Use of High-Fidelity Simulation in Clinical Teaching: Nurse Educators’ Perspective
DOI:
https://doi.org/10.31674/mjn.2023.v14i04.008Abstract
Background: Despite the benefits of high-fidelity simulation (HFS) in developing clinical skills, Nursing schools in lower-middle-income countries like the Philippines are less successful in the implementation of HFS as a pedagogy. The utilization of HFS was recommended to offset the effects of COVID-19 on clinical placements which received various reactions from nurse educators.
Objective: This study aimed to explore the views of nursing educators who did not use HFS as an instructional strategy in nursing education.
Methods: A qualitative descriptive research design was utilized and data were gathered through a focus group discussion involving seven nurse educators who fit the criteria. Using thematic analysis, the following themes were uncovered: (1) technological complexities and difficulties, (2) lack of training and application, (3) need for expert support, (4) inadequate resources, (5) fear and apprehensions, and (6) not a requirement but an option.
Results: Multiple factors affect the use of HFS among nursing educators in a lower middle-income country that requires users to be knowledgeable, skillful, and technologically adept. The lack thereof coupled with fear has consequently reduced HFS to an option rather than an indispensable tool for nursing education.
Conclusion: Hence, to facilitate the utilization of HFS, a structured HFS training program that considers the context, and faculty needs might be instrumental. Additionally, the likelihood of integrating HFS in the curriculum as an equivalent to clinical placements can be explored to future-proof nursing education from the effects of a pandemic.
Keywords:
High Fidelity Simulation, Technology Adoption, Nursing Education, PhilippinesDownloads
References
Al-Ghareeb, A. Z., & Cooper, S. J. (2016). Barriers and enablers to the use of high-fidelity patient simulation manikins in nurse education: an integrative review. Nurse Education Today, 36, 281–286. https://doi.org/10.1016/j.nedt.2015.08.005
Alshehri, F. D., Jones, S., & Harrison, D. (2023). The effectiveness of high-fidelity simulation on undergraduate nursing students' clinical reasoning-related skills: A systematic review. Nurse Education Today, 121, 105679. https://doi.org/10.1016/j.nedt.2022.105679
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
Carey, J.M., & Rossler, K. (2021, May 9). The How When Why of High Fidelity Simulation. In StatPearls. StatPearls Publishing.
Commission on Higher Education. (2017). Policies, standards and guidelines for the bachelor of science in nursing program. https://chedro1.com/wp-content/uploads/2019/07/CMO-15-s-2017.pdf
Commission on Higher Education. (2020). Guidelines on the implementation of flexible learning.https://chedro3.ched.gov.ph/wp-content/uploads/2020/10/CMO-No.-4-s.-2020-Guidelines-on-the-Implementation-of-Flexible-Learning.pdf
Commission on Higher Education and Department of Health (CHEd & Department of Health) (2021). Guidelines on the gradual re-opening of campuses of higher education institutions for limited face-to-face classes during the COVID-19 pandemic. https://iatf.doh.gov.ph/wp-content/uploads/2022/09/CHED-DOH-Joint-Memorandum-Circular-No.-2021-001 Guidelines-on-the-Gradual-Reopening-of-Campuses-of-Higher-Education-Institutions-for-Limited-Face-to-Face-Classes-during-the-COVID-19-Pandemic.pdf
Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 318–339. https://doi.org/10.2307/249008
Dewart, G., Corcoran, L., Thirsk, L., & Petrovic, K. (2020). Nursing education in a pandemic: Academic challenges in response to COVID-19. Nurse Education Today, 92, 104471. https://doi.org/10.1016/j.nedt.2020.104471
Doyle, L., McCabe, C., Keogh, B., Brady, A., & McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing: JRN, 25(5), 443–455. https://doi.org/10.1177/1744987119880234
Eyikara, E., & Baykara, Z. G. (2017). The importance of simulation in nursing education. World Journal on Educational Technology: Current Issues, 9(1), 02-07. https://doi.org/10.18844/wjet.v9i1.543
Fawaz, M. A., & Hamdan-Mansour, A. M. (2016). Impact of high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. Nurse Education Today, 46, 36–42. https://doi.org/10.1016/j.nedt.2016.08.026
Gamble, A. S. (2017). Simulation in undergraduate paediatric nursing curriculum: Evaluation of a complex ‘ward for a day’education program. Nurse Education in Practice, 23, 40-47. https://doi.org/10.1016/j.nepr.2017.02.001
Jacobs, S., Taylor, C., Dixon, K. A., & Wilkes, L. M. (2020). The advantages and disadvantages of using High Fidelity Simulation as an environment to observe undergraduate nurses' actions and their alignment with clinical judgement characteristics. Clinical Nursing Studies, 15-20. https://doi.org/10.5430/cns.v8n1p15
Janse van Vuuren, V., Seekoe, E., & Goon, D. T. (2018). The Perceptions of Nurse Educators regarding the use of High Fidelity Simulation in Nursing Education. Africa Journal of Nursing and Midwifery, 20(1), 20 pages. https://doi.org/10.25159/2520-5293/1685
Jeffries, P. R., Rodgers, B., & Adamson, K. (2015). NLN Jeffries simulation theory: Brief narrative description. Nursing Education Perspectives, 36(5), 292-293
Kim, H., Sefcik, J. S., & Bradway, C. (2017). Characteristics of Qualitative Descriptive Studies: A Systematic Review. Research in Nursing & Health, 40(1), 23–42. https://doi.org/10.1002/nur.21768
Kolb, D. A. (1984). Experiential Learning: Experience as the Source of Learning and Development. New Jersey: Prentice-Hall.
