Research Information System
International Journal of Caring Sciences, vol.16, no.2, pp.820-828, 2023 (Peer-Reviewed Journal)
Abstract
Background: Despite asthma management guidelines and newly developed effective medications,
asthma is still a difficult-to-control disease because of the inability of nurses to use inhaler drugs
effectively and properly.
Aim:This study aimed to determine the effect of simulation-based training and pretest application on the
knowledge and performance scores with a Solomon four-group experimental design.
Methods: Group 1 underwent a pretest, training, and a posttest; group 2 a pretest and posttest; group 3
training and a posttest; and group 4 a posttest. Data were collected at the beginning and in the last stage
(n = 120).
Results: Among groups without pretest the amount of increase in post-test knowledge score due to
education in group 3 was higher compared to group 4. Post-test knowledge score average of group 2 was
higher than group 4 (t = 3.30; p = .002). The average post-test knowledge score of group 1 was higher
than group 3 (t = 7.35; p <.001). The pre-test affected the post-test knowledge score. Post-test mean score
was higher than group 1 than group 2 (t = 2.92; p = .005). Posttest performance mean score of group 3
was higher than group 4 (t = 6.26; p <.001). Simulation training was effective in practice. Posttest
performance mean score of group 2 was higher than group 4 (t = 4.27; p <.001).
Conclusion: Simulation training with standardized patients was effective in teaching how to use inhaler
drugs.
Keywords: Learning, lecture, simulation, solomon experimental design, nursing