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Pi-Chi Wu

Pi-Chi Wu

Chiayi Chang Gung Memorial Hospital, Taiwan

Title: Using simulated clinical skills exams to improve nursing skills of new nurses

Biography

Biography: Pi-Chi Wu

Abstract

Background: In addition to the pressures facing patient care, new nurses have the ability to directly affect quality of care while adapting to new processes, environments and teamwork. Early cultivation correctness of execution expertise can enhance nursing ability and confidence while ensuring patient safety.

Objective: This study aims to understand recent clinical skills examination evaluations of new nurses.

Methods: A nursing department in southern Taiwan participated in clinical skills examinations of 87 new nurses who self-evaluated a purpose sampling, "Clinical Nursing Skills Survey Form". The 60 minute examination evaluated ten common clinical nursing skills and simulated new staff skills. This was followed by an evaluation of the analogue investigation. A total of 87 valid questionnaires out of 88 were returned. The effective response rate was 98.86%.

Results: Education levels (university: 90.8%, junior college: 9.2%), average nursing experience (68.4 days), pre-exam anxiety self-assessment level (7.92 points out of 10). A scale from 1 to 5, higher scores indicating more satisfied, test preparation satisfaction (3.28), post-test satisfaction (3.32). Evaluation of the simulated clinical skills exam overall rating score (4.18), ranging between satisfied to very satisfied, where the highest score is the examiner's evaluation (4.53), followed by the environment (4.35), self-assessment (4.28), the examination process (3.84).

Conclusion and discussion: The clinical skills examination for new staff indicates positive affirmation, between satisfied to very satisfy. Scores of high anxiety during exam preparation led to self-satisfaction after the exam. Nurses can help improve clinical skills early so new staff are familiar with the correct implementation of nursing skills to provide quality patient care.

Practical Application: New nurses with fewer clinical skills will present a lower level of self-confidence and display an affected patient care. Through simulation clinical skills examinations, clinical skills can improve readiness to learn and improve deficiencies while providing safer patient care.