Abstract
BackgroundTo determine the impact of combining clinical simulation scenario training and Information Technology Integrated Instruction (ITII) on the teaching of nursing skills.Methods120 4th-year students in a nursing program who were enrolled in medical and surgical nursing courses. 61 received innovative instruction (experimental group) and 59 received conventional instruction (control group). The ADDIE model, systematic method of course development that includes analysis, design, development, implementation, and evaluation,was used to build simulation teaching and clinical scenarios and to create and modify objective structure clinical examination (OSCE) scenario checklists for acute myocardial infarction (AMI) care, basic life support and operation of automated external defibrillator (BLS), and subdural hemorrhage (SDH) care. The modified OSCE checklists were assessed for reliability, consistency, and validity. The innovative training included flipped classrooms, clinical simulation scenarios, ITII and blended learning formats.ResultsThe reliability and validity of the OSCE checklists developed in this study were acceptable and comparable or higher than checklists in past studies and could be utilized as an OSCE performance tool. Students in innovative instruction obtained significantly better OSCE performance, lab scores and improvements from the previous year’s grades. Significant differences were found in situational awareness (SA). No strong correlations were found between OSCE scores and clinical internship scores, and no significant differences were found between the groups in overall clinical internship performance.ConclusionsInnovative instruction showed better performance than conventional methods in summative evaluation of knowledge components, OSCE formative evaluation and clinical nursing internship scores, as well as improved situational awareness in nursing students.
Highlights
Nurses play a crucial role in the healthcare industry, offering comprehensive patient care and establishing close relationships with patients
Studies have shown that combining simulation-based education and Objective structure clinical examinations (OSCE) can reinforce the objectivity of clinical competency evaluations [6, 7]
For the clinical internship scores, the results showed no significant differences between the two groups, with the experimental group outperforming the control group by only 0.04 points (Table 5)
Summary
Nurses play a crucial role in the healthcare industry, offering comprehensive patient care and establishing close relationships with patients. OSCEs extensively test clinical skills, stimulate learning, and have been found to be less biased and have better reliability, validity, and objectivity than other evaluation methods [1,2,3,4,5]. Studies have shown that combining simulation-based education and OSCEs can reinforce the objectivity of clinical competency evaluations [6, 7]. Regardless, OSCEs have been verified as an effective tool and presented as an outcome-based test for evaluating students and their clinical performances after graduation [8]. To determine the impact of combining clinical simulation scenario training and Information Technology Integrated Instruction (ITII) on the teaching of nursing skills
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
