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Yang J, Zhou WJ, Zhou SC, Luo D, Liu Q, Wang AL, Yu SH, Zhu XP, He XY, Hu F, Yang BX, Chen J. Integrated virtual simulation and face-to-face simulation for clinical judgment training among undergraduate nursing students: a mixed-methods study. BMC MEDICAL EDUCATION 2024; 24:32. [PMID: 38183036 PMCID: PMC10768231 DOI: 10.1186/s12909-023-04988-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 12/18/2023] [Indexed: 01/07/2024]
Abstract
BACKGROUND Virtual simulation and face-to-face simulation are effective for clinical judgment training. Rare studies have tried to improve clinical judgment ability by applying virtual simulation and face-to-face simulation together. This study aimed to evaluate the effect of an integrated non-immersive virtual simulation and high-fidelity face-to-face simulation program on enhancing nursing students' clinical judgment ability and understanding of nursing students' experiences of the combined simulation. METHODS A sequential exploratory mixed-methods study was conducted in a nursing simulation center of a university in Central China. Third-year nursing students (n = 122) taking clinical training in ICUs were subsequentially assigned to the integrated non-immersive virtual simulation and high-fidelity face-to-face simulation program arm (n = 61) or the face-to-face simulation-only arm (n = 61) according to the order in which they entered in ICU training. Clinical judgment ability was measured by the Lasater Clinical Judgment Rubric (LCJR). Focus group interviews were conducted to gather qualitative data. RESULTS Students in both arms demonstrated significant improvement in clinical judgment ability scores after simulation, and students in the integrated arm reported more improvement than students in the face-to-face simulation-only arm. The qualitative quotes provided a context for the quantitative improvement measured by the LJCR in the integrated arm. Most of the quantitative findings were confirmed by qualitative findings, including the domains and items in the LJCR. The findings verified and favored the effect of the combination of non-immersive virtual simulation and high-fidelity face-to-face simulation integrated program on enhancing nursing students' clinical judgment ability. CONCLUSIONS The integrated virtual simulation and face-to-face simulation program was feasible and enhanced nursing students' self-reported clinical judgment ability. This integrated non-immersive virtual simulation and high-fidelity face-to-face simulation program may benefit nursing students and newly graduated nurses in the ICU more than face-to-face simulation only.
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Affiliation(s)
- Jian Yang
- Department of Thoracic Surgery, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Wen Jie Zhou
- Department of Cardiology, Renmin Hospital of Wuhan University, No. 238 Jiefang Road, Wuchang District, Wuhan, 430060, Hubei, China
| | - Si Chen Zhou
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Dan Luo
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Qian Liu
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Ai-Ling Wang
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Si-Hong Yu
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Xiao-Ping Zhu
- Hospital Quality and Safety Management Office, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China
| | - Xue Yu He
- Department of Thoracic Surgery, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China.
| | - Fen Hu
- Department of Critical Care Medicine, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China.
- Clinical Research Center of Hubei Critical Care Medicine, No. 169 Donghu Road, Wuchang District, Wuhan, 430071, China.
- Center for Critical Care and Anesthesia Nursing Research, Wuhan University School of Nursing, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China.
| | - Bing Xiang Yang
- School of Nursing, Wuhan University, No. 115 Donghu Road, Wuchang District, Wuhan, 430071, Hubei, China.
| | - Jie Chen
- Florida State University College of Nursing, 98 Varsity Way, Tallahassee, FL, 32306, USA.
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Adánez-Martínez MG, Jiménez-Ruiz I, Carrillo-García C, Díaz-Agea JL, Ramos-Morcillo AJ, Molina-Rodríguez A, Ruzafa-Martínez M, Leal-Costa C. Telephone-Based Structured Communication Simulation Program for the Follow-Up of COVID-19 Cases and Contacts in Primary Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073915. [PMID: 35409597 PMCID: PMC8997775 DOI: 10.3390/ijerph19073915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/17/2022] [Accepted: 03/22/2022] [Indexed: 11/16/2022]
Abstract
(1) The COVID-19 pandemic has had many consequences on health systems worldwide. In the Spanish health system, telephone-based consultations were coupled to in-person consultations. This type of consultation was mainly a challenge for the primary care teams, who had to assume the greatest load of care provision. The objective of the present study was to discover the satisfaction and perception of health professionals related to a training program on efficient communication based on high-fidelity simulation. (2) Methods: A cross-sectional descriptive study based on a convergent and parallel mixed method. The satisfaction and perception of 275 health professionals associated with COVID-19 training based on the structured communication model CERCAR© was analyzed. (3) Results: The assessment of the satisfaction with the training and methodology was high. With respect to the transfer of information, the participants gave a high score to the categories of consolidation of learning, applicability to their work, and benefits for the institution. The qualitative results supported these findings. (4) Conclusions: The training program and its virtual modality were well received, and had a high degree of transference. The application of active, online learning methodologies is a relevant format for continuous education.
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Affiliation(s)
| | - Ismael Jiménez-Ruiz
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Correspondence: (I.J.-R.); (C.L.-C.); Tel.: +34-868-889-771 (C.L.-C.)
| | - César Carrillo-García
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Professional Development Unit, General Directorate of Human Resources, Murcian Health Service, 30003 Murcia, Spain
| | - José Luis Díaz-Agea
- Faculty of Nursing, Catholic University of Murcia, Guadalupe, 30107 Murcia, Spain;
| | - Antonio Jesús Ramos-Morcillo
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - Alonso Molina-Rodríguez
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - María Ruzafa-Martínez
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
| | - César Leal-Costa
- Faculty of Nursing, University of Murcia, El Palmar, 30120 Murcia, Spain; (C.C.-G.); (A.J.R.-M.); (A.M.-R.); (M.R.-M.)
- Correspondence: (I.J.-R.); (C.L.-C.); Tel.: +34-868-889-771 (C.L.-C.)
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