Three-Dimensional Simulation Training for Oncology Nurses to Address Pitfalls in Current Irrigation Strategy for Intravenous Ports: Repeated Measurements Study

Ching-Yang Wu; Ya-Ying Hsu; Ching-Feng Wu; Jui-Ying Fu; Hung-Chi Hsu; Cheng-Chou Lai; Yen Chu; Hsu-Hui Wu; Shu-Hui Lee

doi:10.1016/j.soncn.2023.151462

Three-Dimensional Simulation Training for Oncology Nurses to Address Pitfalls in Current Irrigation Strategy for Intravenous Ports: Repeated Measurements Study

Semin Oncol Nurs. 2023 Aug;39(4):151462. doi: 10.1016/j.soncn.2023.151462. Epub 2023 Jun 28.

Authors

Ching-Yang Wu¹, Ya-Ying Hsu², Ching-Feng Wu³, Jui-Ying Fu⁴, Hung-Chi Hsu⁵, Cheng-Chou Lai⁶, Yen Chu⁷, Hsu-Hui Wu⁸, Shu-Hui Lee⁸

Affiliations

¹ Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan. Electronic address: wu.chingyang@gmail.com.
² Department of Medical Research, Chang Gung Memorial Hospital, Linkou, Taiwan.
³ Department of Surgery, Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan.
⁴ Department of Internal Medicine, Division of Pulmonary Medicine and Critical Care, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan.
⁵ Department of Internal Medicine, Division of Hematology and Oncology, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan.
⁶ Department of Surgery, Division of Colorectal Surgery, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan.
⁷ Department of Medical Research, Chang Gung Memorial Hospital, Linkou; and Chang Gung University, Taoyuan City, Taiwan.
⁸ Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan.

PMID: 37391333
DOI: 10.1016/j.soncn.2023.151462

Abstract

Objective: We designed an interactive visual training course and three-dimensional (3-D) simulator for participants and used verified questionnaires as tool to evaluate the efficacy of the education course.

Data sources: From August 2020 to December 2021, 159 nursing staff who received the interactive visual training course and completed validated questionnaires before and after the course were included. The efficacy of the course was evaluated by comparing the pre- and post-course questionnaires.

Conclusion: The interactive visual training course, including maintenance lectures and practice with a 3-D simulator, improved consensus among the nursing staff and increased the willingness of oncology nurses to perform the proposed port irrigation procedure.

Implications for nursing practice: An implanted intravenous port cannot be directly seen by nursing staff and can only be identified through manual palpation. This lack of visibility may result in individual variations in port identification during daily practice, potentially leading to malpractice. To minimize these individual variations, we have designed an interactive visual training course. We used validated questionnaires before and after the course to analyze its efficacy in practical education.

Keywords: 3-D simulation; Interactive Visual Training Course; Port irrigation; Port maintenance.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Clinical Competence
Humans
Medical Oncology
Nurses*
Nursing Staff*
Simulation Training*