Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses
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...
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2021
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oai:doaj.org-article:bba9c7a624f048578dca7311090c21b62021-11-21T12:05:58ZEffectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses10.1186/s12912-021-00744-71472-6955https://doaj.org/article/bba9c7a624f048578dca7311090c21b62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12912-021-00744-7https://doaj.org/toc/1472-6955Abstract 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.Li-Ping TsengTung-Hsu HouLi-Ping HuangYang-Kun OuBMCarticleClinical simulation scenarioInformation technology integrated instruction (ITII)Objective structured clinical examination (OSCE)Situational awareness (SA)Innovative nursing teachingNursingRT1-120ENBMC Nursing, Vol 20, Iss 1, Pp 1-14 (2021) |
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DOAJ |
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DOAJ |
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EN |
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Clinical simulation scenario Information technology integrated instruction (ITII) Objective structured clinical examination (OSCE) Situational awareness (SA) Innovative nursing teaching Nursing RT1-120 |
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Clinical simulation scenario Information technology integrated instruction (ITII) Objective structured clinical examination (OSCE) Situational awareness (SA) Innovative nursing teaching Nursing RT1-120 Li-Ping Tseng Tung-Hsu Hou Li-Ping Huang Yang-Kun Ou Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| description |
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. |
| format |
article |
| author |
Li-Ping Tseng Tung-Hsu Hou Li-Ping Huang Yang-Kun Ou |
| author_facet |
Li-Ping Tseng Tung-Hsu Hou Li-Ping Huang Yang-Kun Ou |
| author_sort |
Li-Ping Tseng |
| title |
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| title_short |
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| title_full |
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| title_fullStr |
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| title_full_unstemmed |
Effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| title_sort |
effectiveness of applying clinical simulation scenarios and integrating information technology in medical-surgical nursing and critical nursing courses |
| publisher |
BMC |
| publishDate |
2021 |
| url |
https://doaj.org/article/bba9c7a624f048578dca7311090c21b6 |
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