A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB™) on student learning

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Bogossian, Fiona
Cooper, Simon J
Cant, Robyn
Porter, Joanne
Forbes, Helen
McKenna, Lisa
Kinsmen, Leigh
Endacott, R
Devries, Brett
Philips, Nicole M
Bucknall, Tracey
Young, Susan C
Kain, Victoria
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2015
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Background: High-fidelity simulation pedagogy is of increasing importance in health professional education; however, face-to-face simulation programs are resource intensive and impractical to implement across large numbers of students. Objectives: To investigate undergraduate nursing students' theoretical and applied learning in response to the e-simulation program-FIRST2ACT WEBTM, and explore predictors of virtual clinical performance. Design and setting: Multi-center trial of FIRST2ACT WEBTM accessible to students in five Australian universities and colleges, across 8 campuses. Participants: A population of 489 final-year nursing students in programs of study leading to license to practice. Methods: Participants proceeded through three phases: (i) pre-simulation-briefing and assessment of clinical knowledge and experience; (ii) e-simulation-three interactive e-simulation clinical scenarios which included video recordings of patients with deteriorating conditions, interactive clinical tasks, pop up responses to tasks, and timed performance; and (iii) post-simulation feedback and evaluation.Descriptive statistics were followed by bivariate analysis to detect any associations, which were further tested using standard regression analysis. Results: Of 409 students who commenced the program (83% response rate), 367 undergraduate nursing students completed the web-based program in its entirety, yielding a completion rate of 89.7%; 38.1% of students achieved passing clinical performance across three scenarios, and the proportion achieving passing clinical knowledge increased from 78.15% pre-simulation to 91.6% post-simulation.Knowledge was the main independent predictor of clinical performance in responding to a virtual deteriorating patient R2=0.090, F(7, 352)=4.962, p<0.001. Discussion: The use of web-based technology allows simulation activities to be accessible to a large number of participants and completion rates indicate that 'Net Generation' nursing students were highly engaged with this mode of learning. Conclusion: The web-based e-simulation program FIRST2ACTTM effectively enhanced knowledge, virtual clinical performance, and self-assessed knowledge, skills, confidence, and competence in final-year nursing students.

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Nurse Education Today

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35

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10

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Nursing

Nursing not elsewhere classified

Curriculum and pedagogy

Clinical learning

Computer-based education

E-simulation

Nursing students

Patient deterioration

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Bogossian, F; Cooper, SJ; Cant, R; Porter, J; Forbes, H; McKenna, L; Kinsmen, L; Endacott, R; Devries, B; Philips, NM; Bucknall, T; Young, SC; Kain, V, A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB™) on student learning, Nurse Education Today, 2015, 35 (10), pp. e36-e42

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