Effects of Online Learning Packages Using Simulation of Nursing Paediatric Critical Care Unit
DOI:
https://doi.org/10.31674/mjn.2025.v17i01.012Abstract
Background: Online learning packages using simulation have emerged as innovative tools to enhance nursing education in Paediatric Critical Care Units, offering interactive and flexible training experiences. The purpose of this study was to compare knowledge scores before and after receiving online learning packages using simulation of nursing paediatric critical care of registered nurses working in the Paediatric Intensive Care Unit (PICU) at University Hospital in North-eastern region of Thailand, whose work experiences were less than 3 years and had not completed the training course on paediatric intensive care nursing. Methods: The method is a quasi-experimental study, an online learning package using simulation of nursing paediatric critical care, and a one-group pre-post-test design. The samples in this study were professional nurses working in the paediatric intensive care unit (PICU) at University Hospital in North-eastern Reginal of Thailand. Results: The results of the 14 registered nurses who participated in this study showed that there was a statistically significant Mean Difference (MD) in the score before and after receiving the online learning package 1 (MD -7.4), and the score after the 2-week follow-up period was (MD -3.9). Also, there was a statistically significant difference in the mean score after the program and the 2-week follow-up period with the score of 3.4. For an online learning package 2, there was a statistically significant difference in the mean score before and after receiving the package (MD -9.6 points), and the score after the 2-week follow-up period was (MD -6.1 points). It was also found that there was a statistically significant difference in the mean score after the program and the 2-week follow-up period with the score of 3.4. Conclusion: To conclude, an online learning package regarding nursing competencies can improve knowledge in paediatric critical care nursing. This will affect the quality of care and patients’ safety.
Keywords:
Online Learning Package, Paediatric Intensive Care Unit, Simulation of Nursing Paediatric Critical CareDownloads
References
Cant, R. P., & Cooper, S. J. (2017). The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. Nurse Education in Practice, 27, 45-62. https://doi.org/10.1016/j.nepr.2017.08.001
Dwivedi, Y. K., Hughes, D. L., Coombs, C., Constantiou, I., Duan, Y., Edwards, J. S., ... & Upadhyay, N. (2020). Impact of COVID-19 pandemic on information management research and practice: Transforming education, work and life. International Journal of Information Management, 55. https://doi.org/10.1016/j.ijinfomgt.2020.102211
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175-191. https://doi.org/10.3758/BF03193146
Foronda, C. L., Fernandez-Burgos, M., Nadeau, C., Kelley, C. N., & Henry, M. N. (2020). Virtual simulation in nursing education: A systematic review spanning 1996 to 2018. Simulation in Healthcare, 15(1), 46-54. https://doi.org/10.1097/SIH.0000000000000411
Huggins, K. (2004). Lifelong learning—the key to competence in the intensive care unit. Intensive and Critical Care Nursing, 20(1), 38-44. https://doi.org/10.1016/j.iccn.2003.10.001
Jamjang, S., Atthamatakul, W., Nilliaum, R., & Wongyara, N. (2021). The effects of simulation-based learning on problem-solving ability and self-confidence in nursing care for patients with health problems among nursing students (In Thai). Journal of Prachomklao College of Nursing, Phetchaburi Province, 4(3), 178–194. Retrieved from https://he01.tci-thaijo.org/index.php/pck/article/view/249420. Accessed on 14th June, 2023.
Kao, P. F., Wang, Y. H., & Liao, H. C. (2016). Construction and validation of an analytic critical thinking scoring rubric for healthcare students and providers. Journal of Medical Education, 20(4), 308-320. https://doi.org/10.6145/jme201631
Khonboon, R., & Deeaom, A. (2021). The guidelines on development of learning achievement of nursing students in maternal-newborn and midwifery nursing practice I, Buriram Rajabhat University. Research and Development Health System Journal, 14(3), 207–208. Retrieved from: https://he02.tci-thaijo.org/index.php/RDHSJ/article/view/254125. Accessed on 8th August, 2023.
