The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students.

Abstract:

BACKGROUND:Existing research literature indicates that the use of various simulation techniques in the training of physical examination skills develops students' cognitive and psychomotor abilities in a realistic learning environment while improving patient safety. OBJECTIVES:The study aimed to compare the effects of the use of a high-fidelity simulator and standardized patients on the knowledge and skills of students conducting thorax-lungs and cardiac examinations, and to explore the students' views and learning experiences. DESIGN:A mixed-method explanatory sequential design. SETTINGS:The study was conducted in the Simulation Laboratory of a Nursing School, the Training Center at the Faculty of Medicine, and in the inpatient clinics of the Education and Research Hospital. PARTICIPANTS:Fifty-two fourth-year nursing students. METHODS:Students were randomly assigned to Group I and Group II. The students in Group 1 attended the thorax-lungs and cardiac examination training using a high-fidelity simulator, while the students in Group 2 using standardized patients. After the training sessions, all students practiced their skills on real patients in the clinical setting under the supervision of the investigator. RESULTS:Knowledge and performance scores of all students increased following the simulation activities; however, the students that worked with standardized patients achieved significantly higher knowledge scores than those that worked with the high-fidelity simulator; however, there was no significant difference in performance scores between the groups. The mean performance scores of students on real patients were significantly higher compared to the post-simulation assessment scores (p<0.001). CONCLUSIONS:Results of this study revealed that use of standardized patients was more effective than the use of a high-fidelity simulator in increasing the knowledge scores of students on thorax-lungs and cardiac examinations; however, practice on real patients increased performance scores of all students without any significant difference in two groups.

journal_name

Nurse Educ Today

journal_title

Nurse education today

authors

Tuzer H,Dinc L,Elcin M

doi

10.1016/j.nedt.2016.07.002

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

120-5

eissn

0260-6917

issn

1532-2793

pii

S0260-6917(16)30122-8

journal_volume

45

pub_type

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