Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Simulation used as a learning approach in nursing education: Students’ experiences and validation of evaluation questionnaires
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. (randi.tosterud@hig.no)
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 [en]
debriefing, evaluation questionnaires, fidelity, nursing students, experiences, psychometric testing, simulation
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-34549ISBN: 978-91-7063-608-0 (print)OAI: oai:DiVA.org:kau-34549DiVA: diva2:760893
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
List of papers
1. Nursing students' perceptions of high- and low-fidelity simulation used as learning methods
Open this publication in new window or tab >>Nursing students' perceptions of high- and low-fidelity simulation used as learning methods
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
Keyword
Baccalaureate nursing education, scenarie-simulation based training, student satisfaction
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-28672 (URN)10.1016/j.nepr.2013.02.002 (DOI)000209271000007 ()23454066 (PubMedID)
Available from: 2013-08-20 Created: 2013-08-20 Last updated: 2017-10-31Bibliographically approved
2. Psychometric testing of the Norwegian version of the questionnaire, Student Satisfaction and Self-Confidence in Learning, used in simulation
Open this publication in new window or tab >>Psychometric testing of the Norwegian version of the questionnaire, Student Satisfaction and Self-Confidence in Learning, used in simulation
2014 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 6, 704-708 p.Article in journal (Refereed) Published
Abstract [en]

Simulation is increasingly being used as an approach to learning in nurse education. There is a need for frameworks and valid evaluation tools to help guide educators in implementing the method. The questionnaire, Student Satisfaction and Self-Confidence in Learning, which consists of two subscales, has been developed by the National League for Nursing in the US for evaluating simulation used in nurse education.

The aim of the present study was to test the questionnaire, Student Satisfaction and Self-Confidence in Learning, for psychometric properties in a Norwegian nurse education context.

A sample consisting of 130 nursing students participated in a simulation situation, and 123 responded. When the questionnaire was tested in its entirety, psychometric testing conducted with a principal component analysis did not reveal a stable factor solution. The two subscales were then tested separately. The analysis for Satisfaction with Current Learning suggested a one-component solution, thereby explaining 62.8% of the variance, and the internal reliability was 0.84. With regard to Self-Confidence in Learning, no stable solution was achieved, and an alpha value of 0.64 was shown.

To further validate the questionnaire, Student Satisfaction and Self-Confidence in Learning, more studies by various nursing programmes in different cultural contexts are recommended.

Place, publisher, year, edition, pages
Elsevier, 2014
Keyword
Exploratory factor analysis, Human patient simulation, Nursing students, Student satisfaction
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-34601 (URN)10.1016/j.nepr.2014.10.004 (DOI)000349568300020 ()25458231 (PubMedID)
Available from: 2014-11-14 Created: 2014-11-14 Last updated: 2017-10-31Bibliographically approved
3. Cross-Cultural Validation and Psycometric Testing of the Questionnaire: Debriefing Experience Scale
Open this publication in new window or tab >>Cross-Cultural Validation and Psycometric Testing of the Questionnaire: Debriefing Experience Scale
2015 (English)In: Clinical Simulation in Nursing, ISSN 1876-1399, E-ISSN 1876-1402, Vol. 11, no 1, 27-34 p.Article in journal (Refereed) Published
Abstract [en]

In the use of human patient simulation, there is a need for standardized and validated instruments across both national boundaries and cultural conditions. The aim of the present study was to translate and validate the Debriefing Experience Scale in a Norwegian context. The study was conducted as a survey of 146 bachelor’s nursing undergraduates. An expert group, conventional content analysis, the known-group technique and psychometric testing were all being used. The scale seemed to hold a good potential for evaluating debriefing, but would also benefit from reducing the subscales. Due to testing for validity being an ongoing process, there is a need for more studies to draw conclusions about the properties of questionnaire.

Place, publisher, year, edition, pages
Elsevier, 2015
Keyword
Nursing education, Human patient simulation, Debriefing, Debriefing Experience Scale, Psychometric testing
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-34603 (URN)10.1016/j.ecns.2014.09.011 (DOI)000369821000005 ()
Available from: 2014-11-14 Created: 2014-11-14 Last updated: 2017-12-05Bibliographically approved
4. Debriefing in simulation conducted in small and large groups: Nursing students’ experiences
Open this publication in new window or tab >>Debriefing in simulation conducted in small and large groups: Nursing students’ experiences
2014 (English)In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, no 9, 173-182 p.Article in journal (Refereed) Published
Abstract [en]

The debriefing phase in human patient simulation is considered to be crucial for learning. To ensure good learning conditions, the use of small groups is recommended, which poses a major challenge when the student count is high. The use of large groups may provide an alternative for typical lecture-style education and contribute to a more frequently and repeated training which is considered to be important for achieving simulation competency. The purpose of the present study was to describe nursing students’ experiences obtained during the debriefing conducted in small and large groups with the use of a qualitative descriptive approach. The informants had participated in a human patient simulation situation either in large or small groups. Data was collected through the use of five focus-group interviews and analysed by content analysis. The findings showed that independent of group-size the informants experienced the learning strategies to be unfamiliar and intrusive, and in the large groups to such an extent that learning was hampered. Debriefing was perceived as offering excellent opportunities for transferable learning, and activity, predictability and preparedness were deemed essential. Small groups provided the best learning conditions in that safety and security were ensured, but were perceived as providing limited challenges to accommodate professional requirements as a nurse. Simulation competency as a prerequisite for learning was shown not to be developed isolated in conjunction with simulation, but depends on a systematic effort to build a learning community in the programme in general. The faculty needs to support the students to be conscious and accustomed to learning as a heightened experience of learning out of their comfort zone.

Place, publisher, year, edition, pages
Sciedu Press, 2014
Keyword
human patient simulation, simulation competency, nursing students’ experiences
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-34604 (URN)10.5430/jnep.v4n9p173 (DOI)
Available from: 2014-11-14 Created: 2014-11-14 Last updated: 2017-10-31Bibliographically approved

Open Access in DiVA

Randi_Tosterud(1063 kB)1586 downloads
File information
File name FULLTEXT01.pdfFile size 1063 kBChecksum SHA-512
9376de6eeb164f5f5fb636fea1c5f6b7a094dd78046a304129edf6df938be06c372251c71681a0b7a61bef226b07d2e86a2ea51fc632f7f2e5c628e3851fd5a2
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Tosterud, Randi
By organisation
Department of Health Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 1586 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 3060 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf