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Effects of a Virtual Reality Simulation and a Blended Simulation of Care for Pediatric Patient with Asthma

천식 아동 간호에 대한 가상현실 시뮬레이션과 블렌디드 시뮬레이션 교육 효과

  • Kim, Mikang (Red Cross College of Nursing, Chung-Ang University) ;
  • Kim, Sunghee (Red Cross College of Nursing, Chung-Ang University) ;
  • Lee, Woo Sook (College of Nursing, Taegu Science University)
  • 김미강 (중앙대학교 적십자간호대학) ;
  • 김성희 (중앙대학교 적십자간호대학) ;
  • 이우숙 (대구과학대학교 간호대학)
  • Received : 2019.06.08
  • Accepted : 2019.09.09
  • Published : 2019.10.31

Abstract

Purpose: The purpose of this study was to examine the effects of a virtual reality simulation and a blended simulation on nursing care for children with asthma through an evaluation of critical thinking, problem-solving processes, and clinical performance in both education groups before and after the educational intervention. Methods: The participants were 48 nursing students. The experimental group (n=22) received a blended simulation, combining a virtual reality simulation and a high-fidelity simulation, while the control group (n=26) received only a virtual reality simulation. Data were collected from February 25 to 28, 2019 and analyzed using SPSS version 25 for Windows. Results: The pretest and posttest results of each group showed statistically significant improvements in critical thinking, problem-solving processes, and clinical performance. In a comparison of the results of the two education groups, the only statistically significant difference was found for critical thinking. Conclusion: Simulation-based education in child nursing has continued to involve high-fidelity simulations that are currently run in many programs. However, incorporating a new type of blended simulation, combining a virtual reality simulation and a high-fidelity simulation, into the nursing curriculum may contribute to the further development of nursing education.

