• Retno Dewi Sulistyowati Student of Master Program Study, Public Health Faculty, University of Indonesia, Jakarta
  • Adang Bachtiar Department of Health Policy Administration, Public Health Faculty, University of Indonesia, Depok


Background: Simulation-based nursing education has been growing rapidly and becomes one of the most popular teaching methods for improving patient safety and patient care. One of the difficult Nursing skills to achieve is IV insertion. Due to the high complaints in the number of IV insertion attempts in the paediatric patients, the Nursing Corporate of Awal Bros Hospital
Group organized an educational program emphasizing the team training, clinical decisionmaking and communication skills. These were the first internal education sessions using live rabbits and mannequins. This study aimed to evaluate the attitude of the participants, the selfconfidence level and their change in the knowledge on clinical performance in Paediatric IV Insertion after attending the educational program. 

Methods: The training and education sessions were conducted at Awal Bros Hospitals in Bekasi Barat and Tangerang during March and April 2019. The participants included a total of 52 Nurses. Pre- and Post-tests consisting of 20 multiple choice questions were administered to the participant before and after the 3-day simulation-based training workshop in Bekasi Barat and after the 2-day simulationbased training workshop in Tangerang. The workshop also utilized rabbits for the participants to practice their hands-on skills.

Results: A total of 52 Nurses working in different Nursing units were enrolled. The mean pre-test and post-test scores were 43.81 and 87.52 respectively. In the Statistics Test table, the value of Asymp. Sig (2-tailed) was 0,000. Because the value of sig 0,000 < 0.05 was according to the statistical tests we used, then there are significant differences between before training and after training. 

Conclusions: Participants had positive attitude toward this new training program. They stated that this technique was more exciting and effective compared to the “traditional” techniques such as lecture, power point presentations or Q&A that they attended. Significant improvement of the knowledge on clinical performance in Nurses participating in these training and education session was observed after the participation in this simulation-based educational program. Many expressed their higher selfconfidence in doing IV insertion to the future patients, especially babies and children. More simulationbased education using pre- and post-tests are recommended. 

Keywords: Education, Nursing, IV Insertion


WHO. World Alliance for Patient Safety: Forward Programme. Geneva: World Health Organization. 2005.

Chassin MR, Loeb JM. High-Reliability Health Care: Getting There From There. The Milbank Quarterly. 2013;91(3):459-490.

Mardon RE, Khanna K, Sorra J, Dyer N. Exploring Relationships Between Hospital Patient Safety Culture and Adverse Events.

Journal of Patient Safety. 2010;6(4):226-232.

Pettit J. Assessment of The Infant With a Peripheral Intravenous Device. Advances in Neonatal Care. 2003;3(5):230-240.

Chan CH, Chan TN, Yuen MC, Tung WK. Evaluation of a Simulation-Based Workshop on Clinical Performance for Emergency

Physicians and Nurses. World Journal of Emergency Medicine. 2015;6(1):16-22.

Chakravarthy B, Haar ET, Bhat SS, McCoy CE, Denmark T, Lotfipour S. Simulation in Medical School Education: Review for

Emergency Medicine. The Western Journal of Emergency Medicine. 2011;12(4):461-466.

McLaughin S, Fitch MT, Goyal DG, Hayden E. Simulation in Graduate Medical Education 2008: A Review for Emergency Medicine.

Academic Emergency Medicine. 2008;15(11):1117-1129.

Okuda Y, Bryson EO, Demaria S, Jacobson L. The Utility of Simulation in Medical Education: What is The Evidence? Mount Sinai

Journal of Medicine. 2009;76(4):330-343.

Knowles MS, Holton EF, Swanson RA. The Adult Learner: The Definitive Classic in Adult Education and Human Resource

Development (7th ed). New York: Routledge. 2012.

Paige J, Arora S, Fernandez G, Seymour N. Key Elements of Debriefing for Simulator Training. The American Journal of Surgery.


Ericsson K. The Influence of Experience and Deliberate Practice on the Development of Superior Expert Performance. In: The

Cambridge Handbook of Expertise and Expert Performance. Cambridge: Cambridge University Press; 2006.

Wayne DB, Barsuk J, O’Leary KJ, Fudala MK, Mcgaghie WC. Mastery Learning of Thoracentesis Skills by Internal Medicine

Residents Using Simulation Technology and Deliberate Practice. Journal of Hospital Medicine. 2008;3(1):45-54.

Mcgaghie WC, Issenberg B, Cohen ER, Barsuk J, Wayne DB. Medical Education Featuring Mastery Learning with Deliberate Practice Can Lead to Better Health for Individuals and Populations. Academic Medicine: Journal of The Association of American Medical

Colleges. 2011;86(11):e8-9.

Buyske J. The Role of Simulation in Certification. Surgical Clinics of North America. 2010;90(3):619-621.

Steadman RH, Huang YM. Simulation for Quality Assurance in Training, Credentialing and Maintenance of Certification. Best

Practice & Research: Clinical Anaesthesiology. 2012;26(1);3-15.

Liker JK, Evans SM, Ulin SS. The Strengths and Limitations of Lecture-Based Training in The Acquisition of Ergonomics Knowledge

and Skill. International Journal of Industrial Ergonomics. 1990;5(2);147-159.



How to Cite

Sulistyowati, R. D., & Bachtiar, A. (2019). HOW EFFECTIVE IS SIMULATION-BASED EDUCATION FOR IMPROVING THE NURSES’ KNOWLEDGE ON PEDIATRIC IV INSERTION: A SYNTHESIS FROM AWAL BROS HOSPITAL GROUP IN INDONESIA. Proceedings of the International Conference on Applied Science and Health, (4), 840–848. Retrieved from




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