Exploring nursing students’ transfer of peripheral venous cannulation from skills centre to the clinical setting
Journal article, Peer reviewed
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2014-12-24Metadata
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Ravik, M., Havnes, A., & Bjørk, I. T. (2015). Exploring nursing students' transfer of peripheral venous cannulation from skills centre to the clinical setting. Journal of Nursing Education and Practice, 5(3), 59.Abstract
Background: It is assumed that practical skills learned through simulation can be transferred to the clinical setting, but little
is known about students’ skill performance on real patients after simulation-based learning. The literature shows that newly
qualified nurses lack proficiency in skill performance, implying that transfer of learning is challenging. The aim is to explore
practical skill transfer from skill centre to clinical setting.
Method: A qualitative descriptive observational study of five undergraduate nursing students practicing peripheral venous
cannulation (PVC) in the skills centre and clinical setting. Performances were compared using content analysis.
Findings: There were similarities and differences in the students’ performance accuracy in the skills centre and the clinical
setting. Many steps were performed correctly, though some were performed incorrectly, and several were not performed or not
relevant to perform in either setting. Practicing on a mannequin and on actual patients gave different learning opportunities.
Practicing on a mannequin gave the students the opportunity to perform most of the PVC steps even if the vein was missed.
When students missed the vein on real patients, they had to terminate the attempt, with no opportunity to perform subsequent
steps of the skill.
Conclusion: Low-fidelity simulation was found both to be effective, as it provided familiarity with equipment used in the clinical
setting, and inadequate due to lacking opportunity to discern differences encountered in the clinical setting. The simulation must
be improved to ensure that students learn what is needed for safe practice on real patients in the clinical setting.