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- Title
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses.
- Authors
Tseng, Li-Ping; Hou, Tung-Hsu; Huang, Li-Ping; Ou, Yang-Kun
- Abstract
Background: To determine the impact of combining clinical simulation scenario training and Information Technology Integrated Instruction (ITII) on the teaching of nursing skills. Methods: 120 4th-year students in a nursing program who were enrolled in medical and surgical nursing courses. 61 received innovative instruction (experimental group) and 59 received conventional instruction (control group). The ADDIE model, systematic method of course development that includes analysis, design, development, implementation, and evaluation,was used to build simulation teaching and clinical scenarios and to create and modify objective structure clinical examination (OSCE) scenario checklists for acute myocardial infarction (AMI) care, basic life support and operation of automated external defibrillator (BLS), and subdural hemorrhage (SDH) care. The modified OSCE checklists were assessed for reliability, consistency, and validity. The innovative training included flipped classrooms, clinical simulation scenarios, ITII and blended learning formats. Results: The reliability and validity of the OSCE checklists developed in this study were acceptable and comparable or higher than checklists in past studies and could be utilized as an OSCE performance tool. Students in innovative instruction obtained significantly better OSCE performance, lab scores and improvements from the previous year's grades. Significant differences were found in situational awareness (SA). No strong correlations were found between OSCE scores and clinical internship scores, and no significant differences were found between the groups in overall clinical internship performance. Conclusions: Innovative instruction showed better performance than conventional methods in summative evaluation of knowledge components, OSCE formative evaluation and clinical nursing internship scores, as well as improved situational awareness in nursing students.
- Subjects
TAIWAN; COLLEGE students; TEACHING methods; NURSING; CLINICAL trials; EVALUATION of human services programs; LIFE support systems in critical care; NURSING specialties; MYOCARDIAL infarction; NURSING education; HUMAN services programs; COMPARATIVE studies; ACADEMIC achievement; UNIVERSITIES &; colleges; CLINICAL competence; RESEARCH funding; NURSING students; CURRICULUM planning; DEFIBRILLATORS; JUDGMENT sampling; INFORMATION technology; EDUCATIONAL outcomes
- Publication
BMC Nursing, 2021, Vol 20, Issue 1, p1
- ISSN
1472-6955
- Publication type
Article
- DOI
10.1186/s12912-021-00744-7