Khumsuk, W., Nillapun, M. (2021). Simulation-Based Learning (In Thai). Journal of Council of Community Public Health, 3(1), 1-11. Retrieved from: https://search.tci-thailand.org/article.html?b3BlbkFydGljbGUmaWQ9NjUzMDU3. Accessed on 8th August, 2023.
Lateef, F. (2010). Simulation-based learning: Just like the real thing. Journal of Emergencies, Trauma, and Shock, 3(4), 348-352. https://doi.org/10.4103/0974-2700.70743
Maraphen, R., & Boonkoum, W. (2020). Development of Learning Instructional Model by Using Standardized Patient in Simulation Base in Community Health Nursing (Doctoral dissertation, Silpakorn University). Retrieved from: http://ithesis-ir.su.ac.th/dspace/handle/123456789/2751. Accessed on 8th March, 2023.
Marinoni, G., Van’t Land, H., & Jensen, T. (2020). The impact of Covid-19 on higher education around the world. IAU Global Survey Report, 23(1), 1-17. Retrieved from: http://viduketha.nsf.gov.lk:8585/COVID19_Articles/GRA/The%20impact%20of%20Covid-19%20on%20higher%20569%20iau_covid19_and_he_survey_report_final_may_2020.pdf. Accessed on 18th August, 2023.
Martinez-Ortigosa, A., Martinez-Granados, A., Gil-Hernández, E., Rodriguez-Arrastia, M., Ropero-Padilla, C., & Roman, P. (2023). Applications of artificial intelligence in nursing care: a systematic review. Journal of Nursing Management, 2023(1). https://doi.org/10.1155/2023/3219127
Meghani, S. T., & Lalani, N. S. (2014). The journey of educational training from competency to proficiency of Pediatric Intensive Care Unit Nurses (PICU). Pediatrics & Therapeutics, 4(209), 2161-0665. https://doi.org/10.4172/2161-0665.1000209
Mishra, L., Gupta, T., & Shree, A. (2020). Online teaching-learning in higher education during lockdown period of COVID-19 pandemic. International Journal of Educational Research Open, 1. https://doi.org/10.1016/j.ijedro.2020.100012
Padilha, J. M., Machado, P. P., Ribeiro, A., Ramos, J., & Costa, P. (2019). Clinical virtual simulation in nursing education: Randomized controlled trial. Journal of Medical Internet Research, 21(3). https://doi.org/10.2196/11529
Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novices to mid-to late-career nurses throughout their career span. Administrative Sciences, 7(2). https://doi.org/10.3390/admsci7020017
Schaufeli, W. B., & Salanova, M. A. R. I. S. A. (2013). Burnout, boredom and engagement in the workplace. An Introduction to Contemporary Work Psychology, 291-320. https://doi.org/10.1002/9781394259564.ch12
Sim, J. J. M., Rusli, K. D. B., Seah, B., Levett-Jones, T., Lau, Y., & Liaw, S. Y. (2022). Virtual simulation to enhance clinical reasoning in nursing: A systematic review and meta-analysis. Clinical Simulation in Nursing, 69, 26–39. https://doi.org/10.1016/j.ecns.2022.05.006
Tutticci, N., Coyer, F., Lewis, P. A., & Ryan, M. (2016). High-fidelity simulation: Descriptive analysis of student learning styles. Clinical Simulation in Nursing, 12(11), 511-521. Retrieved from: https://www.nursingsimulation.org/article/S1876-1399(16)30053-6/abstract. Accessed on 6th August, 2023.
Wittig, J., Krogh, K., Blanchard, E. E., Xing, K., Kushner, J., Bichmann, A., Flin, R., Brazil, V., Goldhaber-Fiebert, S. N., Paige, J., & Lauridsen, K. G. (2025). A systematic review on conditions before and after training of teamwork competencies and the effect on transfer of skills to the clinical workplace. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 20(2), 111–117. https://doi.org/10.1097/SIH.0000000000000809
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The Malaysian Journal of Nursing (MJN)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
