Simülasyon Temelli Eğitimin Yanık Hastalarına Bakım Verenlerin Bakıma Hazır Olma Durumlarına ve Bakım Verme Yüküne Etkisi:Randomize Kontrollü Çalışma Protokolü
Yıl 2023,
Cilt: 25 Sayı: 1-2, 61 - 75, 22.11.2023
Sabri Karahan
,
Zahide Tunçbilek
Öz
Giriş: Yanık tedavisi sonrası taburcu olan hastaların bakımı evde devam etmektedir. Bu bakımı sürdüren aile üyesini taburculuk öncesi bakıma hazırlamak yanık hastasının rehabilitasyon sürecinin iyi geçmesine ve bakım vericinin yaşayacağı zorlukları azaltmada yardımcı olacaktır.
Amaç: Bu araştırma senaryo temelli simülasyon yöntemi ile verilen taburculuk eğitiminin yanık hastalarına evde bakım veren bakım vericilerin bakıma hazır oluşluk durumuna ve bakım verme yüküne etkisinin belirlenmesi amacıyla planlanmıştır.
Yöntem: Bu çalışma çok merkezli randomize kontrollü bir çalışmadır. Araştırmaya Ankara’da bulunan iki hastanenin yanık merkezinde tedavi gören yanık hastalarının yakınları dahil edilecektir. Çalışmada randomize atama ve randomizasyonun gizlenmesi yapılarak seçim yanlılığı kontrol altına alınacaktır. Çalışmada müdahale grubuna ve kontrol grubuna katılımcılar blok randomizasyon yöntemi atanacaktır. Araştırmanın uygulanmasında kontrol grubunda yer alan bakım vericilere taburculuktan önce standart taburculuk eğitimi verilecektir. Simülasyon grubuna ise standart eğitimden sonra simülasyon temelli eğitim verilecektir. Tüm katılımcılara eğitim öncesi ve sonrası Bakıma Hazır Oluşluk Ölçeği uygulanacaktır. Her iki gruba taburculuktan bir ay ve üç ay sonra Bakım Verme Yükü Ölçeği uygulanacaktır. Ayrıca 3. ayın sonunda yanık hastalarının yaşadıkları sorunlar değerlendirilecektir.
Sonuç: Araştırmada beklenen sonuçlar; 1) simülasyon temelli taburcu eğitim alan bakım vericilerin standart eğitim alan gruba göre bakıma hazır olma durumlarının daha iyi olacaktır. 2) simülasyon temelli taburcu eğitim alan bakım vericilerin standart eğitim alan gruba göre evde bakım verme esnasında birinci ay ve üçüncü bakım verme yüklerinin daha az olacaktır.
Kaynakça
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- Ateşman, E. (1997). Türkçede okunabilirliğin ölçülmesi. Dil Dergisi, 58(71-74).
- Barsuk, J. H., Wilcox, J. E., Cohen, E. R., Harap, R. S., Shanklin, K. B., Grady, K. L., Kim, J. S., Nonog, G. P., Schulze, L. E., & Jirak, A. M. (2019). Simulation-based mastery learning improves patient and caregiver ventricular assist device self-care skills: a randomized pilot trial. Circulation: Cardiovascular Quality and Outcomes, 12(10), e005794. doi: https://doi.org/10.1161/CIRCOUTCOMES.119.005794
- Blum, C. A., & Parcells, D. A. (2012). Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: A comprehensive review. Journal of Nursing Education, 51(8), 429-435. doi: https://doi.org/10.3928/01484834-20120523-01
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- Cardoza, M. P., & Hood, P. A. (2012). Comparative study of baccalaureate nursing student self-efficacy before and after simulation. CIN: Computers, Informatics, Nursing, 30(3), 142-147. doi: 10.1097/NCN.0b013e3182388936
- Coleman, E. A., Smith, J. D., Frank, J. C., Min, S. J., Parry, C., & Kramer, A. M. (2004). Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions Intervention. Journal of the American Geriatrics Society, 52(11), 1817-1825. doi:https://doi.org/10.1111/j.1532-5415.2004.52504.x
- D’Asta, F., Homsi, J., Sforzi, I., Wilson, D., & de Luca, M. (2019). “SIMBurns”: A high-fidelity simulation program in emergency burn management developed through international collaboration. Burns, 45(1), 120-127. https://doi.org/10.1016/j.burns.2018.08.030