Keywords

References

  1. Song JH, Kim MW. Study on clinical education for nursing in hospitals in Korea. The Journal of Korean Academic Society of Nursing Education. 2013;19(2):251-264. https://doi.org/10.5977/jkasne.2013.19.2.251
  2. Kim JH, Park IH, Shin S. Systematic review of Korean studies on simulation within nursing education. The Journal of Korean Academic Society of Nursing Education. 2013;19(3):307-319. https://doi.org/10.5977/jkasne.2013.19.3.307
  3. Lee OS. The effects of simulation-based practice on critical thinking disposition, communication skill, and clinical performance for nursing students. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(4):93-100. https://doi.org/10.5762/KAIS.2017.18.4.93
  4. Korea Accreditation Board of Nursing. 2017 Standards and criteria for accreditation of a baccalaureate nursing education program [Internet]. Seoul: Korea Accreditation Board of Nursing; 2017 [cited 2017 February 20]. Available from: http://kabone.or.kr/HyAdmin/view.php?bbs_id=kab01&doc_num=560.
  5. Ryoo EN, Ha EH, Cho JY. Comparison of learning effects using high-fidelity and multi-mode simulation: An application of emergency care for a patient with cardiac arrest. Journal of the Korean Academy of Nursing. 2013;43(2):185-193. https://doi.org/10.4040/jkan.2013.43.2.185
  6. Fawaz MA, Hamdan-Mansour AM. Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurse Education Today. 2016;46:36-42. https://doi.org/10.1016/j.nedt.2016.08.026
  7. Shin H, Lee Y, Rim DH. Evaluation of algorithm-based simulation scenario for emergency measures with high-risk newborns presenting with apnea. Child Health Nursing Research. 2015;21(2):98-106. https://doi.org/10.4094/chnr.2015.21.2.98
  8. Kang KA, Kim S, Kim SJ, Lee MN. Content analysis of debriefing after simulation-based nursing education on respiratory distress syndrome in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(2):208-219. https://doi.org/10.4094/chnr.2018.24.2.208
  9. Park SN, Kim Y. Stress and satisfaction from simulation-based practice and clinical practice on high-risk newborn nursing. The Journal of Korean Academic Society of Nursing Education. 2015;21(1):86-94. https://doi.org/10.5977/jkasne.2015.21.1.86
  10. Chae SM, Bang KS, Yu J, Lee JH, Kang HJ, Hwang IJ, et al. Effects of simulation-based learning in the nursing care of children with asthma. The Journal of Korean Academic Society of Nursing Education. 2015;21(3):298-307. https://doi.org/10.5977/jkasne.2015.21.3.298
  11. Kim HS, Yu SY. Effects of simulation-based asthma pedicatric care: Education on knowledge and clinical performance of nursing students. Journal of Korean Society for Simulation in Nursing. 2017;5(2):45-54.
  12. Jung Y, Kim J, Park DA. Effectiveness of telemonitoring intervention in children and adolescents with asthma: A systematic review and meta-analysis. Journal of Korean Academy of Nursing. 2018;48(4):389-406. https://doi.org/10.4040/jkan.2018.48.4.389
  13. Jeffries PR. Clinical simulations in nursing education: Advanced concepts, trends, and opportunities. 1st ed. New York: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2014. p. 90-112.
  14. Liaw SY, Chan SW, Chen FG, Hooi SC, Siau C. Comparison of virtual patient simulation with mannequin-based simulation for improving clinical performances in assessing and managing clinical deterioration: Randomized controlled trial. Journal of Medical Internet Research. 2014;16(9):e214. https://doi.org/10.2196/jmjr.3322
  15. Foronda C, Bauman EB. Strategies to incorporate virtual simulation in nurse education. Clinical Simulation in Nursing. 2014;10(8):412-418. https://doi.org/10.1016/j.ecns.2014.03.005
  16. Gordon RM, McGonigle D. Virtual simulation in nursing education. 1st ed. Philadelphia: Springer Publishing Company; 2018. p. 4-11.
  17. Kim IO, Yeom GJ, Kim MJ. Development and effects of a sex education program with blended learning for university students. Child Health Nursing Research. 2018;24(4):443-453. https://doi.org/10.4094/chnr.2018.24.4.443
  18. Peddle M, Bearman M, Nestel D. Virtual patients and nontechnical skills in undergraduate health professional education: An integrative review. Clinical Simulation in Nursing. 2016;12(9):400-410. https://doi.org/10.1016/j.ecns.2016.04.004
  19. Park SJ. Development and evaluation of a virtual simulation program on nursing care for patients with acute upper gastrointestinal bleeding [master's thesis]. Seoul: Kyung Hee University; 2018. p. 9-12.
  20. Chu MS, Hwang YY. Effects of web-based simulation and high-fidelity simulation of acute heart disease patient care. The Journal of Korean Academic Society of Nursing Education. 2017;23(1):95-107. https://doi.org/10.5977/jkasne.2017.23.1.95
  21. Kim KA, Choi DW. The effect of virtual simulation in nursing education: An application of care for acute heart disease patients. Journal of Korean Society for Simulation in Nursing. 2018;6(2):1-13. https://doi.org/10.17333/JKSSN.2018.6.2.1
  22. Yoon J. A study on the critical thinking disposition of nursing students: Focusing on a school applying integrated nursing curriculum. The Journal of Korean Nursing Administration Academic Society. 2008;14(2):159-166.
  23. Lee WS, Park SH, Choi EY. Development of a Korean problem solving process inventory for adults. The Korean Journal of Fundamentals of Nursing. 2008;15(4):548-557.
  24. Lee WH, Kim CJ, Yoo JS, Hur HK, Kim KS, Lim SM. Development of a clinical competency measurement tool for student. Yonsei Nursing. 1990;13(1):17-29.
  25. Choi MS. A study on the relationship between teaching effectiveness of clinical nursing education and clinical competency in nursing students [master's thesis]. Seoul: Ewha Womans University; 2005. p. 55-63.
  26. Cant RP, Cooper SJ. Simulation in the internet age: The place of web-based simulation in nursing education. an integrative review. Nurse Education Today. 2014;34(12):1435-1442. https://doi.org/10.1016/j.nedt.2014.08.001
  27. Moule P, Pollard K, Armoogum J, Messer S. Virtual patients: Development in cancer nursing education. Nurse Education Today. 2015;35(7):875-880. https://doi.org/10.1016/j.nedt.2015.02.009
  28. Verkuyl M, Atack L, Mastrilli P, Romaniuk D. Virtual gaming to develop students' pediatric nursing skills: A usability test. Nurse Education Today. 2016;46:81-85. https://doi.org/10.1016/j.nedt.2016.08.024
  29. Verkuyl M, Lapum JL, Hughes M, McCulloch T, Liu L, Mastrilli P, et al. Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clinical Simulation in Nursing. 2018;20:7-14. https://doi.org/10.1016/j.ecns.2018.04.006
  30. Kim SY, Ham Y. A meta-analysis of the effect of simulation based education - Korean nurses and nursing students. The Journal of Korean Academic Society of Nursing Education. 2015;21(3):308-319. https://doi.org/10.5977/jkasne.2015.21.3.308

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