Hemşirelik Eğitiminde Simülasyonun Kullanımı: Sistematik İnceleme

Year 2015, Volume: 23 Issue: 1, 49 - 56, 22.05.2015

Merdiye Şendir , Pınar Doğan

Abstract

Amaç: Bu sistematik inceleme, hemşirelik eğitiminde simülasyon kullanımının sonuçlarını değerlendiren çalışmaları sistematik olarak incelemek amacıyla planlanmıştır.

Yöntem: Bu çalışmanın evrenini Nisan-Temmuz 2013 tarihinde CINAHL Plus, Medline, Health Source: Nurse/Akademic Education veri tabanları ile Google Scholar ve digital tez kaynaklarından taranarak ulaşılan 545 makale oluşturmuştur. İncelemede “simulation”, “nursing education” ve “simulation in nursing” anahtar kelimeleriyle son on yılda yayınlanmış (Nisan 2003- Temmuz 2013), yayın dili Türkçe ya da İngilizce olan ve tam metni bulunan makaleler seçilmiştir.   Bu makalelerden araştırma kriterlerini karşılayan toplam 15 çalışma incelemenin örneklemini oluşturmuştur.

Bulgular: Hemşirelik eğitiminde simülasyon kullanımını ilişkin çalışmaların sistematik incelemesi, bilgi-beceri ve etkili iletişim-eleştirel düşünme-klinik karar vermeyi değerlendiren araştırmalar olarak iki grup altında gerçekleştirilmiştir. Çalışmaya dahil edilen makalelerde deneysel, yarı deneysel ve tanımlayıcı-ilişki arayıcı araştırma tasarımlarının kullanıldığı saptanmıştır. Araştırmaların 7’sinde, hemşirelik bilgi ve becerilerinin kazandırılmasında simülasyon ile eğitimin etkili olduğu belirlenmiştir. Ayrıca 10 araştırmada da simülasyon ile eğitimden sonra öğrencilerin etkili iletişim, eleştirel düşünme, öz etkililik ve öz güven düzeylerinde artma saptanmıştır.

Sonuç: Hemşirelik eğitiminde simülasyonun, öğrenciye bilgi ve beceri kazandırmasının yanı sıra etkili iletişim, eleştirel düşünme, öz etkililik ve  öz güvenin de gelişmesine katkı sağlayan bir öğrenme yöntemi olduğu görülmektedir.

Keywords

Hemşirelik eğitimi, simülasyon, hemşirelikte simülasyon

Use of Simulation in Nursing Education: A Systematic Review

Abstract

Aim: This systematic review is planned to investigate systematically the studies that evaluated the results of the use of simulation in nursing education.

Method: The population of this study is consisted of 545 articles from accessed by searching on “CINAHL Plus”, “Medline”,” Health Source: Nurse / Academic Edition” and “Google Scholar” databases and “Networked Digital Library of Theses and Dissestations” sources in dates between April a July 2013. In this review, the articles were selected as full text by searching with “simulation”, “nursing education” and “simulation in nursing” key words and they were published in English and Turkish languages in the last decade (April 2003-July 2013).Total 15 studies of these articles that meet the research’s criteria have occurred the sample of the review.

Results: Systematic review of the studies that evaluated simulation in nursing education were divided into two groups as studies that are evaluating the knowledge-skills and critical thinking-clinical decision making. In this review, experimental, quasiexperimental and descriptive-correlational research designs were used often for the studies. In the seven researches, simulation training have been identifi ed to be effective in gaining of nursing knowledge and skills. Also, in ten studies, were determined an increase the level of student’s critical thinking, self-effi cacy and self-confi dence, after training with simulation. Conclusion: The simulation in nursing education, is observed a learning method is contributing to the development critical thinking, self effi cacy and self confi dence besides gaining knowledge and skills to students.

