The Effect of High Fidelity Simulation Training Applied to Nursing Students for Improving Endotracheal Suctioning Skills on Clinical Decision Making and Practices: An Experimental Study


SÜHA B. K., Karagozoglu S.

Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, cilt.16, sa.2, ss.479-488, 2024 (Hakemli Dergi) identifier

Özet

Objective: This study aimed to determine the effect of high fidelity simulation (HFS) training applied to nursing students on clinical de- cision making and clinical practice in improving endotracheal suctioning skills. Material and Methods: This is an experimental study with pre- and post-test design. The study was conducted to determine the effect of HFS ap- plied to senior nursing students for developing endotracheal suctioning skills and diagnosing patients’ needs for endotracheal suctioning on clinical deci- sion making and practices. After those in the experimental group were given HFS training, they were involved in clinical practices, while those in the control group performed clinical practices without this simulation training. Results: Although there was no statistically significant difference between the mean scores in our study (p>0.05), the correct clinical decision-making level of the nursing students in the experimental group increased in clinical practice after the simulation training, and although the level of correct clin- ical decision-making of the nursing students in the control group was higher than the students in the experimental group when they started clinical prac- tice, it was found that it decreased after endotracheal aspiration. In this study, it was found that simulation training had a statistically significant high ef- fect on diagnosing the need for endotracheal aspiration in the patient and performing this skill with the correct steps (p<0.05). Conclusion: In this study, HFS application is considered to prepare nursing students for clini- cal practices and strengthen their clinical decision-making skills.