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Nursing students' perceptions of high- and low-fidelity simulation used as learning methods
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Högskolan i Gjövik.
Högskolan i Gjövik.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. Högskolan i Gjövik.ORCID iD: 0000-0003-3385-3731
2013 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 4, 262-270 p.Article in journal (Refereed) Published
Abstract [en]

Due to the increasing focus on simulation used in nursing education, there is a need to examine how the scenarios and different simulation methods used are perceived by students. The aim of this study was to examine nursing students' perceptions of scenarios played out in different simulation methods, and whether their educational level influenced their perception. The study had a quantitative, evaluative and comparative design. The sample consisted of baccalaureate nursing students (n = 86) within various educational levels. The students were randomly divided into groups. They solved a patient case adapted to their educational level by using a high-fidelity patient simulator, a static mannequin or a paper/pencil case study. Data were collected by three instruments developed by the National League for Nursing. The results showed that the nursing students reported satisfaction with the implementation of the scenarios regardless of the simulation methods used. The findings indicated that the students who used the paper/pencil case study were the most satisfied. Moreover, educational level did not seem to influence their perceptions.

CONCLUSIONS:

Independent of educational level, the findings indicated that simulation with various degrees of fidelity could be used in nursing education. There is a need for further research to examine more closely the rationale behind the students' perception of the simulation methods.

Place, publisher, year, edition, pages
Elsevier, 2013. Vol. 13, no 4, 262-270 p.
Keyword [en]
Baccalaureate nursing education, scenarie-simulation based training, student satisfaction
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-28672DOI: 10.1016/j.nepr.2013.02.002ISI: 000209271000007PubMedID: 23454066OAI: oai:DiVA.org:kau-28672DiVA: diva2:641968
Available from: 2013-08-20 Created: 2013-08-20 Last updated: 2016-04-13Bibliographically approved
In thesis
1. Simulation used as a learning approach in nursing education: Students’ experiences and validation of evaluation questionnaires
Open this publication in new window or tab >>Simulation used as a learning approach in nursing education: Students’ experiences and validation of evaluation questionnaires
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to investigate bachelor nursing students’ experiences with simulation as a learning approach conducted under various conditions. Additionally, the aim was to translate and validate questionnaires for the evaluation of simulation in a Norwegian context.

Methods: Quantitative and qualitative methods were used. Nursing students responded to three questionnaires after attending either low- or high-fidelity simulation. Data were analyzed with statistics (I). Two evaluation questionnaires were subjected to a principal components analysis (II, III). Data were obtained from nursing students through focus group interviews, and analyzed with a qualitative content analysis (IV).

Main findings: Independent of the fidelity level in the simulation and educational level, the students reported satisfaction and that the emphasized features in learning were present. Those who had used a paper/pencil case study were the most satisfied (I). Debriefing was reported to be crucial for learning, but in particular by attending the large groups, also as a stressful and intrusive situation (IV).The Norwegian version of the questionnaire, the Student Satisfaction and Self-Confidence Scale, revealed no stable factor solution (II). The translated version of the Debriefing Experience Scale was shown to hold a good potential for evaluating debriefing, but benefited from reducing the subscales (III). To ensure safety and security were reported to be a prerequisite for learning, with the students requesting a more frequent use of simulation and a higher degree of familiarity with active learning in their program in general (IV).

Conclusions: Simulation at all fidelity levels should be used in nursing education. To exploit the potential, the learning approaches should be integrated into the program in general through a systematic and structured building of a learning community. A further validation and testing of the questionnaires in different programs and contexts is needed.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2015. 87 p.
Series
Karlstad University Studies, ISSN 1403-8099 ; 2015:1
Keyword
debriefing, evaluation questionnaires, fidelity, nursing students, experiences, psychometric testing, simulation
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-34549 (URN)978-91-7063-608-0 (ISBN)
Public defence
2015-01-23, 1 A 305, Lagerlöfsalen, Karlstads universitet, Karlstad, 11:00 (Norwegian)
Opponent
Supervisors
Available from: 2014-12-05 Created: 2014-11-05 Last updated: 2016-04-13Bibliographically approved

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