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Original Article

Development and Effects of Simulation Program for Fall Management

Mi Yu1, Jong Kyung Kim2, Se Young Kim3, Sung Hyun Cho4, Myung Ja Kim5, GyeongAe Seomun6
Journal of Korean Academy of Nursing Administration 2017;23(5):548-557.
Published online: December 31, 2017

1College of Nursing, Institute of Health Sciences, Gyeongsang National University, Korea.

2College of Nursing, Dankook University, Korea.

3Department of Nursing, Changwon National University, Korea.

4College of Nursing, Seoul National University, Korea.

5Department of Nursing, Dong-eui University, Korea.

6College of Nursing, Korea University, Korea.

Corresponding author: Kim, Se Young. Department of Nursing, Changwon National University, 20 Changwondaehak-ro, Uichang-gu, Changwon 51140, Korea. Tel: +82-55-213-3576, Fax: +82-55-213-3579, sarakimk@changwon.ac.kr
• Received: November 17, 2017   • Revised: December 19, 2017   • Accepted: December 19, 2017

Copyright © 2017 Korean Academy of Nursing Administration

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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  • Purpose
    This study was carried out to develop simulation scenarios for the management patient falls and to evaluate the effects of using the scenarios with student nurses.
  • Methods
    The research design was a quasi-experimental study using a methodology study. Study participants were 30 students who were in 4th year of nursing at one College of Nursing.
  • Results
    When comparing knowledge of falls before and after the simulation program, it was found that knowledge increased by 4.90 (from 24.60 pre-test to 29.50 post-test). For clinical performance of fall management, the score for assessment was 10.17 out of 16, for intervention 5.97 out of 10, and for evaluation 7.33 out of 8. The average score for reporting a fall to the doctor was 19.87 out of 30 based on SBAR. Prior to the implementation of the simulation program, the confidence of reporting to the physician was less than 5 in all four areas, but self-confidence improved by more than 6 points in all four areas after the program was implemented.
  • Conclusion
    Findings indicate that results of fall management simulation practice can contribute to nursing students' knowledge of falls, as well as to nursing interventions and post-treatment following a patient fall.
  • Key Words: Accidental falls; Nursing students; Patient care management; Self report; Simulation training

This work was supported by the Korean Academy of Nursing Administration fund in 2017.

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Table 1

Comparison of Nursing Students' Knowledge Related to Risk Factors, Prevention and Interventions for Patient Falls Before and After Implementing the Simulation Program (N=30)

jkana-23-548-i001.jpg
Table 2

Evaluation of Nursing Students' Clinical Practice Competency for Fall Management (N=30)

jkana-23-548-i002.jpg
Table 3

Evaluation of Nursing Students' Reporting the Patient Fall to Physician Using SBAR (N=30)

jkana-23-548-i003.jpg
Table 4

Comparison of Nursing Students' Confidence in Reporting Patient Falls to Physician before and after Implementing the Simulation Program (N=30)

jkana-23-548-i004.jpg

Figure & Data

References

    Citations

    Citations to this article as recorded by  
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    Development and Effects of Simulation Program for Fall Management
    J Korean Acad Nurs Adm. 2017;23(5):548-557.   Published online December 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.5.548
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    Development and Effects of Simulation Program for Fall Management
    J Korean Acad Nurs Adm. 2017;23(5):548-557.   Published online December 31, 2017
    DOI: https://doi.org/10.11111/jkana.2017.23.5.548
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    Development and Effects of Simulation Program for Fall Management
    Development and Effects of Simulation Program for Fall Management

    Comparison of Nursing Students' Knowledge Related to Risk Factors, Prevention and Interventions for Patient Falls Before and After Implementing the Simulation Program (N=30)

    Evaluation of Nursing Students' Clinical Practice Competency for Fall Management (N=30)

    Evaluation of Nursing Students' Reporting the Patient Fall to Physician Using SBAR (N=30)

    Comparison of Nursing Students' Confidence in Reporting Patient Falls to Physician before and after Implementing the Simulation Program (N=30)
    Table 1 Comparison of Nursing Students' Knowledge Related to Risk Factors, Prevention and Interventions for Patient Falls Before and After Implementing the Simulation Program (N=30)

    Table 2 Evaluation of Nursing Students' Clinical Practice Competency for Fall Management (N=30)

    Table 3 Evaluation of Nursing Students' Reporting the Patient Fall to Physician Using SBAR (N=30)

    Table 4 Comparison of Nursing Students' Confidence in Reporting Patient Falls to Physician before and after Implementing the Simulation Program (N=30)

    Table 1

    Table 2

    Table 3

    Table 4

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