Efficacy and Satisfaction of The Rubber Training Models for Subcutaneous Injection Training in Nursing Students and Nursing Instructors in Ten Nursing Network Institutes

Abstract

This Research and Development (R&D) study aims to investigate the efficacy and satisfaction of using rubber training models for subcutaneous injection training among nursing students and nursing instructors from ten nursing network institutes, utilizing the ADDIE Model methodology which comprised five stages: Analysis, assessing the need to solve teaching and learning problems; Design, creating an innovative prototype of a simulated rubber abdomen for subcutaneous injection practice based on evidence-based practice; Development, developing the simulated rubber abdomen for subcutaneous injection practice; Implementation, using the innovation by nursing students and instructors; and Evaluation, evaluating the use of the simulated rubber abdomen innovation for subcutaneous injection practice. The research area covered ten nursing network institutes: North Bangkok University, The Royal Thai Army Nursing College, Kuakarun Faculty of Nursing, Boromarajonani College of Nursing, Yala, Faculty of Nursing, Maejo University, Faculty of Nursing, Thammasat University, Faculty of Nursing, Prince of Songkla University Pattani Campus, Faculty of Nursing NPRU, Faculty of Nursing, Prince of Songkla University and Boromarajonani College of Nursing, Songkhla. The sample group comprised 292 nursing students and 102 nursing instructors, selected through purposive sampling. The research utilized two main instruments: a data collection tool consisting of personal information questionnaires and the efficacy of assessment questionnaires for rubber training models, and experimental tools including rubber abdomen models for subcutaneous injection training. Content validity assessment yielded a coefficient of .74, indicating satisfactory alignment with the intended content. Additionally, reliability testing resulted in a coefficient of .72, indicating consistent measurement outcomes. Data were analyzed using SPSS version 26.

The results revealed high levels of efficacy of the rubber training models for subcutaneous injection training among nursing students and instructors, with mean scores of 4.54 (SD=0.44) and 4.50 (SD=0.75), respectively. The highest levels of satisfaction among students were related to safety and ease of use, with mean scores of 4.71 (SD=0.53) and 4.67 (SD=0.59), respectively. Instructors demonstrated high levels of satisfaction regarding safety of use and user-friendliness, with mean scores of 4.71 (SD=0.50) and 4.63 (SD=0.60), respectively. This study contributes to the development of teaching media innovations tailored to the needs of nursing students and instructors, fostering a sense of safety and enabling realistic skills practice. Moreover, it further enhances the promotion of professional standards within the nursing field and holds the potential to positively impact future patient care quality.