Effectiveness of simulated training on Pediatric Advanced Life support on knowledge and skills among B.Sc Nursing students - randomized control trial
Authors: Kavita Kavita Sharma , Devi Devi CG 
Published: April 2024

Abstract

Introduction: Pediatric healthcare is a dynamic and demanding field, where the ability to respond swiftly and effectively to critical situations can make the difference between life and death for young patients. In this context, the management of pediatric resuscitation and trauma scenarios stands as a pivotal skill set those healthcare providers, including nursing students, must possess. Pediatric cardiac arrest, neonatal resuscitation, and Pediatric emergency cases present unique challenges due to the vulnerability of the patients involved.
Aim: To assess the effectiveness of simulated training on pediatric advanced life support among B.Sc. Nursing III Year students.
Objectives: To evaluate the effectiveness of simulated training on knowledge and skills regarding pediatric advanced life support among B.Sc. Nursing III Year students. To analyze the correlation between knowledge and skills regarding pediatric advanced life support among B.Sc. Nursing III Year students. To find the association between the pretest knowledge and skills score with their selected demographic variables.
Material and methods: A randomized control trial (Pretest- posttest design only) was used to conduct the study at selected Nursing colleges of Bareilly; U.P. Simple random sampling (Computer assisted) method was used to collect the data. Data was collected by self-structured questionnaire and observational checklist. 84 B.Sc. Nursing IIIrd year students were selected in experimental group and 84 B.Sc. Nursing IIIrd year students were selected in control group. Pretest was conducted in both experimental and control group after simulated training program was given to experimental group which is especially focused on PALS systematic approach and basic life support and advanced life support. Post test was conducted after 15 days after intervention. Descriptive statistics includes frequency, percentage were used to analysed the results.
Results: The data analysis and findings of the study shows that majority in experimental group, all the participants were belongs to the age group of 20-24 years. In control group, 95% of the participants were belongs to the age group of 20-24 years and remaining 5% were belongs to 24-29 years. In Experimental group, Majority 80% of the participants were Female and remaining 20% were Male. In control group 85% of the participants were Female and remaining 15% were also Male. In Experimental group, 75 % of the participants were belongs to Hindu religion, 14% of the participants were belongs to others religion, 6% were Muslims and remaining 5% were Christian. In control group, 64 % of the participants were belongs to Hindu religion, 14% of the participants were belongs to others religion, 18% were Christian and remaining 4% were Muslims. In Experimental group, 73 % of the participants were not having previous exposure of PALS and remaining 27% of the participants were having previous exposure of PALS. In control group, Equal participants were having or not having previous exposure of PALS. In Experimental group, Majority 55% of the participants were getting sources of information from the Books, 24% from the mass media, 13% from the health professional and remaining 8% were getting sources of information from Training of session. In control group, 42% of the participants were getting sources of information from the Books, 24% from the mass media, 18% from the health professional and remaining 17% were getting sources of information from Training of session.The comparison of post-test Knowledge scores of the experimental and control group shows the mean post-test knowledge score (16.63 ± 4.61) of the experimental group was greater than the mean pre-test knowledge score (12.53 ± 4.12) of the control group with the mean difference of 4.1.The calculated t value was (t=6.07) more than the tabled value (t166 = 1.65). Hence there is significance difference in the mean post-test knowledge scores.The Comparison of post-test skills scores of the experimental and control group shows that the mean post-test skills score (16.47 ± 2.96) of the experimental group was greater than the mean pre-test skills score (7.73 ± 1.99) of the control group with the mean difference of 8.74.The calculated t value was (t=22.39) more than the tabled value (t166 = 1.65). Hence there is significance difference in the mean post-test skills scores.
Conclusion: The present study concludedthatthesimulated training waseffectiveinenhancingtheknowledgeandskillsofB.Sc Nursing III rd year students regardingPALS. The nursing faculties can use the results of study and canimprove the knowledge level and skills regarding PALS among Nursing students. The future nurses can apply their knowledge and skills in pediatric emergencies can reduce pediatric mortality rate. The result of the study helps forfuture explorers to do some qualitative studies. The similar study can be conducted in hospital area for staff nurses and doctors and. Comparative study can be conducted between PG and UG faculties and thesimilarstudy canbereplicated onlargesamples therebyfindings canbegeneralized.