Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students

Abstract

The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. Methods: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. Results: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. Conclusion: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

Effects of a Neonatal Nursing Practice Program on Students’ Stress, Self-efficacy, and Confidence

“…This is especially the case for pediatric nursing practicums, as the scope of students' practice is strictly limited due to factors such as the diverse ages of patients, parents' participation in nursing, and safety issues pertinent to pediatric patients. Furthermore, a trend exists in neonatal clinical practicums for more and more general and specialized hospitals to limit the scope of student practice during clinical rotations in light of the decrease in the birth rate and the increase in high-risk births, as well as concerns about infection [3]. As a result of all these changes, nursing students' clinical rotations are increasingly observation-based, rather than involving hands-on practice.…”

Exploring nurses' multitasking in clinical settings using a multimethod study

“…The self-report methodology utilizes structured questionnaires to collect self-reported data, such as the type and duration of tasks. Although self-report enables the quick collection of a sizable amount of data, managing careless responses from participants and accurately understanding the context of nursing activities is difficult 13 , 18 .…”

“…The time and motion method is widely used in research 18 . It involves accurate observation of nurses’ work patterns, efficiency, and process of quick transitions between tasks 13 . Time and motion research using an eye tracker has been applied in various fields such as psychology, developmental psychology of infants and young children, cognitive linguistics, and medicine.…”

“…In most cases, nurses who are assigned to a task with a higher patient-to-nurse ratio experience increased multitasking owing to an increased demand for administrative duties, such as completing manual work and communicating with other health providers, in addition to the provision of direct care to a greater number of patients. Consequently, nurses may consider the time allocated to them insufficient to fully carry out the tasks assigned to them [10][11][12][13] .…”

Development of a patient classification system for critical care nursing based on nursing intensity

“…In Korea, patient classification systems are either developed by researchers (Yoo & Kim, 2013) or adapted from a modified version of an ICU classification tool (Cho et al, 2005)—modelled on the Workload Management System for Nurses, the Walter Reed Army Medical Center or the Korean Patient Classification System for Nurses (KPCS), developed by the Hospital Nurses Association. Studies in Korea have generally focused on validating tools based solely on direct nursing activities, while relatively neglecting indirect nursing activities.…”