- Deshpande, O. N., Puri, V., Vora, S. S., Shende, N. N., & Choudhary, S. C. (2012). Socio-economic burden of burns: How do the families of patients cope? Indian journal of burns, 20(1), 48. doi: 10.4103/0971-653X.111783
- Dualan, J. J. A. (2020). 33 Effectiveness of Caregiver-oriented Transitional Care Program (CTCP) in Promoting Preparedness of Caregivers for Home Care of Burn Patients. Journal of Burn Care & Research, 41(Supplement_1), S23-S24. https://doi.org/10.1093/jbcr/iraa024.037
- Evgeniou, E., & Loizou, P. (2013). Simulation‐based surgical education. ANZ journal of surgery, 83(9), 619-623. doi: https://doi.org/10.1111/j.1445-2197.2012.06315.x
- Faydali, S., & Bayraktar, N. (2011). Determination of Post-discharge Knowledge Levels of Burn Patients and Their Relatives. Turkish Journal of Research & Development in Nursing, 13(1). doi: 10.12956/tchd.1254730
Göriş, S., Bilgi, N., & Bayındır, S. K. (2014). Use of Simulation in Nursing Education. Journal of Duzce University Helath Science Institute, 1(2), 25-29.
- Graham, R. J., Amar-Dolan, L. R., Roussin, C. J., & Weinstock, P. H. (2019). Bridging the stressful gap between ICU and home: medical simulation for pediatric patients and their families. Pediatric Critical Care Medicine, 20(4), e221-e224. doi: 10.1097/PCC.0000000000001869
- Grasel, E., Chiu, T., & Oliver, R. (2003). Development and validation of the Burden Scale for Family Caregivers. Toronto: Comprehensive Rehabilitation and Mental Health Services.
- Han, C. Y., Barnard, A., & Chapman, H. (2009). Emergency department nurses’ understanding and experiences of implementing discharge planning. Journal of advanced nursing, 65(6), 1283-1292. doi: https://doi.org/10.1111/j.1365-2648.2009.04988.x
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- Jütten, L. H., Mark, R. E., Janssen, B. W. J. M., Rietsema, J., Dröes, R.-M., & Sitskoorn, M. M. (2017). Testing the effectivity of the mixed virtual reality training Into D’mentia for informal caregivers of people with dementia: protocol for a longitudinal, quasi-experimental study. BMJ open, 7(8), e015702. doi: http://dx.doi.org/10.1136/bmjopen-2016-015702
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- Kilikcier, S. S., Celik, N., Elcin, M., Keskin, G., & Senel, E. (2021). Impact of interprofessional in situ simulations on acute pediatric burn management: Combining technical and non-technical burn team skills. Burns.48(7), 1653-1661. doi: https://doi.org/10.1016/j.burns.2021.11.014
- Liberio, J. N., McElligott, K., Ibgui, T., Liu, Y. M., Sanford, A., & Baldea, A. J. (2020). Development and Validation of a Burn Center Discharge Readiness Checklist to Identify Patients at High Risk of 30 Day Readmission. Journal of Burn Care & Research, 41(Supplement_1), S232-S233. doi: https://doi.org/10.1093/jbcr/iraa024.370
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The Effect of Simulation Based Training on Caregivers of Burn Patients' Preparedness of Care and Caregiving Burden: Study Protocol for A Randomised Controlled Trial
Yıl 2023,
Cilt: 25 Sayı: 1-2, 61 - 75, 22.11.2023
Sabri Karahan
,
Zahide Tunçbilek
Öz
family member will aid the burn patient's recovery process and lessen the caregiver's challenges.
Aim: This research was planned to determine the effect of the discharge training given by scenario-based simulation method on the caregiver's readiness for care and caregiving burden of caregivers of burn patients.
