The effectiveness of video training in improving intensive care nurses' knowledge about brain death identification

DENİZ İ., Ayhan H.

Nursing in Critical Care, vol.29, no.1, pp.80-89, 2024 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 1
  • Publication Date: 2024
  • Doi Number: 10.1111/nicc.12863
  • Journal Name: Nursing in Critical Care
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.80-89
  • Keywords: brain death, intensive care, intensive care nurse, training, video-assisted training
  • Hakkari University Affiliated: Yes


Background: Because patients diagnosed with brain death in intensive care units constitute a potential cadaveric donor group for organ transplantation, intensive care units are potential donor sources. Nurses who closely monitor the patient collaborate with medical personnel in the recognition and early diagnosis of brain death. Nurses also have an important role in supporting the patient's family. Therefore, it is very important for nurses to know the diagnostic criteria for brain death. Aim: The aim of this study was to compare the effectiveness of theoretical education and video-assisted education in equipping intensive care nurses to recognize brain death. Study Design: A randomized, experimental study was conducted between February and May 2020 with a total of 50 intensive care nurses, split into 25 in the video-assisted training group and 25 in the theoretical training group. In study, intensive care nurses were given a theoretical training and video-assisted training on brain death criteria. One group was trained theoretically and the other group used a video showing criteria for brainstem reflexes (pupil assessment, spontaneous breathing, corneal reflex, retching and coughing assessments) and deep tendon reflexes in a simulated patient, supported by animation. The data were collected before, immediately after and 3 months after the training using the Brain Death Criteria Knowledge Test, the Brain Death Case Test, and the Training Effectiveness Evaluation Form. The independent samples t-test, Mann–Whitney U test, Friedman test, Wilcoxon test, and Chi-square test were used for statistical analysis of data. Results: It was found that the knowledge scores of both groups immediately after training and 3 months after training were higher than before the training (p <.001). However, the post-training knowledge scores of the video-assisted training group were significantly higher than those of the theoretical training group (p =.011). Conclusions: To enable intensive care nurses to identify brain death, video-assisted training with a simulated patient is recommended, as is repeating the training at regular intervals. Relevance to Clinical Practice: The simulated patient video-assisted training method can be used for in-service training to provide intensive care nurses with the ability to identify brain death. The training may be repeated at regular intervals (e.g., every 3 months) to increase nurse recall.