Video versus Traditional Teaching Strategy for Enhancing Intramuscular Injection Skills among College of Nursing Students in Kuwait: A Comparative Study
DOI:
https://doi.org/10.47604/jhmn.1320Keywords:
Nursing students; Video; Traditional Teaching Strategy; IntramuscularAbstract
Purpose: The study aims to assess the performance and compare the effectiveness of intramuscular injection skills of nursing students utilizing two different teaching strategies -traditional (with the use of performance checklist only) versus video (together with the performance checklist).
Methodology: A quasi-experimental research design was used. The sample was divided into two groups - control group, 28 female nursing students and experimental group, 27 male nursing students. Socio-demographic data sheet and an observational checklist were used to collect pertinent data.. Analysis was performed using descriptive statistics and analytical tests, such as the independent t-test between the experimental and control group, regarding the preparation and injection of medication. P value of < 0.05 was considered to be significant.
Findings: Most of the experimental and control group subjects are non-Kuwaitis. In medication preparation, the experimental group showed higher scores in the following steps: mixing solution; withdrawing prescribed amount of medication. The control group, on the other hand, scored higher in the following steps: removing needle cap, withdrawing into syringe amount of air equal to volume of medication to be withdrawn; carefully inserting needle into upright vial; and withdrawing prescribed amount of medication. In medication administration, the control group obtained higher scores in putting on clean gloves and applying gentle pressure at the site. The experimental group had higher score only in putting on clean gloves. A highly significant positive correlation was found between medication preparation and injection of medication and socio-demographic parameters of age and nationality (p= 0.008, p= 0.007) respectively. There is no statistically significant correlation detected between control and experimental group in relation to injection of the medication.
Unique Contribution to Theory and Practice: The results of this study indicated that while traditional and video-assisted teaching are equally effective, there is no substitute for clinical demonstration.
Downloads
References
Agac, E. & Gunes, U.Y. (2011). Effect on pain of changing the needle prior to administering medicine intramuscularly: a randomized controlled trial. J Adv Nurs. Vol 67. pp. 563-8
Agazio, J. & Buckley, K.M. (2009). An untapped resource. Using You Tube in nursing education. Nurse Educator. 34(1):23-28, doi: 10.1097/01. NNE.0000343403.13234.a2. [PubMed] [Cross Ref] [Google Scholar
Alawadi, F. (2017). Observational Checklist - As An Instrument to Measure
Arsian, M. (2018). Do Parenteral Medication Administration Skills of Nursing
Baharav, E. (2008). Student's use of video clip technology in clinical education. Top Lang Disord. 28(3). pp. 286-298. doi:10.1097/01.TLD.0000333602.76209 .e7. [Cross Ref]
Bauer, M., Geront, M. & Huynh, M. (2001). Teaching blood pressure measurement: CD-ROM versus conventional classroom instruction. J Nurs Educ. Vol 40 (3). pp. 138-141. [PubMed]
Bennet, M. & Maniar, M. (2008). Are videoed lectures an effective teaching tool?http://stream.port.ae.uk/papers/Are%20videoed%20lectures%20an%20effective%20teaching%20tool.pdf
Cofield, J. (2012). An assessment of streaming video in web-based instruction. In: Annual Meeting of the Mid-South Educational Research Association, Biloxi. University of Montevallo, Montevallo. http://www.eric.ed.gov/ERICWebPortal/search/detailmini
Deena, K.A. & Nashwan, A.A. (2014). An iatrogenic sciatic nerve injuries following gluteal intramuscular injection among children. Int Res J Pharm. Vol 5 (4). pp. 267-70
Devi, B., Khandelwal & Das Mridula. (2019). Comparison of the Effectiveness of Video-assisted Teaching Program and Traditional Demonstration of Nursing Students Learning Skills of Performing Obstetrical Palpation. Iranian Journal of Nursing and Midwifery Research. Vol 24 (2). pp. 118-123
Doijad V.P. & Kamble P.H. (2013). A comparative study: learning in experimental physiology with use of liver animals v/s video presentation as learning aids in first MBBS students. Int J Healthcare Biomed Res. Vol 2. pp. 24-9 [Google Scholar]
El-demerdash, S., Mohamed, E., & Taha. (2015). Adequacy of Intramuscular Injection Among Undergraduate Nursing Students. Journal of International Academic Research For Multidisciplinary. Vol 3 (7). pp. 115-130
Forbes, H., Oprescu, F. I., Downer, T., Philipps, N. M., Mc Tier, L., Lord, B., Barr, N., Alla, K., Bight, P., Dayton, J., Simbag, V. & Visser I. (2016). Use of videos to support teaching and learning of clinical skills in nursing education: A review. Nurse Education Today. Vol 42. pp 53-56
Forbes, M.O. & Hickey, M.T. (2008). Podcasting: implementation and evaluation in an undergraduate nursing program. Nurse Educator. Vol 33(5). pp. 224-227. doi: 10.1097/01.NNE.0000334775.98018.e8. [PubMed] [CrossRef]
GhamariZare, Z., Purfarzad Z. & Adib-Hajbaghery M. (2013). Medication Management Skills of Nursing Students: Comparing the Students and Their Instructors' Evaluation in two Universities. Nursing and Midwifery Studies. Vol 2 (1). pp. 139-145