Method: This study is a multicenter randomized controlled trial. Relatives of burn patients treated in two burn centers will be included in the study. Selection bias will be controlled by making random assignment and hiding the randomization. Participants will be assigned by an external observer by the block randomization method. In the implementation of the study, standard discharge training will be given to the caregivers in the control group before discharge. Simulation-based training will be given to the simulation group after the standard training. The Preparedness for Caregiving Scale will be applied to all participants before and after the training. The Burden Scale for Family Caregivers will be administered to both groups one month and three months after discharge. In addition, the problems experienced by burn patients at the end of the 3rd month will be evaluated.
Conclusion: Expected results; 1) Caregivers who receive simulation-based discharge training will have a better readiness for care than the group that receives standard training. 2) The caregivers who receive simulation-based discharge training will have less burden of caregiving during home care compared to the group receiving standard training.
Kaynakça
- Aebersold, M. (2016). The history of simulation and its impact on the future. AACN advanced critical care, 27(1), 56-61. doi: https://doi.org/10.4037/aacnacc2016436
- Archbold, P. G., Stewart, B. J., Greenlick, M. R., & Harvath, T. (1990). Mutuality and preparedness as predictors of caregiver role strain. Research in nursing & health, 13(6), 375-384. doi: https://doi.org/10.1002/nur.4770130605
- Arnold, J., & Diaz, M. C. G. (2016). Simulation training for primary caregivers in the neonatal intensive care unit. Seminars in Perinatology, 40(7), 466-472. doi: https://doi.org/10.1053/j.semperi.2016.08.007
- Ateşman, E. (1997). Türkçede okunabilirliğin ölçülmesi. Dil Dergisi, 58(71-74).
- Barsuk, J. H., Wilcox, J. E., Cohen, E. R., Harap, R. S., Shanklin, K. B., Grady, K. L., Kim, J. S., Nonog, G. P., Schulze, L. E., & Jirak, A. M. (2019). Simulation-based mastery learning improves patient and caregiver ventricular assist device self-care skills: a randomized pilot trial. Circulation: Cardiovascular Quality and Outcomes, 12(10), e005794. doi: https://doi.org/10.1161/CIRCOUTCOMES.119.005794
- Blum, C. A., & Parcells, D. A. (2012). Relationship between high-fidelity simulation and patient safety in prelicensure nursing education: A comprehensive review. Journal of Nursing Education, 51(8), 429-435. doi: https://doi.org/10.3928/01484834-20120523-01
- Bond, S., Gourlay, C., Desjardins, A., Bodson-Clermont, P., & Boucher, M.-È. (2017). Anxiety, depression and PTSD-related symptoms in spouses and close relatives of burn survivors: When the supporter needs to be supported. Burns, 43(3), 592-601. doi: https://doi.org/10.1016/j.burns.2016.09.025
- Brooks, M., Jacobs, L., & Cazzell, M. (2021). Impact of emergency management in a simulated home environment for caregivers of children who are tracheostomy dependent. Journal for Specialists in Pediatric Nursing, 27, e12366. doi:https://doi.org/10.1111/jspn.12366
- Cardoza, M. P., & Hood, P. A. (2012). Comparative study of baccalaureate nursing student self-efficacy before and after simulation. CIN: Computers, Informatics, Nursing, 30(3), 142-147. doi: 10.1097/NCN.0b013e3182388936
- Coleman, E. A., Smith, J. D., Frank, J. C., Min, S. J., Parry, C., & Kramer, A. M. (2004). Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions Intervention. Journal of the American Geriatrics Society, 52(11), 1817-1825. doi:https://doi.org/10.1111/j.1532-5415.2004.52504.x
- D’Asta, F., Homsi, J., Sforzi, I., Wilson, D., & de Luca, M. (2019). “SIMBurns”: A high-fidelity simulation program in emergency burn management developed through international collaboration. Burns, 45(1), 120-127. https://doi.org/10.1016/j.burns.2018.08.030
- Deshpande, O. N., Puri, V., Vora, S. S., Shende, N. N., & Choudhary, S. C. (2012). Socio-economic burden of burns: How do the families of patients cope? Indian journal of burns, 20(1), 48. doi: 10.4103/0971-653X.111783
- Dualan, J. J. A. (2020). 33 Effectiveness of Caregiver-oriented Transitional Care Program (CTCP) in Promoting Preparedness of Caregivers for Home Care of Burn Patients. Journal of Burn Care & Research, 41(Supplement_1), S23-S24. https://doi.org/10.1093/jbcr/iraa024.037
- Evgeniou, E., & Loizou, P. (2013). Simulation‐based surgical education. ANZ journal of surgery, 83(9), 619-623. doi: https://doi.org/10.1111/j.1445-2197.2012.06315.x
- Faydali, S., & Bayraktar, N. (2011). Determination of Post-discharge Knowledge Levels of Burn Patients and Their Relatives. Turkish Journal of Research & Development in Nursing, 13(1). doi: 10.12956/tchd.1254730
Göriş, S., Bilgi, N., & Bayındır, S. K. (2014). Use of Simulation in Nursing Education. Journal of Duzce University Helath Science Institute, 1(2), 25-29.
