Title: Learning from simulation: Experiences of students regarding high-invasive nursing technique of intraoral suction
Abstract:
The role of nurses is expected to expand as they progressively respond to advancements in medical care and diversify their provision of health care services. As a result, they are required to have the ability and qualifications for responding to these expanding roles. Basic education for nurses aims to provide opportunities for acquisition of skills and knowledge to allow nurses to effectively respond to real-world needs. Currently, it is difficult for students to conduct highly invasive nursing procedures during on-campus exercises and clinical training. There is little research that has examined the learning of highly invasive nursing skills that cannot be conducted during clinical training. Additionally, there is a need for clarifying which nursing techniques are effective when implemented among students with consideration for comfort in learning and patient safety. In this study, we clarified the effectiveness of experiential learning of the highly invasive “intraoral suctioning” skill from both the nurse and patient perspectives. In this study, analysis was conducted using a qualitative inductive method, with learning proceeding under supervision. Results were as follows: 1) For learning through the nurse experience, we extracted 138 codes, 46 subcategories, and the following four categories: difficulties in implementing multiple combined techniques, difficulties in simultaneously moving left and right hands, importance of suction operation that does not cause pain to the patient, and importance of responding to patient reactions. 2) For learning through the patient experience, we extracted 52 codes, 19 subcategories, and the following four categories: discomfort of having intraoral suctioning conducted, wishing to have the procedure conducted quickly and efficiently, feeling of fear due to lack of explanation by the nurse, and feeling of safety when spoken to by the nurse. For the nurse roles, students learned the importance of patient safety and comfort by practicing invasive and painful nursing procedures on other students; however, there were some students who focused only on the complex procedure. To better understand the patient experience, students learned not only the nursing techniques but also communication and consideration for the patients. It is important to consider educational methods that allow students to deepen their learning of techniques other than those used by nurses. Additionally, it was inferred that student learning was influenced by the order of the exercises.
Audience Take Away Notes:
- Examination of the learning of highly invasive nursing skills by students through practice with each other
- Examination of simulation learning that considers nursing student safety
- Examination of learning outcomes of nursing technique and experiences in clinical setting