Gulnar, E. & Ozveren, H. (2016). An Evaluation of the Effectiveness of a Planned Training Program for Nurses on Administering Intramusular Injections into the Ventrogluteal Site. Nursing Education Today. Vol 36. pp. 360-363
Hamilton, N.A., Kieninger, A.N., Woodhouse, J., Freeman, B.D., Murray, D. & Klingensmith, M.E. (2012). Video review using a reliable evaluation metric improves team function in high-fidelity simulated trauma resuscitation. J Surg Educ. Vol 69. pp. 428-31. [PubMed] [Google Scholar]
Hibbert, E.J., Lambert, T., Carter, J.N., Learoyd, D.I., Twigg, S., Clarke, S. (2013). A randomized controlled pilot trial comparing the impact of access to clinical endocrinology video demonstrations with access to usual revision resources on medical student performance of clinical endocrinology skills. BMC Med. Educ. Vol 13 (1). 135. http://dx.doi.org/10.1186/1472-6920-13-135 (1-10)
Holland, A., Smith, F., McCrossan, G., Adamson, E., Watt, S. & Penny, K. (2013). Online video in clinical skills education of oral medication administration for undergraduate student nurses: a mixed method, prospective cohort study, Nurse Educ. Today. Vol 33 (6). pp. 663-670. http://dx.dou.org/10.1016/j.nedt.2012.01.006
Intramuscular Injection Administration Skills among Students in the Institute of Nursing, Kuwait. Journal of Education and Practice. 8 (20). pp. 85-92
Jang, Hye Won and Kim, Kyong-Jee. (2014). Use of online video clinical videos for clinical skills training for medical students: benefits and challenges. BMC Medical Education. 14 (56). https://doi.org/10.1186/1472-6920-14-56
Journal of Caring Sciences. 10 (3)
Keelan, J., Pavri-Garcia V., Tomlinson G. & Wilson K. (2007). You Tube as a source of information on immunization: a content analysis. JAMA. Vol 298 (21). pp. 2482-2484. doi: 10.1001/jama.298:21.2482. [PubMed] [CrossRef] [Google Scholar]
Kelly, M., Lyng, C., Mc Grath, M. & Cannon, G. (2009). A multi-method study to determine the effectiveness of, and student attitudes to, online instructional videos for teaching clinical nursing skills. Nurse Educ. Today. Vol 29 (3). pp. 292- 300. http://doi.org/10.1016/jnedt.2008.09.004
Potter, P.A. & Perry, A.G. (2009). Fundamentals of Nursing. 7th Ed. Mosby Inc St. Louis Missouri. pp. 750-754
Rathod, S.S., Motghare, V.M, Padwal, S.L., Deshmukh, V.S., Pore, R.R. & Deshpande, R. (2013). Study of prescribing practices of injections in outpatients of a rural tertiary care teaching hospital. Int J Basic Clin Pharmacol. Vol 2. pp. 747-50
Rosen, M. & Pronovost, P. (2014). Advancing the Use of Checklist for Evaluating Performance in Health Care. Acad Med, Journal of the Association of American Medical Colleges. Vol 89 (7). pp. 1-3
RuLiou, Sh and Yu Cheng, Ch. (2014). Developing and validating the Clinical Competence Questionnaire: A self-assessment instrument for upcoming baccalaureate nursing graduates. Journal of Nursing Education and Practice. 4 (2). www.sciedu.ca/jnep
Sakic, B., Milutinovic, D. & Simin, D. (2012). An assessment of intramuscular injection among nursing students and nurses in hospital setting: is it evidence-based? South Eastern Health Science Journal. Vol 2 (2). pp. 114-121
Salina, L., Ruffinengo, C., Garrino, L., Massariello, P., Charrier, L., Martin, B., Favale. M.S. & Dimonte, V. (2012). Effectiveness of an instrument to refresh and reinforce the learning of a nursing technique: a randomized controlled trial. Perspect Med Educ, Vol 1(2). pp. 67-75. doi: 10.1007/s40037-012-0013-4
Shill, M.C., Fhad, M.B., Sarker, S., Dev, S., Rufaka, H.K. & Das, A.K. (2011). Injection practices at primary healthcare units in Bangladesh: Experience at six Upazilla health complexes. Australas Med J. 4 (1), 26-42.
Srividya, B., Nagabushan, H. & Drupad, H. (2015). Assessment of Knowledge among Health care providers regarding intramuscular injection administration. Asian Journal of Pharmaceutical and Clinical Research. Vol 8 (1). pp. 220-222
Students Increase with Educational Videos Materials? Scandinavian
Takeda, N., Takeuchi, I. & Haruna, M. (2007). Assessment of learning activities using streaming video for laboratory practice education: aiming for development of e-learning system that promote self-learning. Yakugaku Zasshi J Pharm Soc Jpn. Vol 127(12). pp. 2097-2103. doi: 10.1248/yakushi.127.2097. [PubMed] [CrossRef]
Thornhill, S., Arsenio, M. & Young C. (2002). Video streaming a guide for educational development. Manchester: The JISC Click and Go Video, ISD, UMIST, Manchester
Todd, K.H., Braslow, A, Brennan, R.T., et al. Randomized, controlled trial of video self-instruction versus traditional CPR training. (1998). Ann Emerg Med. Vol 31(3). pp. 364-369. doi: 10.1016/SO196-0644(98)70348-8. [PubMed] [CrossRef]
Topal, F.E. & Yildirim, B. (2014). The assessment of distances of intramuscular injection location from some landmarks in the students of Mugla School of Health Sciencs. Cumhuriyet Med J. Vol 36. pp. 206-14
WHO - Guiding principles to ensure injection device security- BCT/03.12. Available from: http://www.who.inr/injection_safety/WHOGuidPrinciplesnjEquipFinal.pdf.
Yoo, M.S., Yoo, I.Y. & Lee, H. (2010). Nursing students' self-evaluation using a video recording of Foley catheterization: effects on students' competence, communication skills, and learning motivation. J Nurs Edu. Vol 49. pp. 40
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Dr. Abeer William, Mrs. Victoria L. Vidal, Dr. Helalia Shalabi Moham
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
