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Speaking Up Against Hierarchy: A Simulation Geared Towards Nursing Students.
Celina Da Silva1, Eva Peisachovich1, Charles K Anyinam2
1Medical Education and Simulation, York University, Toronto, CAN.
Cureus
|January 11, 2021
Summary
Interactive pre-simulation activities significantly improved nursing students' use of the two-challenge rule and boosted their satisfaction and self-confidence in learning compared to traditional case studies.
Area of Science:
- Nursing Education
- Simulation Science
- Medical Education Research
Background:
- Simulation science requires a shift in focus towards pre-simulation activities and their impact on learning outcomes.
- Limited randomized controlled trials exist comparing pre-simulation approaches and their effect on learning.
- Evaluating pre-simulation effectiveness is crucial for optimizing simulation-based education.
Purpose of the Study:
- To compare the effectiveness of an interactive pre-simulation activity versus a traditional paper case study in undergraduate nursing education.
- To assess the impact of pre-simulation methods on the utilization of the two-challenge rule.
- To evaluate student satisfaction and self-confidence in learning (SSL) following different pre-simulation preparations.
Main Methods:
- A randomized controlled trial involving 83 undergraduate nursing students.
- Participants were assigned to either a control group (paper case study) or an intervention group (interactive pre-simulation activity).
- Evaluation focused on the two-challenge rule and Satisfaction and Self Confidence in Learning (SSL) scores.
Main Results:
- Students in the interactive pre-simulation group demonstrated significantly higher use of the two-challenge rule.
- A significant difference was observed in the total SSL scores, with the intervention group reporting higher satisfaction and self-confidence.
- Statistical analysis (Wilcoxon-Mann-Whitney test) confirmed significant differences in satisfaction (p <0.001) and self-confidence (p <0.001).
Conclusions:
- Interactive pre-simulation activities enhance nursing students' application of critical safety protocols like the two-challenge rule.
- Students engaging with interactive pre-simulation methods reported greater satisfaction and self-confidence in their learning experience.
- The study underscores the importance of theoretical grounding and progressive frameworks in simulation design and research.
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