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Published on: August 5, 2020
Effect of end-of-life care video simulation versus written unfolding case study on nursing students' knowledge,
Jennifer A Fearon-Lynch1, Sharon Galloway1
1Zvart Onanian School of Nursing, Rhode Island College, Providence, RI, 02908, United States of America.
Background:
End-of-life care is a core concept foundational to nursing education. A plethora of evidence shows that undergraduate nursing students are ill prepared to provide care at the end-of-life. Active learning strategies including classroom simulation, unfolding case study, and flipped classroom have shown to positively impact learning, yet these strategies are used sparingly to support end-of-life care instruction.
Aim:
Our aim was to determine if using flipped classroom video simulation versus written unfolding case study as part of classroom instruction improved sophomore baccalaureate nursing students' end-of-life care knowledge, communication attitude, and clinical judgment.
Design:
A two-group, pretest posttest quasi-experimental design was used.
Settings:
The study was conducted at a college in the northeastern USA.
Participants:
Sophomore nursing students N = 151 consented to participate. Participants N = 130 completed all surveys (comparison group (CG) n = 68 and intervention group (IG) n = 62).
Methods:
The CG had flipped classroom end-of-life care instruction including a written unfolding case study, while the IG received the same instruction plus a video simulation of the same unfolding case study. End-of-life care knowledge, communication attitude, and clinical judgment were assessed. Data analysis used descriptive statistics, t-tests, and Analysis of Variance.
Results:
Although there was a significant increase (p = .000) in all three measures for both groups over time, no statistically significant difference was found between groups. The clinical judgment measure had a mean difference in favor of the IG (15.51 vs 11.47), indicating the video simulation had substantial impact on clinical judgment. Scores for the other two measures were also better for the IG.
Conclusions:
Integration of video simulation unfolding case study within flipped classroom may enhance students' end-of-life care knowledge, communication attitude, and clinical judgment to better care for the dying patient. The combined strategies may better address students diverse learning needs.
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