Impact of Scenario – Based Educational Intervention about Central Venous Catheter Care on Nurses’ Knowledge and Practice

摘要

Scenario based education (SBE) is a methodology, which aims to promote learning by involving participants in realistic situations. It can improve critical care nurses’ (CCN) knowledge and skills in management of nursing procedures especially central venous catheter (CVC) which is widely used and consider lifesaving. Aim of the study: to examine the impact of SBE on the nurses' knowledge and practices about care of CVC. Research design: A quasi-experimental design “one group, pre – posttest” was utilized in this study. Research hypotheses: 1) CCN “baccalaureate degree” who will receive SBE about care of CVC will have higher mean knowledge score as compared to their pre- implementation mean knowledge score. 2) CCN “diploma degree” who will receive SBE about care of CVC will have higher mean knowledge score as compared to their pre- implementation mean knowledge score. 3) CCN “baccalaureate degree” who will receive SBE about care of CVC will have higher mean practice score as compared to their pre- implementation mean practice score. 4) CCN “baccalaureate degree” who will receive SBE about care of CVC will have higher mean practice score as compared to their pre- implementation mean practice score.Setting: Adult intensive care unit (ICU) at Damietta chest disease hospital.Sample: A convenient samples “All nurses” working in the adult ICU Tools of data collection: Two tools was utilized 1) Pre/ post- test interview questionnaire schedule.2) CCNs observational checklist. Results: There was statistically significant difference in total knowledge score pre SBE, immediately after and two months later of both bachelor nurses (F= 53.206, P =.000) and diploma nurses (F= 58.613, P =.000). Also, there was statistically significant difference in total practice score pre SBE, immediately after and two months later of both bachelor nurses (F = 691.310, P =.000) and diploma nurses (F = 42.34, P =.000). Conclusion: Utilizing innovative educational methods such as SBE can have a significant influence on enhancing the nurses’ knowledge and skills. Recommendations: Continuous training sessions for nurses by innovative educational methods and further studies needed to be carried out to examine the effect of SBE on a larger probability sample.