Attempts by a situation setting simulation

Evaluation of job performance at nine months in to work

Abstract

Nurses should assess the states of patients and prioritize their responses for patients having high medical dependence in diversification of medical needs, while they are securing the safety and the comfort of the patients and providing services appropriately. However, they have little opportunity to looking back on their behavior objectively. Therefore, at Kagawa university hospital, we have introduced the simulated educational program based on “multi-tasking” situation for evaluating practical skill at nine months after finding employment, because we wanted to clarify the problems of newcomer nurses by looking back on their behavior from their responses to multi-tasking situation. The purpose of this study is to examine the practical skill evaluation and the training effect by this situation-based simulation educational program.
Sixty-four nurses who were employed in April 2017 were tasked to respond to multi-tasking situation during ten minutes in the prepared setting scenes, after which they performed self- and observer-evaluation using the checklist consisted of 11 items. In addition, subjects performed a debriefing session with their instructors while watching the video of their response to multi-tasking situation. At the evaluation of the checklist, all subjects were able to prioritize their responses.
This result might show that nurses had acquired the practical skill by OJT and the experiences in daily nursing scenes during their nine-months work. Furthermore, more than 90% of the subjects showed willingness to use this simulation again to learn about their own problems for practice. From the results of this study, the multi-tasking situation-based simulation educational program might be one of the effective educational programs for nurses in evaluating their practical skills and gain feedback to individual's problems.