Development of simulation‐based learning programme for improving adherence to time‐out protocol on high‐risk invasive procedures outside of operating room

Abstract

The aim of this study was to develop a simulation-based time-out learning programme targeted to nurses participating in high-risk invasive procedures and to figure out the effects of application of the new programme on acceptance of nurses. This study was performed using a simulation-based learning predesign and postdesign to figure out the effects of implementation of this programme. It was targeted to 48 registered nurses working in the general ward and the emergency department in a tertiary teaching hospital. Difference between acceptance and performance rates has been figured out by using mean, standard deviation, and Wilcoxon-signed rank test. The perception survey and score sheet have been validated through content validation index, and the reliability of evaluator has been verified by using intraclass correlation coefficient. Results showed high level of acceptance of high-risk invasive procedure (P<.01). Further, improvement was consistent regardless of clinical experience, workplace, or experience in simulation-based learning. The face validity of the programme showed over 4.0 out of 5.0. This simulation-based learning programme was effective in improving the recognition of time-out protocol and has given the participants the opportunity to become proactive in cases of high-risk invasive procedures performed outside of operating room.

An Innovative Nurse Practitioner Curricular Design Using an Adaptive Learning Platform, Adaptive Case Studies, and Telehealth Simulations: A Feasibility Study

“…As evidenced by this study's participant response to the SET-M question indicating that prebriefing increased their confidence, one can assume both the AL platform and discussion with simulation faculty before the start of the simulation were useful. The time-out method utilized in the intraoperative environment to refocus clinicians’ clinical judgment and patient safety can be useful in a telehealth simulation like the one used in this feasibility study ( Hofman & Lobaton, 2016 ; Jeong et al, 2017 ; Jones, 2019 ; Kuszajewski et al, 2021 ; Sarmasoglu et al, 2016 ).…”

“…The generational gap of faculty participants could have played a role in this discrepancy, as Chica and colleagues speak to this barrier in online nursing programs nationwide (Chicca & Shellenbarger, 2018). Realism in the AL platform and cases was also appealing to participants, as has also been seen in many studies that utilized Association of Standardized Patient Educators best practices in the delivery of simulations using SPs (Hofman & Lobaton, 2016;Jeong et al, 2017;Jones, 2019). Participants reported prebriefing and debriefing of the simulation cases to be most helpful, as well as time outs during the simulations both on the SET-M scores and in their focus groups.…”

Initiative to Increase the Rate of Emergency Department Physician Preprocedure Time-out Documentation

“…Studies in emergency medicine reveal a gap that could lead to patient harm. Jeong et al 12 developed a time-out protocol for nurses for procedures outside the operating room. In a study by Kelly et al, 7 most ED leaders reported a time-out was warranted when sedating patients.…”