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Effects of Web-based Simulation and High-fidelity Simulation of Acute Heart Disease Patient Care

급성 심장질환자 간호에 대한 웹기반 시뮬레이션과 고충실도 시뮬레이션 교육 효과

  • Received : 2016.10.29
  • Accepted : 2017.02.07
  • Published : 2017.02.28

Abstract

Purpose: The aim of this study was to assess the efficacy of web-based simulation and high-fidelity simulation on acute heart disease patient care. Methods: The project used a comparative study design with two simulation-based training modalities. A total of 144 nursing students participated in this study: 76 students in a web-based simulation, and 68 students in a high-fidelity simulation. Participants rated their self-efficacy, problem-solving ability, interest in learning, level of stress, satisfaction with the simulation experience, and level of difficulty of the simulation. Results: The scores for self-efficacy, problem-solving ability, and interest in learning including interest in clinical training in the high-fidelity simulation group was higher than in the web-based simulation group. However, there were no significant differences in interest in learning, including interest in nursing knowledge, and in lab training, level of stress, satisfaction with the simulation experience, and level of difficulty of the simulation. Conclusion: A high-fidelity simulation of acute heart disease patient care might be beneficial to developing many more abilities for nursing students than would a web-based simulation. Also, since the web-based simulation improved interest in nursing knowledge, it could be a viable alternative to high-fidelity simulation. Further study is needed to verify the effects of varied levels of simulation-based care with more rigorous outcomes.

