Combining video-assisted teaching with patient simulation improves nursing students’ knowledge and performance of aseptic endotracheal suctioning

Authors

Keywords:

Simulation training, Nursing education, Knowledge, Satisfaction

Abstract

Introduction: Nurses should develop high competence in the aseptic endotracheal suctioning technique during university to reduce the associated complications of intubated patients. Video-assisted teaching and simulation training are two learning methods that significantly improve students' knowledge, skills, and competencies. However, there is limited empirical evidence on their combined effect when teaching the aseptic endotracheal suctioning technique. Consequently, this study aimed to evaluate the effect of video-assisted teaching method accompanied with simulation training on nursing students.

Material and Method: This is a single-blind, randomized pilot trial with 87 undergraduate nursing students. The students were randomly divided into two groups: a control group, n1=41, and an intervention group, n2=46. Both groups participated in the videos-assisted lecture, but only the intervention group practiced the technique on the simulator. Subsequently, both groups were assessed based on their knowledge and competency of the technique.

Results: The intervention group showed significantly greater knowledge acquisition (p < 0.001) regarding the technique. They also performed the technique considerably better than the students in the control group (80.9% versus 49.0%, confidence interval 95%). Furthermore, the intervention group had a higher level of satisfaction with the training method (rho = 0.469, p < 0.001).

Conclusion: Combining video-assisted teaching with simulation training seems to improve knowledge acquisition and competency of nursing students when teaching the aseptic endotracheal suctioning technique. Therefore, educators could combine these methods to teach the aforementioned technique more efficiently.

Key-words: Simulation training, Nursing education, Knowledge, Satisfaction

Author Biographies

Michail Zografakis-Sfakianakis, Ελληνικό Μεσογειακό Πανεπιστήμιο

Associate Professor, Department of Nursing, Hellenic Mediterranean University, Greece

Antonios Christodoulakis

Academic Fellow, Department of Nursing, Hellenic Mediterranean University, Greece

Vasiliki Chantampi

Nurse, RN, Greece

Ioanna Chalkidou

Nurse, RN, Greece

Ioanna Poulinaki

Nurse, RN, Greece

Christos Kleisiaris

Professor, Department of Nursing, University of Thessaly, Greece

Theocharis Konstantinidis

Associate Professor, Department of Nursing, Hellenic Mediterranean University, Greece

Athina Patelarou

Professor, Department of Nursing, Hellenic Mediterranean University, Greece

Evridiki Patelarou

Professor, Department of Nursing, Hellenic Mediterranean University, Greece

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Published

2026-07-17