	Groups	Pretest	Posttest	t	p	Differences	t	p
Variables	Groups	M± SD	M± SD	t	p	M± SD	t	p
Learning immersion	Exp. (n=98)	36.22±4.97	43.13±4.26	12.19	＜.001	6.91±5.61	2.66	.008
Learning immersion	Cont. (n=101)	35.07±4.56	39.29±7.48	5.07	＜.001	4.22±8.36
Learning confidence	Exp. (n=98)	3.74±0.46	4.30±0.45	-10.36	＜.001	0.56±0.54	-2.78	.006
Learning confidence	Cont. (n=101)	3.63±0.46	3.97±0.52	-5.99	＜.001	0.34±0.58
Simulation satisfaction	Exp. (n=98)	-	4.54±0.50	-	-	-	-3.15	.002
Simulation satisfaction	Cont. (n=101)	-	4.30±0.58	-	-	-

Exp.=experimental group; Cont.=control group.

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Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

Korean J Adult Nurs. 2017;29(6):667-676. Published online December 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.6.667

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Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

Korean J Adult Nurs. 2017;29(6):667-676. Published online December 31, 2017

DOI: https://doi.org/10.7475/kjan.2017.29.6.667

Figure

Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

Figure 1. Flowchart of study.

Figure 1.

Effect of Team Debriefing in Simulation-based Cardiac Arrest Emergency Nursing Education

Table 1.

Homogeneity Test of General Characteristics and Dependent Variables (N=199)

Characteristics	Categories	Total	Exp. (n=98)	Cont. (n=101)	x² or t	p
Characteristics	Categories	n (%) or M± SD	n (%) or M± SD	n (%) or M± SD	x² or t	p
Age (year)		23.60±1.32	23.54±1.32	23.66±1.32	0.66	.513
Gender	Male	12 (6.0)	7 (7.1)	5 (5.0)	0.42	.516
Gender	Female	187 (94.0)	91 (92.9)	96 (95.0)
Religion	Yes	136 (68.3)	70 (71.4)	66 (65.3)	0.85	.356
Religion	No	63 (31.7)	28 (28.6)	35 (34.7)
Satisfaction about nursing major	High	73 (36.7)	30 (30.6)	43 (42.6)	3.72	.180^†
	Average	122 (61.3)	65 (66.3)	57 (56.4)
	Low	4 (2.0)	3 (3.1)	1 (1.0)
Satisfaction about clinical practice	High	44 (22.1)	22 (22.4)	22 (21.8)	2.47	.332^†
	Average	149 (74.9)	75 (76.5)	74 (73.3)
	Low	6 (3.0)	1 (1.0)	5 (5.0)
Interpersonal relationship	High	125 (62.8)	59 (60.2)	66 (65.3)	1.11	.592^†
	Average	71 (35.7)	38 (38.8)	33 (32.7)
	Low	3 (1.5)	1 (1.0)	2 (2.0)
Coping ability	High	122 (61.3)	63 (64.3)	59 (58.4)	2.22	.330
	Average	69 (34.7)	33 (33.7)	36 (35.6)
	Low	8 (4.0)	2 (2.0)	6 (6.0)
Grade point average	4.0~4.5	7 (3.5)	6 (6.1)	1 (1.0)	5.54	.219^†
	3.5~3.9	81 (40.7)	43 (43.9)	38 (37.6)
	3.0~3.4	76 (38.2)	33 (33.7)	43 (42.6)
	2.5~2.9	32 (16.1)	15 (15.3)	17 (16.8)
	＜2.5	3 (1.5)	1 (1.0)	2 (2.0)
Learning immersion		35.64±4.79	36.22±4.97	35.07±4.56	1.71	.089
Learning confidence		29.46±3.69	29.94±3.68	29.00±3.66	1.80	.073

Exp.=experimental group; Cont.=control group;

^†Fisher's exact test.

Table 2.

Comparison of Clinical Performance Ability of Team (N=30)

Variables	Groups	Pretest	Posttest	t	p	Differences	t	p
Variables	Groups	M± SD	M± SD	t	p	M± SD	t	p
Clinical performance ability	Exp. (n=15)	11.53±2.55	28.37±6.85	-10.88	＜.001	16.83±5.99	-3.02	.005
	Cont. (n=15)	12.67±7.71	21.27±7.26	-3.84	.002	8.60±8.69
	t (p)	-0.54 (.593)	2.75 (.010)
Attitude	Exp. (n=15)	1.43±0.65	6.13±1.77	-9.79	＜.001	4.70±1.86	-3.31	.003
	Cont. (n=15)	2.47±2.59	4.60±2.20	-3.51	.003	2.13±2.36
	t (p)	-1.50 (.145)	2.11 (.044)
Knowledge and skill	Exp. (n=15)	10.10±2.28	22.23±5.33	-10.07	＜.001	12.13±4.67	-2.64	.014
	Cont. (n=15)	10.20±5.38	16.67±5.70	-3.63	.003	6.47±6.89
	t (p)	-0.07 (.948)	2.76 (.010)

Exp.=experimental group; Cont.=control group.

Table 3.

Comparison of Learning Immersion, Learning Confidence and Simulation Satisfaction (N=199)

Variables	Groups	Pretest	Posttest	t	p	Differences	t	p
Variables	Groups	M± SD	M± SD	t	p	M± SD	t	p
Learning immersion	Exp. (n=98)	36.22±4.97	43.13±4.26	12.19	＜.001	6.91±5.61	2.66	.008
Learning immersion	Cont. (n=101)	35.07±4.56	39.29±7.48	5.07	＜.001	4.22±8.36
Learning confidence	Exp. (n=98)	3.74±0.46	4.30±0.45	-10.36	＜.001	0.56±0.54	-2.78	.006
Learning confidence	Cont. (n=101)	3.63±0.46	3.97±0.52	-5.99	＜.001	0.34±0.58
Simulation satisfaction	Exp. (n=98)	-	4.54±0.50	-	-	-	-3.15	.002
Simulation satisfaction	Cont. (n=101)	-	4.30±0.58	-	-	-

Exp.=experimental group; Cont.=control group.

Table 1. Homogeneity Test of General Characteristics and Dependent Variables (N=199)

Exp.=experimental group; Cont.=control group;

†

Fisher's exact test.

Table 2. Comparison of Clinical Performance Ability of Team (N=30)

Exp.=experimental group; Cont.=control group.

Table 3. Comparison of Learning Immersion, Learning Confidence and Simulation Satisfaction (N=199)

Exp.=experimental group; Cont.=control group.

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