Arterial pulsation on a human patient simulator improved students’ pulse assessment
Author(s)
Akihiro Takeuchi,
Tomomi Kobayashi,
Minoru Hirose,
Takashi Masuda,
Toshiro Sato,
Noriaki Ikeda
Affiliation(s)
Department of Medical Informatics, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan. Department of Medical Safety Engineering, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan. Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan.
Department of Medical Informatics, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan. Department of Medical Safety Engineering, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan. Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan.
ABSTRACT
Even with basic cardiovascular lectures, undergraduates do not usually experience the reality of palpation and, therefore, cannot integrate their physiological knowledge. We created a pulse training scenario of human patient simulators (HPS) to recognize and assess the normal and arrhythmic pulse of the radial artery. All 25 participants were recruited as volunteers to the study from the School of Allied Health Sciences, Kitasato University. Participants received training in radial palpation of arrhythmias on HPS. The test scenario included 10 arrhythmic pulses combined with normal pulses and weak pulses. The average examination scores significantly improved, from 23.8 ± 2.8 of the pretest to 72.9 ± 3.4 of the posttest (mean and SE, N = 25, p < 0.00001). A questionnaire and general written comments for the palpation training were positive. The palpation training improved the participants’ assessment of radial pulses.
Even with basic cardiovascular lectures, undergraduates do not usually experience the reality of palpation and, therefore, cannot integrate their physiological knowledge. We created a pulse training scenario of human patient simulators (HPS) to recognize and assess the normal and arrhythmic pulse of the radial artery. All 25 participants were recruited as volunteers to the study from the School of Allied Health Sciences, Kitasato University. Participants received training in radial palpation of arrhythmias on HPS. The test scenario included 10 arrhythmic pulses combined with normal pulses and weak pulses. The average examination scores significantly improved, from 23.8 ± 2.8 of the pretest to 72.9 ± 3.4 of the posttest (mean and SE, N = 25, p < 0.00001). A questionnaire and general written comments for the palpation training were positive. The palpation training improved the participants’ assessment of radial pulses.
Cite this paper
Takeuchi, A. , Kobayashi, T. , Hirose, M. , Masuda, T. , Sato, T. and Ikeda, N. (2012) Arterial pulsation on a human patient simulator improved students’ pulse assessment. Journal of Biomedical Science and Engineering, 5, 285-289. doi: 10.4236/jbise.2012.55036.
Takeuchi, A. , Kobayashi, T. , Hirose, M. , Masuda, T. , Sato, T. and Ikeda, N. (2012) Arterial pulsation on a human patient simulator improved students’ pulse assessment. Journal of Biomedical Science and Engineering, 5, 285-289. doi: 10.4236/jbise.2012.55036.
References
[1] Kreitenberg, A., Karliner, J.S., Engler, R.L. and Marchand, E.R. (1982) A simple teaching device for examination of the arterial and venous pulse. American Journal of Cardiology, 50, 1391-1393. doi:10.1016/0002-9149(82)90480-5 [2] Nair, B.K. (2011) The pulse. In: Nair, B.K., Ed. Adult Physical Examination. Accessed 22 August 2011. http://physicalexamination.org/?q=node/33 [3] Good, M.L. (2003) Patient simulation for training basic and advanced clinical skills. Medical Education, 37, 14-21. doi:10.1046/j.1365-2923.37.s1.6.x [4] Wilson, M., Shepherd, I., Kelly, C. and Pitzner, J. (2005) Assessment of a low-fidelity human patient simulator for the acquisition of nursing skills. Nurse Education Today, 25, 56-67. doi:10.1016/j.nedt.2004.10.004 [5] Hyatt, J.P. and Hurst, S.A. (2010) Novel undergraduate physiology laboratory using a human patient simulator. Medical Education, 44, 523. doi:10.1111/j.1365-2923.2010.03651.x [6] McCausland, L.L., Curran, C.C. and Cataldi, P. (2004) Use of a human simulator for undergraduate nurse education. International Journal of Nursing Education Scholarship, 1, 1-17. doi:10.2202/1548-923X.1035 [7] Wallin, C.J., Meurling, L., Hedman, L., Hedeg?rd, J. and Fell?nder-Tsai, L. (2007) Target-focused medical emergency team training using a human patient simulator: Effects on behaviour and attitude. Medical Education, 41, 173-180. doi:10.1111/j.1365-2929.2006.02670.x [8] Brannan, J.D., White, A. and Bezanson, J.L. (2008) Simulator effects on cognitive skills and confidence levels. Journal of Nursing Education, 47, 495-500. doi:10.3928/01484834-20081101-01
[1] Kreitenberg, A., Karliner, J.S., Engler, R.L. and Marchand, E.R. (1982) A simple teaching device for examination of the arterial and venous pulse. American Journal of Cardiology, 50, 1391-1393. doi:10.1016/0002-9149(82)90480-5 [2] Nair, B.K. (2011) The pulse. In: Nair, B.K., Ed. Adult Physical Examination. Accessed 22 August 2011. http://physicalexamination.org/?q=node/33 [3] Good, M.L. (2003) Patient simulation for training basic and advanced clinical skills. Medical Education, 37, 14-21. doi:10.1046/j.1365-2923.37.s1.6.x [4] Wilson, M., Shepherd, I., Kelly, C. and Pitzner, J. (2005) Assessment of a low-fidelity human patient simulator for the acquisition of nursing skills. Nurse Education Today, 25, 56-67. doi:10.1016/j.nedt.2004.10.004 [5] Hyatt, J.P. and Hurst, S.A. (2010) Novel undergraduate physiology laboratory using a human patient simulator. Medical Education, 44, 523. doi:10.1111/j.1365-2923.2010.03651.x [6] McCausland, L.L., Curran, C.C. and Cataldi, P. (2004) Use of a human simulator for undergraduate nurse education. International Journal of Nursing Education Scholarship, 1, 1-17. doi:10.2202/1548-923X.1035 [7] Wallin, C.J., Meurling, L., Hedman, L., Hedeg?rd, J. and Fell?nder-Tsai, L. (2007) Target-focused medical emergency team training using a human patient simulator: Effects on behaviour and attitude. Medical Education, 41, 173-180. doi:10.1111/j.1365-2929.2006.02670.x [8] Brannan, J.D., White, A. and Bezanson, J.L. (2008) Simulator effects on cognitive skills and confidence levels. Journal of Nursing Education, 47, 495-500. doi:10.3928/01484834-20081101-01