Assessing the effects of asthma attack simulation on cognitive, psychomotor, and affective learning in nursing students: a randomized controlled study
Abstract
Aims: Asthma is a global health problem. Nursing students, who play a key role in managing asthma attack, should be capable of recognising and responding to asthma symptoms. This research aimed to assess the repercussions of asthma attack simulation training on nursing students cognitive, psychomotor, and affective learning domains.
Methods: A randomised controlled trial was used in this study. Fourth-year nursing students with no prior simulation training experience were recruited. This research randomly divided participants into two distinct groups: a simulation group, consisting of 53 members, and a control group, with 62 members. Each group received 100 hours of standard training, and only the simulation group received 210 hours of asthma attack simulation training instruction based on Bloom's taxonomy the following day. A knowledge questionnaire was used to evaluate nursing students' cognitive learning on asthma attacks right after theoretical training and three months afterwards. The Objective Structured Clinical Examination was used as a standardised evaluation instrument to evaluate students' psychomotor learning, and the emotional learning, empathy, motivation, self-efficacy, and anxiety levels of nursing students were assessed using a Likert scale ranging from 1 to 10 three months after their theoretical training.
Results: Asthma attack cognitive, psychomotor, and emotional learning of nursing students in the Simulation group improved after the intervention compared to the control group (p<0.05).
Conclusion: Simulation-based training demonstrates potential efficacy in enhancing nursing students' cognitive, psychomotor, and affective learning related to asthma attacks.
Supporting Institution
no
Project Number
no
Thanks
Supporting the research, Associate Professor Dr. I would like to thank Aysel ÖZDEMİR.
References
- Asthma Diagnosis and Treatment Guide, 2020. Accessed February 1, 2023. https://www.aid.org.tr/wpcontent/uploads/2020/12/astim-rehberi-2020.pdf.
- Global Strategy for Asthma. Global Strategy for Asthma Management and Prevention, 2019.Accessed February 1, 2023. http://www.ginasthma.org. 2019.
- The Global Asthma Report. 2014. Accessed February 1, 2023. http://globalasthmareport.org/2014/Global_Asthma_Report_2014.pdf.
- Hanson TK, Aleman M, Hart L, Yawn B. Increasing availability to and ascertaining value of asthma action plans in schools through use of technology and community collaboration. J Sch Health. 2013;83:915–920. doi:10.1111/josh.12110
- Harrington CB, Langhans E, Shelef DQ, Savitz M, Whitmore C, Teach SJ. A pilot randomized trial of school-based administration of inhaled corticosteroids for at-risk children with asthma. J Asthma. 2018;55(2):145-151.
- Patrik J. Simulation. In. Patric J, Editor. Training:Research and Practice. London:Academic Press; 2002. p.487-508.
- Yuan HB, Williams BA, Fang JB, Ye QH. A systematic review of selected evidence on improving knowledge and skills through high-fidelity simulation. Nurse Educ Today. 2012;32(3);294-298.
- Lapkin S, Levett-JonesT, Bellchambers H, Fernandez R. Effectiveness of patient simulation manikins in teaching clinical reasoning skills to undergraduate nursing students:a systematic review. Clin Simulation Nurs. 2010;6(6);e207-e222.
- Goodstone L, Goodstone MS, Cino K, Glaser CA, Kupferman K, Dember-Neal. T. Effect of simulation on the development of critical thinking in associate degree nursing students. Nurs Educ Perspect. 2013;34(3):159-162.
- Unal E, Ozdemir A. The effect of hybrid simulated burn care training on nursing students' knowledge, skills, and empathy:A randomised controlled trial. Nurse Educ Today. 2023;126:105828. doi:10.1016/j.nedt.2023.105828
- Labrague LJ, McEnroe-Petitte DM, Bowling AM, Nwafor CE, Tsaras K. High-fidelity simulation and nursing students' anxiety and self-confidence: a systematic review. Nurs Forum. 2019;54(3):358-368. doi:10.1111/nuf.12337
- Özdemir A, Ünal E. The effect of breast self-examination training on nursing students by using hybrid-based simulation on knowledge, skills, and ability to correctly evaluate pathological findings: randomized controlled study. Nurse Educ Pract. 2022;66:103530. doi:10. 1016/j.nepr.2022.103530.
