EFFECT OF INSTRUCTIONAL VIDEO OF SPLINTING PROCEDURE TO NURSING STUDENTS SPLINTING SKILL (PREHOSPITAL SETTING)

Abstract

Musculoskeletal injuries (MSI) is one kind of
injury that is often experienced by people who have
an accident (Chalya et al. 2012). Fracture is one of
the symptom caused by some types of accidents
such as traffic accidents (45.3%), falls (42.6%),
workplace accidents (8.9%), sport accidents (2.2%),
or as a result of gun shots (0.89%). The effect of
musculoskeletal injuries is the emergence of
extreme pain, mobilizing problem, and severe
bleeding that may also occur depending on the
location and type of the fracture (Vyas et al. 2014).
Research conducted by Mishra and Mishra (2015)
showed that in 30% of patients who had an accident,
18% had a single fracture, while some patients had
multiple fractures. The complications due to
fractures can be a serious problem such as malunion,
nonunion, pain, loss of function, muscle atrophy,
cartilage degeneration, stiff / swollen joint, deep
vein thrombosis (DVT), pulmonary embolism (PE),
and died due to massive bleeding (Mehta et al.
2014).
Prehospital care and transportation for patients
who had fracture must done immediately in order to
prevent the injured bone getting worse and can
reduce the extreme pain which emerged as a result
of fracture (El-Dakhakhny, 2010). Splinting is one of
the procedure that is given with the purpose to give
an immobilization in a patient (Irajpour et al. 2012).
As a simple technique, splinting procedure is very
easy to do as an effective option that highly effective
in the treatment of patient with fracture on the
emergency situation (Alton et al. 2014). Splinting
procedure is quite simple, but it require a form of
understanding and set of skills to do correctly.
Nursing students have a very important role in
assisting the process of handling victims who is
suffering from fracture. They also need to have a
special skill in doing a splinting procedure. An
innovative teaching method using technology is very
important for nursing student to master the splinting
procedure effectively (Parasuram et al. 2014).
One of the strategies of innovative learning
model based on modern technology is an audiovisual
instructional video that gives a real application
concept of nursing procedure or other nursing
experience in a video form (Jenson & Forsyth, 2012).
The use of this model will provide an understanding
of the concept for nursing students independently to
gain the knowledge and also the set of skills (Cant &
Cooper, 2010). Smith and Hamilton (2015) in their
research on the effects of instructional video as one
of strategies of learning in nursing student showed
that the model of learning with instructional video
provided convenience for nursing students to
enhance clinical skills for the basic competencies in
nursing.
The purpose of this study is to determine the
effect of instructional video of splinting procedure to
nursing students splinting skill.