Acknowledgement

Supported by : 서울여자간호대학교

References

  1. Akhu-Zaheya, L. M., Gharaibeh, M. K., & Alostaz, Z. M. (2013). Effectiveness of simulation on knowledge acquisition, knowledge retention, and self-efficacy of nursing students in Jordan. Clinical Simulation in Nursing, 9(9), e335-e342. https://doi.org/10.1016/j.ecns.2012.05.001
  2. Chu, M. S., & Hwang, Y. Y. (2013). Development and effects of the integrative fidelity simulation curriculum. The Journal of Korean Academic Society of Nursing Education, 19(3), 362-370. https://doi.org/10.5977/jkasne.2013.19.3.362
  3. Chu, M. S., Hwang, Y. Y., & Park, C. S. (2006). Development and application of PBL module using simulator: Focused on simman. Journal of Korean Academy of Fundamentals of Nursing, 13(2), 182-189.
  4. Elfrink, V. L., Kirkpatrick, B., Nininger, J., & Schubert, C. (2010). Using learning outcomes to inform teaching practices in human patient simulation. Nursing Education Perspectives, 31(2), 97-100.
  5. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
  6. Foronda, C., Liu, S., & Bauman, E. B. (2013). Evaluation of simulation in undergraduate nurse education: An integrative review. Clinical Simulation in Nursing, 9(10), e409-e416. https://doi.org/10.1016/j.ecns.2012.11.003
  7. Han, S. Y. (2014). Effects of high-fidelity simulation-based education on nursing care for patients with acute chest pain. Journal of Korean Academia-Industrial Cooperation Society, 15(3), 1515-1521. https://doi.org/10.5762/KAIS.2014.15.3.1515
  8. Kaddoura, M., Vandyke, O., Smallwood, C., & Gonzalez, K. M. (2016). Perceived benefits and challenges of repeated exposure to high fidelity simulation experiences of first degree accelerated bachelor nursing students. Nurse Education Today, 36, 298-303. http://dx.doi.org/10.1016/j.nedt.2015.07.014 https://doi.org/10.1016/j.nedt.2015.07.014
  9. Kardong-Edgren, S. E., Starkweather, A. R., & Ward, L. D. (2008). The integration of simulation into a clinical foundations of nursing course: Student and faculty perspectives. International Journal of Nursing Education Scholarship, 5(1), 1-16.
  10. Kim, Y. H., Kim, Y. M., & Kang, S. Y. (2010). Implementation and evaluation of simulation based critical care nursing education used with MicroSim. The Journal of Korean Academic Society of Nursing Education, 16(1), 24-32. https://doi.org/10.5977/JKASNE.2010.16.1.024
  11. Ko, I. S., Kim, H. S., Kim, I. S., Kim, S. S., Oh, E. G., Kim, E. J., et al. (2010). Development of a scenario and evaluation for simulation learning of care for patients with asthma in emergency units. Journal of Korean Academy of Fundamentals of Nursing, 17(3), 371-381.
  12. Langdorf, M. I., Strom, S. L., Yang, L., Canales, C., Anderson, C. L., Amin, A., et al. (2014). High-fidelity simulation enhances ACLS training. Teaching & Learning in Medicine, 26(3), 266-273. https://doi.org/10.1080/10401334.2014.910466
  13. Lee, W. S., Park, S. H., & Choi, E. Y. (2008). Development of a Korean problem solving process inventory for adults. Journal of Korean Academy of Fundamentals of Nursing, 15(4), 548-557.
  14. Levett-Jones, T., Lapkin, S., Hoffman, K., Arthur, C., & Roche, J. (2011). Examining the impact of high and medium fidelity simulation experiences on nursing students' knowledge acquisition. Nurse Education in Practice, 11(6), 380-383. https://doi.org/10.1016/j.nepr.2011.03.014
  15. Levett-Jones, T., McCoy, M., Lapkin, S., Noble, D., Hoffman, K., Dempsey, J., et al. (2011). The development and psychometric testing of the satisfaction with simulation experience scale. Nurse Education Today, 31(7), 705-710. https://doi.org/10.1016/j.nedt.2011.01.004
  16. Moretti, M. A., Cesar, L. A. M., Nusbacher, A., Kern, K. B., Timerman, S., & Ramires, J. A. F. (2007). Advanced cardiac life support training improves long-term survival from in-hospital cardiac arrest. Resuscitation, 72(3), 458-465. https://doi.org/10.1016/j.resuscitation.2006.06.039
  17. Nehring, W., & Lashley, F. (2004). Using of the patient simulator in nursing education. Annual Review of Nursing Education, l2, 163-181.
  18. Park, H. M., & Lee, H. S. (2012). Nursing education : Effects of nursing education using a high-fidelity patient simulator on self-directed learning competency, clinical knowledge, and problem-solving ability among nursing students. Perspectives in Nursing Science, 9(2), 111-118.
  19. Park, S. N., Chu, M. S., Hwang, Y. Y., Kim, S. H. & Lee, S. K. (2015). Effects of integrated nursing practice simulation-based training on stress, interest in nursing, and problem-solving ability of nursing students. Journal of Korean Academy of Fundamentals of Nursing, 22(4), 424-432. https://dx.doi.org/10.7739/jkafn.2015.22.4.424 https://doi.org/10.7739/jkafn.2015.22.4.424
  20. Partin, J. L., Payne, T. A., & Slemmons, M. F. (2011). Students' perceptions of their learning experiences using high-fidelity simulation to teach concepts relative to obstetrics. Nursing Education Perspectives, 32(3), 186-188. https://doi.org/10.5480/1536-5026-32.3.186
  21. Reilly, A., & Spratt, C. (2007). The perceptions of undergraduate student nurses of high-fidelity simulation-based learning: A case report from the university of tasmania. Nurse Education Today, 27(6), 542-550. https://doi.org/10.1016/j.nedt.2006.08.015
  22. Rhodes, M. L., & Curran, C. (2005). Use of the human patient simulator to teach clinical judgment skills in a baccalaureate nursing program. Computers Informatics Nursing, 23(5), 256-262. https://doi.org/10.1097/00024665-200509000-00009
  23. Roh, Y. S., Issenberg, S. B., Chung, H. S., & Kim, S. S. (2012). Development and psychometric evaluation of the resuscitation self-efficacy scale for Korean Academy of Nursing, 42(7), 1079-1086.
  24. Roh, Y. S., Lee, W. S., Chung, H. S., & Park, Y. M. (2013). The effects of simulation-based resuscitation training on nurses' self-efficacy and satisfaction. Nurse Education Today, 33(2), 123-128. https://dx.doi.org/10.1016/j.nedt.2011.11.008 https://doi.org/10.1016/j.nedt.2011.11.008
  25. Ryoo, E. N., Ha, E. H., & Cho, J. Y. (2013). Comparison of learning effects using high-fidelity and multi-mode simulation: An application of emergency care for a patient with cardiac arrest. Journal of Korean Academy of Nursing, 43(2), 185-193. https://doi.org/10.4040/jkan.2013.43.2.185
  26. Scherer, Y. K., Bruce, S. A., Graves, B. T., & Erdley, W. S. (2003). Acute care nurse practitioner education: Enhancing performance through the use of clinical simulation. AACN Clinical Issues, 14(3), 331-341. https://doi.org/10.1097/00044067-200308000-00008
  27. Tosterud, R., Hedelin, B., & Hall-Lord, M. L. (2013). Nursing students' perceptions of high- and low-fidelity simulation used as learning methods. Nurse Education in Practice, 13(4), 262-270. https://dx.doi.org/10.1016/j.nepr.2013.02.002 https://doi.org/10.1016/j.nepr.2013.02.002
  28. Travers, A. H., Rea, T. D., Bobrow, B. J., Edelson, D. P., Berg, R. A., Sayre, M. R., et al. (2010). Part 4: CPR overview: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation, 122(18), S676-S684. https://doi.org/10.1161/CIRCULATIONAHA.110.970913
  29. Weaver, A. (2011). High-fidelity patient simulation in nursing education: An integrative review. Nursing Education Perspectives, 32(1), 37-40. https://doi.org/10.5480/1536-5026-32.1.37
  30. Yang, J. J. (2012). The effects of a simulation-based education on the knowledge and clinical competence for nursing students. The Journal of Korean Academic Society of Nursing Education, 18(1), 14-24. https://doi.org/10.5977/jkasne.2012.18.1.014