- Lee LYK, Lee JKL, Wong KF, Tsang AYK., Li MK. The establishment of an integrated skills training centre for undergraduate nursing education. Int Nurs Rev. 2010;57(3):359-364. doi:10.1111/j.1466-7657.2009.00796.x
- Shaughnessy AF, Chang KT, Sparks J, Cohen-Osher M, Gravel Jr J. Assessing and documenting the cognitive performance of family medicine residents practicing outpatient medicine. J Grad Med Educ. 2014;6(3):526-531.
- Tuma F, Nassar K. Applying Bloom's taxonomy in clinical surgery: practical examples. Ann Med Surg (Lond). 2021;69:102656.
- Solnick A, Weiss S. High fidelity simulation in nursing education:a review of the literature. Clin Simulation Nurs. 2007;3(1):e41-e45.
- Oncü E, Vayısoğlu SK, Lafci D, Yurtsever D, Bulut ER, Peker E. Comparison of interactive education versus fluorescent concretization on hand hygiene compliance among primary school students:a randomized controlled trial. J School Nurs. 2019;35(5):337-347. doi:10.1177/ 1059840518785447.
- Jeffries PR, Rizzolo MA. Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: a national, multi-site, multi-method study. New York, NY:National League for Nursing; 2006.
- Phrampus PE, O’Donnell JM. Debriefing using a structured and supported approach. In The comprehensive textbook of healthcare simulation. Springer. 2013:73-84
- Drummond D, Truchot J, Fabbro E, et al. Fixed versus variable practice for teaching medical students the management of pediatric asthma exacerbations using simulation. Eur J Pediatr. 2018;177(2):211-219. doi:10.1007/s00431-017-3054-1
- Lee JJ, Jeong HC, Kang KA, Kim YJ, Lee MN. Development of a simulation scenario and evaluation checklist for patients with asthma in emergency care. CIN: Comput Inform Nurs. 2015;33(12):546-554. doi:10.1097/CIN.0000000000000193
- Bortolato-Major C, Mantovani MDF, Felix JVC, Boostel R, Silva ÂTMD, Caravaca-Morera JA. Debriefing evaluation in nursing clinical simulation:a cross-sectional study. Rev Bras Enferm. 2019;72:788-794. https://doi.org/10.1590/0034-7167-2018-0103
- Tawfik MM, Fayed AA, Dawood AF, Al Mussaed E, Ibrahim GH. Simulation-based learning versus didactic lecture in teaching bronchial asthma for undergraduate medical students: a step toward improvement of clinical competencies. Med Sci Educ. 2020;30(3):1061-1068.
- Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the effects of simulation-based and traditional teaching methods on the critical thinking abilities and self-confidence of nursing students. J Nurs Res. 2018;26(3):152-157. doi:10.1097/jnr.0000000000000231
- Schön DA. The Reflective Practitioner:How Professionals Think in Action (1st ed.). Routledge. 1992. Accessed February 1, 2023.
Abstract
Project Number
no
References
- Asthma Diagnosis and Treatment Guide, 2020. Accessed February 1, 2023. https://www.aid.org.tr/wpcontent/uploads/2020/12/astim-rehberi-2020.pdf.
- Global Strategy for Asthma. Global Strategy for Asthma Management and Prevention, 2019.Accessed February 1, 2023. http://www.ginasthma.org. 2019.
- The Global Asthma Report. 2014. Accessed February 1, 2023. http://globalasthmareport.org/2014/Global_Asthma_Report_2014.pdf.
- Hanson TK, Aleman M, Hart L, Yawn B. Increasing availability to and ascertaining value of asthma action plans in schools through use of technology and community collaboration. J Sch Health. 2013;83:915–920. doi:10.1111/josh.12110
- Harrington CB, Langhans E, Shelef DQ, Savitz M, Whitmore C, Teach SJ. A pilot randomized trial of school-based administration of inhaled corticosteroids for at-risk children with asthma. J Asthma. 2018;55(2):145-151.
- Patrik J. Simulation. In. Patric J, Editor. Training:Research and Practice. London:Academic Press; 2002. p.487-508.
- Yuan HB, Williams BA, Fang JB, Ye QH. A systematic review of selected evidence on improving knowledge and skills through high-fidelity simulation. Nurse Educ Today. 2012;32(3);294-298.
- Lapkin S, Levett-JonesT, Bellchambers H, Fernandez R. Effectiveness of patient simulation manikins in teaching clinical reasoning skills to undergraduate nursing students:a systematic review. Clin Simulation Nurs. 2010;6(6);e207-e222.