Key Words: Nursing education, simulation, simulation in nursing

Keywords

Nursing education, simulation, simulation in nursing

References

• Alinier, G., Hunt, B., Gordon, R., Harwood, C. (2006). Effecti- veness of intermediate-fi delity simulation training technology in undergraduate nursing education. Journal of Advanced Nursing, 54(3): 359-369.
• Bartfay, W., Rombough, R., Howse, E., LeBlanc, R. (2004). The OSCE approach in nursing education: Objective structured clinical examinations can be effective vehicles for nursing education and practice by promoting the mastery of clinical skills and decision- making in controlled and safe learning environments. The Canadi- an Nurse, 100(3): 18-23.
• Bambini, D., Washburn, J., Perkins, R. (2009). Outcomes of clini- cal simulation for novice nursing students: Communication, confi - dence, clinical judgment. Nursing Education Perspectives, 30(2): 79
• Bornais, A. K., Janet, E., Ryan, E., El-Masri, M. M. (2012). Evalu- ating undergraudate nursing students’ learning using standardized patients. Journal of Professional Nursing, 28(5): 291-296.
• Boztepe, H., Terzioğlu, F. (2013). Hemşirelik eğitiminde beceri değerlendirme. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16(1): 57-63.
• Butler, K.W., Veltre, D. E., Brady, D. (2009). Implementation of active learning pedagogy comparing low-fi delity simulation versus high-fi delity simulation in pediatric nursing education. Clinical Si- mulation in Nursing, 5: 129-136.
• Fero, L. J. ver ark. (2010). Critical thinking skills in nursing stu- dents: Comparison of simulation-based performance with metrics.
• Journal of Advanced Nursing. 66(10): 2182-2193.
• Flude, L. M., Keates, W. B., Larocque, M. (2012). Evaluating high- fi delity human simulators andstandardized patients in an underg- raduate nursing health assessment course. Nursing Education To- day, 32: 448-452.
• Fountain, R. A., Alfred, D. (2009). Student satisfaction with high- fi delity simulation: Does it correlate with learning styles? Nursing
• Education Perspectives, 30(2): 96-98. Fowler-Durham, C., Alden, K. (2007). Enhancing patient safety in nursing education through patient simulation. Hughes, R. G. (Ed.).
• Patient Safety and Quality: An Evidence-Based Handbook for Nur- ses. Rockville MD., US, 3-221. Hacıalioğlu, H. (2011). Hemşirelikte Öğretim Öğrenme ve Eğitim.
• Nobel Tıp Kitabevleri, İstanbul. Hannafi n, R. D., Foshay, W. R. (2006). Computer based instructi- on (CBI) rediscovered role in KF12: An evaluation case study of one high school’s use of CBI to improve pass rates on high stakes tests. Educational Technology Research and Development, 56(2): 147-1
• Jeffries, P. R., Rizzolo, M. A. (2006). 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. National League for Nursing, New York. Karaduman, B. (2008). İlköğretim 6. sınıf fen ve teknoloji dersi
• “maddenin tanecikli yapısı” ünitesinin öğretiminde bilgisayar destekli ve bilgisayar temelli öğretim. Yüksek Lisans Tezi, Çukurova Üniversitesi Sosyal Bilimler Enstitüsü, Adana. Kim-Godwin, Y. S. ve ark. (2013). Students like peer evaluation during home visit simulation experiences. Clinical Simulation in Nursing, 9: 535-542.
• McConville, S. A., Lane, A. M. (2006). Using on-line video clips to enhance self-effi cacy toward dealing with diffucult si- tuations among nursing students. Nursing Education Today, 26: 206-20
• Norman, J. (2012). Systematic review of the literature on simulation in nursing education. ABNF Journal, 23(2): 24-29.
• Reid-Searl, K., Happell, B., Vieth, L., Eaton, A. (2012). High fi de- lity patient silicone simulation: A qualitative evaluation of nursing students’ experiences. Collegian, 19: 77-83.
• Rhodes, L. M., Curran, C. (2005). Use of the human patient simüla- tör to teach clinical judgment skills in a baccalaureate nursing prog- ram. Computer Informatics Nursing, 23(5): 256-262.
• Rodgers, D. L., Securro, S. J., Pauley, R. D. (2009). The effect of high-fi delity simulation on educational out comes in an advanced cardiovascular life support course. Simulation in Healthcare, 4(4): 200-20
• Sanford, P. G. (2010). Simulation in nursing education: A rewiew of the research. The Qualitative Report, 15(4):1006-1011.
• Smith, S. J., Roehrs, C. J. (2009). High-fi delty simulation: Factors correlated with nursing student satisfaction and self-confi dence.
• Nursing Education Perspectives, 30: 74-78. Sullivan-Mann, J., Perron, C. A., Feliner, A. N. (2009). The effects of simulation on nursing students’ clinical thinking scores: A qu- antitative study. Newborn&Infant Nursing Rewiews, 9(2):111-116.
• Tosterud, R., Hedelin, B., Hall-Lord, M. L. (2013). Nursing stu- dents’ perceptions of high- and low-fi delity simulation used as lear- ning methods. Nurse Education in Practice, 13: 262-270.
• Yalın, H. (2004). Öğretim Teknolojileri ve Materyal Geliştirme.
• Nobel Yayın Dağıtım, Ankara.