Abstract

Introduction: The use of helmet non-invasive ventilators in the treatment of patients with respiratory failure is increasing in intensive care unit. This study was based on the National League for Nursing/Jeffries Simulation Theory and aimed to develop a Helmet Non-Invasive Ventilator education training program and assess its impact on the knowledge, self-efficacy, and clinical performance abilities of intensive care unit nurses.

Design: A non-equivalent control group pretest- posttest design was used.

Methods: The participants consisted of 21 individuals in the experimental group and 22 in the control group. The experimental group received a simulation-based intervention, while the control group received a lecture intervention. The tools used for the study included self-report questionnaires for assessing knowledge and self- efficacy related to the Helmet Non-Invasive Ventilator both before and after the intervention, while clinical performance ability was evaluated post-intervention only by a research assistant under single blinded conditions.

Result: No statistically significant difference in pre and post-test knowledge(t=1.34, p=.093), self-efficacy(t=-1.386, p=0.87) scores between the control group and experimental group. The post-intervention clinical performance ability scores were significantly different, with the control group and experimental group(t=-7.1, p=<.001).

Conclusion: Simulation-based training showed a greater effect in improving clinical performance compared to the lecture group, and both groups demonstrated improvements in knowledge, self-efficacy, and clinical performance after the training compared to before the training.

Notes

References: Cowperthwait, A. (2020). NLN/Jeffries simulation framework for simulated participant methodology. Clinical Simulation in Nursing, 42, 12-21.

Ferreyro, B. L., Angriman, F., Munshi, L., Del Sorbo, L., Ferguson, N. D., Rochwerg, B., Ryu, M. J., Saskin, R., Wunsch, H., da Costa, B. R., & Scales, D. C. (2020). Association of noninvasive oxygenation strategies with all-cause mortality in adults with acute hypoxemic respiratory failure: A systematic review and meta-analysis. The Journal of the American Medical Association, 324(1), 57-67. https://doi.org/10.1001/jama.2020.9524

Grieco, D. L., Menga, L. S., Cesarano, M., Rosa, T., Spadaro, S., Bitondo, M. M., Montomoli, J., Falo, G., Tonetti, T., Cutuli, S. L., Pintaudi, G., Tanzarella, E. S., Piervincenzi, E., Bongiovanni, F., Dell'Anna, A. M., Delle Cese, L., Berardi, C., Carelli, S., Bocci, M. G., Montini, L., ... COVID-ICU Gemelli Study Group (2021). Effect of helmet noninvasive ventilation vs high-flow nasal oxygen on days free of respiratory support in patients with COVID-19 and moderate to severe hypoxemic respiratory failure: The HENIVOT randomized clinical trial. The Journal of the American Medical Association, 325(17), 1731–1743. https://doi.org/10.1001/jama.2021.4682

JANG, K. S., RYU, K. H., KANG, H. M., KANG, I. H., KWON, J. H., LEE, G. M., ... & BAE, H. M. (2020). The effects of a simulation-based high flow nasal cannula oxygen therapy training program on the knowledge, clinical performance and educational satisfaction of clinical nurses. Journal of Korean Clinical Nursing Research, (3), 47- 58.

Jeffries, P. R.(Ed.). (2021). The NLN Jeffries simulation theory (2nd ed.). Wolters Kluwer Health.

Description

A study was conducted with 21 participants in the simulation group and 22 participants in the lecture group to assess the effects of training on the use of helmet non-invasive ventilators. The post-intervention evaluation showed a difference in clinical performance between the two groups. Although there were no significant differences in knowledge and self-efficacy between the groups, both groups showed improvements in these areas.

Author Details

As shown on title slide:

Jungmin Park. MSN, RN APN, PICU, Seoul National University Hospital, Seoul, Republic of Korea;

Sun Ju Chang. PhD, RN College of Nursing, The research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Simulation, Acute Care, Theory

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the slide deck.

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Effectiveness of Helmet Non-Invasive Ventilator Training Based on Simulation

Seattle, Washington, USA

Introduction: The use of helmet non-invasive ventilators in the treatment of patients with respiratory failure is increasing in intensive care unit. This study was based on the National League for Nursing/Jeffries Simulation Theory and aimed to develop a Helmet Non-Invasive Ventilator education training program and assess its impact on the knowledge, self-efficacy, and clinical performance abilities of intensive care unit nurses.

Design: A non-equivalent control group pretest- posttest design was used.

Methods: The participants consisted of 21 individuals in the experimental group and 22 in the control group. The experimental group received a simulation-based intervention, while the control group received a lecture intervention. The tools used for the study included self-report questionnaires for assessing knowledge and self- efficacy related to the Helmet Non-Invasive Ventilator both before and after the intervention, while clinical performance ability was evaluated post-intervention only by a research assistant under single blinded conditions.

Result: No statistically significant difference in pre and post-test knowledge(t=1.34, p=.093), self-efficacy(t=-1.386, p=0.87) scores between the control group and experimental group. The post-intervention clinical performance ability scores were significantly different, with the control group and experimental group(t=-7.1, p=<.001).

Conclusion: Simulation-based training showed a greater effect in improving clinical performance compared to the lecture group, and both groups demonstrated improvements in knowledge, self-efficacy, and clinical performance after the training compared to before the training.