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Yu, Kim, Kim, Cho, Kim, and Seomun: Development and Effects of Simulation Program for Fall Management
Original Article

Journal of Korean Academy of Nursing Administration 2017; 23(5): 548-557.

Published online: 31 December 2017

DOI: https://doi.org/10.11111/jkana.2017.23.5.548

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

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 17 November 2017       Revised 19 December 2017       Accepted 19 December 2017

Copyright © 2017 Korean Academy of Nursing Administration

Korean Academy of Nursing Administration

(open-access):

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.

Abstract

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.

Keywords: Accidental falls, Nursing students, Patient care management, Self report, Simulation training

Figures and Tables

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
Table 2

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

jkana-23-548-i002
Table 3

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

jkana-23-548-i003
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

Notes

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

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