Simulation-based mastery learning improves central line maintenance skills of icu nurses

Jeffrey H. Barsuk*, Elaine R. Cohen, Anessa Mikolajczak, Stephanie Seburn, Maureen Slade, Diane B. Wayne

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

OBJECTIVE: This study evaluated the impact of a simulation-based mastery learning (SBML) curriculum on central line maintenance and care among a group of ICU nurses. METHODS: The intervention included 5 tasks: (a) medication administration, (b) injection cap (needleless connector) changes, (c) tubing changes, (d) blood drawing, and (e) dressing changes. All participants underwent a pretest, engaged in deliberate practice with directed feedback, and completed a posttest.We compared pretest and posttest scores and assessed correlations between demographics, self-confidence, and pretest performance. RESULTS: The number of nurses passing each task at pretest varied from 24 of 49 (49%) for dressing changes to 44 of 49 (90%) for tubing changes. At pretest, scores ranged from a median of 0.0% to 73.1%. At posttest, all scores rose to a median of 100.0%. Total years in nursing and ICU nursing had significant, negative correlations with medication administration pretest performance (r = j0.42, P = .003; r = j0.42, P = .003, respectively). CONCLUSION: ICU nurses displayed large variability in their ability to perform central line maintenance tasks. After SBML, there was significant improvement, and all nurses reached a predetermined level of competency.

Original languageEnglish (US)
Pages (from-to)511-517
Number of pages7
JournalJournal of Nursing Administration
Volume45
Issue number10
DOIs
StatePublished - Jan 1 2015

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Nurses
Maintenance
Learning
Bandages
Nursing
Aptitude
Curriculum
Demography
Injections

ASJC Scopus subject areas

  • Leadership and Management

Cite this

Barsuk, Jeffrey H. ; Cohen, Elaine R. ; Mikolajczak, Anessa ; Seburn, Stephanie ; Slade, Maureen ; Wayne, Diane B. / Simulation-based mastery learning improves central line maintenance skills of icu nurses. In: Journal of Nursing Administration. 2015 ; Vol. 45, No. 10. pp. 511-517.
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Simulation-based mastery learning improves central line maintenance skills of icu nurses. / Barsuk, Jeffrey H.; Cohen, Elaine R.; Mikolajczak, Anessa; Seburn, Stephanie; Slade, Maureen; Wayne, Diane B.

In: Journal of Nursing Administration, Vol. 45, No. 10, 01.01.2015, p. 511-517.

Research output: Contribution to journalArticle

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AU - Wayne, Diane B.

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