- Goodstone L, Goodstone MS, Cino K, Glaser CA, Kupferman K, Dember-Neal. T. Effect of simulation on the development of critical thinking in associate degree nursing students. Nurs Educ Perspect. 2013;34(3):159-162.
- Unal E, Ozdemir A. The effect of hybrid simulated burn care training on nursing students' knowledge, skills, and empathy:A randomised controlled trial. Nurse Educ Today. 2023;126:105828. doi:10.1016/j.nedt.2023.105828
- Labrague LJ, McEnroe-Petitte DM, Bowling AM, Nwafor CE, Tsaras K. High-fidelity simulation and nursing students' anxiety and self-confidence: a systematic review. Nurs Forum. 2019;54(3):358-368. doi:10.1111/nuf.12337
- Özdemir A, Ünal E. The effect of breast self-examination training on nursing students by using hybrid-based simulation on knowledge, skills, and ability to correctly evaluate pathological findings: randomized controlled study. Nurse Educ Pract. 2022;66:103530. doi:10. 1016/j.nepr.2022.103530.
- Lee LYK, Lee JKL, Wong KF, Tsang AYK., Li MK. The establishment of an integrated skills training centre for undergraduate nursing education. Int Nurs Rev. 2010;57(3):359-364. doi:10.1111/j.1466-7657.2009.00796.x
- Shaughnessy AF, Chang KT, Sparks J, Cohen-Osher M, Gravel Jr J. Assessing and documenting the cognitive performance of family medicine residents practicing outpatient medicine. J Grad Med Educ. 2014;6(3):526-531.
- Tuma F, Nassar K. Applying Bloom's taxonomy in clinical surgery: practical examples. Ann Med Surg (Lond). 2021;69:102656.
- Solnick A, Weiss S. High fidelity simulation in nursing education:a review of the literature. Clin Simulation Nurs. 2007;3(1):e41-e45.
- Oncü E, Vayısoğlu SK, Lafci D, Yurtsever D, Bulut ER, Peker E. Comparison of interactive education versus fluorescent concretization on hand hygiene compliance among primary school students:a randomized controlled trial. J School Nurs. 2019;35(5):337-347. doi:10.1177/ 1059840518785447.
- Jeffries PR, Rizzolo MA. Designing and implementing models for the innovative use of simulation to teach nursing care of ill adults and children: a national, multi-site, multi-method study. New York, NY:National League for Nursing; 2006.
- Phrampus PE, O’Donnell JM. Debriefing using a structured and supported approach. In The comprehensive textbook of healthcare simulation. Springer. 2013:73-84
- Drummond D, Truchot J, Fabbro E, et al. Fixed versus variable practice for teaching medical students the management of pediatric asthma exacerbations using simulation. Eur J Pediatr. 2018;177(2):211-219. doi:10.1007/s00431-017-3054-1
- Lee JJ, Jeong HC, Kang KA, Kim YJ, Lee MN. Development of a simulation scenario and evaluation checklist for patients with asthma in emergency care. CIN: Comput Inform Nurs. 2015;33(12):546-554. doi:10.1097/CIN.0000000000000193
- Bortolato-Major C, Mantovani MDF, Felix JVC, Boostel R, Silva ÂTMD, Caravaca-Morera JA. Debriefing evaluation in nursing clinical simulation:a cross-sectional study. Rev Bras Enferm. 2019;72:788-794. https://doi.org/10.1590/0034-7167-2018-0103
- Tawfik MM, Fayed AA, Dawood AF, Al Mussaed E, Ibrahim GH. Simulation-based learning versus didactic lecture in teaching bronchial asthma for undergraduate medical students: a step toward improvement of clinical competencies. Med Sci Educ. 2020;30(3):1061-1068.
- Alamrani MH, Alammar KA, Alqahtani SS, Salem OA. Comparing the effects of simulation-based and traditional teaching methods on the critical thinking abilities and self-confidence of nursing students. J Nurs Res. 2018;26(3):152-157. doi:10.1097/jnr.0000000000000231
- Schön DA. The Reflective Practitioner:How Professionals Think in Action (1st ed.). Routledge. 1992. Accessed February 1, 2023.
Details
| Primary Language | English |
|---|---|
| Subjects | Nurse Education |
| Journal Section | Original Article |
| Authors | |
| Project Number | no |
| Early Pub Date | September 26, 2023 |
| Publication Date | September 28, 2023 |
| Published in Issue | Year 2023 Volume: 6 Issue: 5 |
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