Development of the Instructional Design of Intravenous Injection Skill for New Nurses and Their Implementation and Evaluation

• Main Authors: Shu-Min Yeh, 葉淑敏
• Other Authors: Jane Lee-Hsieh
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/60690874308834216359

碩士 === 國立臺北護理健康大學 === 醫護教育研究所 === 104 === The purposes of this study were (1) to development of an instructional design of intravenous injection skills for new nurses；and (2) to implement and evaluate this instructional design. A pre-experimental design was adopted and purposive sampling was used to recruit 20 new graduates from a regional teaching hospital in Taipei. The instructional design included watching instructional videos, practicing intravenous injection skills on fake arms and exercising communication skills on patients, The researcher was the instructor of this project, while another senior clinical nursing teacher using the Direct Observation of Procedural Skill (DOPS) checklist to evaluate the new nurses intravenous injection skills. The DOPS checklist has 10 items. Each item on a 3-point Likert scale, o point for “no execute”, 1 point for “ execute but does not meet the criteria”, 2 points for “ execute and meet the criteria”. Thus, the total possible score on the DOPS checklist ranges from 0 to 20. The researcher then used group interviews to explore the new nurses learning experience and feeling. In this study, the new nurses’ overall mean score as measured by the DOPS Checklist was Mean±SD = 18 ± 2.683 (N=16). Four themes were categorized from the learning experiences of new nurses rightafter the implementation and evalucation.which included (1) know how to communicate with patient before injection, (2) find the right vein, (3) earn more injection tips and (4). empathize with the patients if the injection did not get in for the first shot . Five themes were categorized after one week training period which included (1) gradually have more confidence to communicate with patients, (2) .can grasp needle angle easily, (3) experience the feeling when needle puncture into the vein, (4) no longer afraid of on IC technology, (5) Looking forward to give a successful injection in one shot . This study may be used as a reference for developing injection skill training courses for new nurses in Taiwan.