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May 1, 2022Iranian Journal of Nursing and Midwifery ResearchOpen Access

There was a significant difference between the mean total scores of nurse performance before and after the intervention [83.54 (SD 8.01) vs. 64.51 (SD 11.20); t = 17.29, p < 0.001].

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Why the study?

Clinical supervision is an educational model intended to reduce the theory-practice gap, but its effect on nurses' performance in atrial fibrillation care in the critical care unit required evaluation.

Does a clinical supervision model improve nurses' performance in providing care to patients with atrial fibrillation in a CCU?

Population

36 eligible nurses working in CCU hospitals in Isfahan, Iran

Comparison

Clinical supervision model assessed pre-intervention vs post-intervention

Design

Quasi-experimental study with a pretest-posttest design

Authors

MMMaryam MokhtariAKAsghar Khalifehzadeh-EsfahaniSMShahla Mohamadirizi

Discussion

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Overview

May support clinical supervision for AF care training in CCUs; leaves open need for randomized trials to confirm.

Structured PICO

Does a clinical supervision model improve nurses' performance in providing care to patients with atrial fibrillation in a CCU?

P
Population
36 nurses working in the Critical Care Unit (CCU) with a minimum of 9 months of job experience and a bachelor's degree in nursing, mean age 33.97 years, 88.9% female, in Isfahan, Iran.
I
Intervention
Clinical supervision model implemented in 3 stages: a pre-action phase (2-4 hour training session on AF disease and care), an action phase (performing care plans while monitored by a researcher), and a post-action phase (interview and feedback).
C
Comparator
Pre-intervention baseline performance (single-group pretest-posttest design).
O
Outcome
Nurses' performance in providing care to patients with Atrial Fibrillation (AF), measured by a 48-item checklist across 3 dimensions (care, pharmacologic, and electrical cardioversion).

The implementation of a clinical supervision model significantly improved CCU nurses' performance scores in providing care, pharmacologic, and electrical cardioversion for patients with atrial fibrillation.

Limitations

  • Small community and sample size
  • Focused on care provided for only 1 disease and in 3 performance domains
  • Could not control for previous experience, fatigue, job stress, and family/economic problems
  • Hawthorne effect (nurses may have tried to follow standards better because they were being monitored)

Cite This Study

Mokhtari et al. (2022) studied this question.

synapsesocial.com/papers/6a708b2fe5469ee92be1419chttps://doi.org/10.4103/ijnmr.ijnmr_203_20
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