Development of the Army Nurse Chest Drain Care Model

Abstract

Intercostal drainage (ICD) is an important life-saving procedure in managing pneumothorax and hemothorax. However, ICD carries the risk of serious complications, making nursing competence in utilizing ICDs essential in delivering care. Essential skills such as nursing care in cases of emergency incidents: chest tube displacement or broken drainage bottle cannot be trained with real patients. Unfortunately, current manikins do not present realistic models for effective training, necessitating the development of manikin model. The final model was evaluated on students’ knowledge and perceived skills related to ICD care and users’ satisfaction by the third year undergraduate nursing students of the Royal Thai Army Nursing College (n = 83) and the nursing instructors (n = 5). The results showed that ICD-care related knowledge and skills of nursing students were significantly improved after the use of the teaching innovation, compared to the baseline data (p< 0.05). The average satisfaction of the nursing students and nursing instructors were at a very high level ( X = 4.63 and 4.88 out of 5 respectively).