Korstjens, I., & Moser, A. (2018). Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing. The European Journal of General Practice, 24(1), 120–124. https://doi.org/10.1080/13814788.2017.1375092
Krueger, L., Ernstmeyer, K., & Kirking, E. (2017). Impact of Interprofessional Simulation on Nursing Students' Attitudes Toward Teamwork and Collaboration. The Journal of Nursing Education, 56(6), 321–327. https://doi.org/10.3928/01484834-20170518-02
La Cerra, C., Dante, A., Caponnetto, V., Franconi, I., Gaxhja, E., Petrucci, C., ... & Lancia, L. (2019). Effects of high-fidelity simulation based on life-threatening clinical condition scenarios on learning outcomes of undergraduate and postgraduate nursing students: a systematic review and meta-analysis. BMJ Open, 9(2), e025306. http://dx.doi.org/10.1136/bmjopen-2018-025306
Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic Inquiry. Sage Publications, New York, New York, United States.
Luo, D., Yang, B. X., Liu, Q., Xu, A., Fang, Y., Wang, A., ... & Li, T. (2021). Nurse educators perceptions of simulation teaching in Chinese context: benefits and barriers. PeerJ, 9, e11519. https://doi.org/10.7717/peerj.11519
Munangatire, T., & Naidoo, N. (2017). Exploration of high-fidelity simulation: Nurse educators’ perceptions and experiences at a school of nursing in a resource-limited setting. African Journal of Health Professions Education, 9(1), 44-47. https://doi.org/10.7196/AJHPE.2017.v9i1.739
Paccoud, I., Baumann, M., Le Bihan, E., Pétré, B., Breinbauer, M., Böhme, P., ... & Leist, A. K. (2021). Socioeconomic and behavioural factors associated with access to and use of Personal Health Records. BMC Medical Informatics and Decision Making, 21(1), 1-11. https://doi.org/10.1186/s12911-020-01383-9
Paige, J. B., & Daley, B.J. (2009). Situated cognition: a learning framework to support and guide high-fidelity simulation. Clinical Simulation in Nursing, 5(3), e97-e103. https://doi.org/10.1016/j.ecns.2009.03.120
Parasuraman, A. (2000). Technology readiness index (TRI): A multiple-item scale to measure readiness to embrace new technologies. Journal of Service Research, 2, 307-320. https://doi:10.1177/109467050024001
Polit, D. F., & Beck, C. T. (2018). Essentials of nursing research: appraising evidence for nursing practice (9th ed). Wolters Kluwer Health , Australia.
Ray, S. R. (2017). Issues Related to Implementing High-Fidelity Simulation in a Nursing Program. Walden Dissertations and Doctoral Studies. 4753. https://scholarworks.waldenu.edu/dissertations/4753
Rogers, E. M. (2010). Diffusion of innovations. Simon and Schuster. 4th Edition. Free Press Publisher, New York City, New York, U.S.
Sungkai, M. K., Sharma, N., & Dong, C. (2016). High Fidelity Simulation Use in Asia—a Perception Study. Medical Science Educator, 26(4), 533-537. https://doi.org/10.1007/s40670-016-0299-7
Taplay, K., Jack, S. M., Baxter, P., Eva, K., & Martin, L. (2015). The process of adopting and incorporating simulation into undergraduate nursing curricula: a grounded theory study. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 31(1), 26–36. https://doi.org/10.1016/j.profnurs.2014.05.005
Woods, C., West, C., Mills, J., Park, T., Southern, J., & Usher, K. (2015). Undergraduate student nurses’ self-reported preparedness for practice. Collegian, 22(4), 359-368. https://doi.org/10.1016/j.colegn.2014.05.003
Yoon, C., & Choi, B. (2020). Role of situational dependence in the use of self-service technology. Sustainability 2020, 12(11), 4653; https://doi.org/10.3390/su12114653
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