- Graham, R. J., Amar-Dolan, L. R., Roussin, C. J., & Weinstock, P. H. (2019). Bridging the stressful gap between ICU and home: medical simulation for pediatric patients and their families. Pediatric Critical Care Medicine, 20(4), e221-e224. doi: 10.1097/PCC.0000000000001869
- Grasel, E., Chiu, T., & Oliver, R. (2003). Development and validation of the Burden Scale for Family Caregivers. Toronto: Comprehensive Rehabilitation and Mental Health Services.
- Han, C. Y., Barnard, A., & Chapman, H. (2009). Emergency department nurses’ understanding and experiences of implementing discharge planning. Journal of advanced nursing, 65(6), 1283-1292. doi: https://doi.org/10.1111/j.1365-2648.2009.04988.x
- Hartford, C. E. (2012). Care of outpatient burns. Total burn care. 4th ed. Philadelphia, PA: Saunders, 81e82-92e82.
- Inci, F., & Erdem, M. (2008). Validity and reliability of the Burden Interview and its adaptation to Turkish. Journal of Anatolia Nursing and Health Sciences. 11(4), 85-95.
- Jones, T. M., Bhanji, A., Ahuja, G., Bakhtari, R., Cai, X., Garfinkel, S., Gerber, L., & Weinstein, A. A. (2021). Examination of Health Information Needs of Caregivers of and Individuals with Burn Injuries. Journal of Burn Care & Research. 43(4), 846-851. doi: https://doi.org/10.1093/jbcr/irac059
- Jütten, L. H., Mark, R. E., Janssen, B. W. J. M., Rietsema, J., Dröes, R.-M., & Sitskoorn, M. M. (2017). Testing the effectivity of the mixed virtual reality training Into D’mentia for informal caregivers of people with dementia: protocol for a longitudinal, quasi-experimental study. BMJ open, 7(8), e015702. doi: http://dx.doi.org/10.1136/bmjopen-2016-015702
- Karahan, S. (2016). The relationship between quality of life of burn patient, caregiving burden and quality of life of caregiver. Master Thesis, Hacettepe University, Ankara.
- Karaman, S., & Karadakovan, A. (2015). The Study on The Validity and Reliability of Preparedness for Caregiving Scale in Famıly Caregivers of Stroke Patients. Journal of Ege University Nursing Faculty, 31(1), 1-10.
- Kilikcier, S. S., Celik, N., Elcin, M., Keskin, G., & Senel, E. (2021). Impact of interprofessional in situ simulations on acute pediatric burn management: Combining technical and non-technical burn team skills. Burns.48(7), 1653-1661. doi: https://doi.org/10.1016/j.burns.2021.11.014
- Liberio, J. N., McElligott, K., Ibgui, T., Liu, Y. M., Sanford, A., & Baldea, A. J. (2020). Development and Validation of a Burn Center Discharge Readiness Checklist to Identify Patients at High Risk of 30 Day Readmission. Journal of Burn Care & Research, 41(Supplement_1), S232-S233. doi: https://doi.org/10.1093/jbcr/iraa024.370
- Lotfi, M., Zamanzadeh, V., Ostadi, A., Jalili Fazel, M., Nobakht, A., & Khajehgoodari, M. (2020). Development of family‐based follow‐up care system for patients with burn in Iran: Participatory action research. Nursing open, 7(4), 1101-1109. doi: https://doi.org/10.1002/nop2.483
- McKillup, S. (2011). Statistics explained: An introductory guide for life scientists. 2nd Ed. New York, Cambridge University Press.
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