In Situ Simulation Training Strengthened Bachelor of Nursing Students' Experienced Learning and Development Process- a Qualitative Study

Overview

Journal BMC Nurs

Publisher Biomed Central

Specialty Medical Education

Date 2024 Feb 15

PMID 38360599

Authors

Karina Karlsen

Carina Nygard

Lisbeth Gaustad Johansen

Edith Roth Gjevjon

Affiliations

Soon will be listed here.

Abstract

Background: In advanced clinical learning labs on campus, high-fidelity simulation has become an essential educational approach in the Bachelor of Nursing Education programme. However, simulation while in clinical placement, in situ, is rarely used in Bachelor of Nursing Education. The aim of the present study was to explore how in situ simulation training at a surgical hospital ward, according to Bachelor of Nursing students, influenced their learning and development process.

Methods: A qualitative descriptive study was conducted. Data were collected through individual interviews with a sample of 21 s-year Bachelor of Nursing students who completed 40 in situ simulations during their eight-week clinical placement at a Norwegian University Hospital. Data were analysed using inductive content analysis.

Results: The data analysis generated six subcategories constituting two descriptive categories: building professional confidence and internalising nursing knowledge. Although the students found in situ simulation stressful and uncomfortable for being assessed by student peers, the teacher and preceptor, the process of managing clinical situations in simulation helped build professional confidence. What the students had learned in the simulation was directly transferable to real clinical situations because they were in the hospital setting. The simulation sessions enabled them to connect theoretical knowledge and clinical skills. They could test their skills in a safe environment, performing procedures that made them aware of how their knowledge could be used in real life.

Conclusion: According to the Bachelor of Nursing students' own experiences, in situ simulation supported the students' learning process, connected theory and practice and contributed to developing confidence in the performance of clinical skills. Including simulation in clinical practice could prove to be an effective way of teaching and learning clinical skills in nursing regarding resources and learning outcomes.

References

Saeedi M, Ghafouri R, Tehrani F, Abedini Z . The effects of teaching methods on academic motivation in nursing students: A systematic review. J Educ Health Promot. 2021; 10:271. PMC: 8396058. DOI: 10.4103/jehp.jehp_1070_20. View

Aamlid H, Tveit B . Simulation as a joint learning activity in clinical placement-interaction between first-year nursing students and qualified nurses. J Clin Nurs. 2021; 31(1-2):250-261. DOI: 10.1111/jocn.15903. View

Jootun D, McGhee G, Marland G . Reflexivity: promoting rigour in qualitative research. Nurs Stand. 2009; 23(23):42-6. DOI: 10.7748/ns2009.02.23.23.42.c6800. View

Simpson M, Sawatzky J . Clinical placement anxiety in undergraduate nursing students: A concept analysis. Nurse Educ Today. 2020; 87:104329. DOI: 10.1016/j.nedt.2019.104329. View

Sandelowski M . Whatever happened to qualitative description?. Res Nurs Health. 2000; 23(4):334-40. DOI: 10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g. View

Lu S, Wei F, Li G . The evolution of the concept of stress and the framework of the stress system. Cell Stress. 2021; 5(6):76-85. PMC: 8166217. DOI: 10.15698/cst2021.06.250. View

Graneheim U, Lindgren B, Lundman B . Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017; 56:29-34. DOI: 10.1016/j.nedt.2017.06.002. View

Barnett T, Cross M, Shahwan-Akl L, Jacob E . The evaluation of a successful collaborative education model to expand student clinical placements. Nurse Educ Pract. 2009; 10(1):17-21. DOI: 10.1016/j.nepr.2009.01.018. View

Olaussen C, Aase I, Jelsness-Jorgensen L, Tvedt C, Steindal S . Supplementing Clinical Practice in Nursing Homes With Simulation Training: A Qualitative Study of Nursing Students' Experiences. SAGE Open Nurs. 2022; 6:2377960820981786. PMC: 8832293. DOI: 10.1177/2377960820981786. View

10.

Selye H . Confusion and controversy in the stress field. J Human Stress. 1975; 1(2):37-44. DOI: 10.1080/0097840X.1975.9940406. View

11.

Doyle L, McCabe C, Keogh B, Brady A, McCann M . An overview of the qualitative descriptive design within nursing research. J Res Nurs. 2021; 25(5):443-455. PMC: 7932381. DOI: 10.1177/1744987119880234. View

12.

Mulyadi M, Tonapa S, Rompas S, Wang R, Lee B . Effects of simulation technology-based learning on nursing students' learning outcomes: A systematic review and meta-analysis of experimental studies. Nurse Educ Today. 2021; 107:105127. DOI: 10.1016/j.nedt.2021.105127. View

13.

Martin A, Cross S, Attoe C . The Use of in situ Simulation in Healthcare Education: Current Perspectives. Adv Med Educ Pract. 2020; 11:893-903. PMC: 7707431. DOI: 10.2147/AMEP.S188258. View

14.

Olaussen C, Steindal S, Jelsness-Jorgensen L, Aase I, Stenseth H, Tvedt C . Integrating simulation training during clinical practice in nursing homes: an experimental study of nursing students' knowledge acquisition, self-efficacy and learning needs. BMC Nurs. 2022; 21(1):47. PMC: 8862467. DOI: 10.1186/s12912-022-00824-2. View

15.

Nelwati , Abdullah K, Chan C . A systematic review of qualitative studies exploring peer learning experiences of undergraduate nursing students. Nurse Educ Today. 2018; 71:185-192. DOI: 10.1016/j.nedt.2018.09.018. View

16.

Fernandez-Basanta S, Picallo-Garcia L, Movilla-Fernandez M . Cultivating learning in vitro: A meta-ethnography of learning experiences of nursing students regarding high-fidelity simulation. J Clin Nurs. 2022; 32(9-10):2056-2072. DOI: 10.1111/jocn.16269. View

17.

Tong A, Sainsbury P, Craig J . Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349-57. DOI: 10.1093/intqhc/mzm042. View

18.

Greenway K, Butt G, Walthall H . What is a theory-practice gap? An exploration of the concept. Nurse Educ Pract. 2018; 34:1-6. DOI: 10.1016/j.nepr.2018.10.005. View

19.

Saifan A, Devadas B, Mekkawi M, Amoor H, Matizha P, James J . Managing the theory-practice gap in nursing education and practice: Hearing the voices of nursing students in the United Arab Emirates. J Nurs Manag. 2021; 29(6):1869-1879. DOI: 10.1111/jonm.13407. View

20.

Tamilselvan C, Chua S, Chew H, Devi M . Experiences of simulation-based learning among undergraduate nursing students: A systematic review and meta-synthesis. Nurse Educ Today. 2023; 121:105711. DOI: 10.1016/j.nedt.2023.105711. View