Abstract:
BACKGROUND:Simulation has demonstrated superiority over purely didactic instruction in multiple contexts, and educationalists have embraced this modality for enhancing access to clinical skills. However, there remains uncertainty if increasing the realism (fidelity) of simulation equipment heightens performance. To address this within nursing and allied health, this review examines if increasing equipment fidelity improves learning outcomes. METHODS:A systematic search of; CINAHL, Academic Search Complete, AMED; British Education Index, ERIC, MEDLINE, PsycARTICLES, PsycINFO, Maternity and Infant Care, INTERMID, Google Scholar, American Doctoral Dissertations, EThOS, ClinicalTrials.gov and ISRCTN registers was conducted for trials comparing two or more fidelity levels for knowledge, psychomotor or affective/non-technical outcomes. Data extraction and quality appraisal were performed and independently verified. Subgroup meta-analyses were undertaken (where viable), at post-intervention, intermediate, and long-term assessment time-frames. RESULTS:18 RCTs and quasi-experimental trials containing ~1192 participants met the inclusion criteria. Almost ¾ of included trials exhibited high risk-of-bias. Training on higher-fidelity mannequins was associated with improved performance immediately post-intervention when compared with training on lower-fidelity mannequins for knowledge (p < 0.00001) and psychomotor outcomes (p < 0.00001). A similar directional effect for affective/non-technical skills was considered less robust due to substantial weaknesses in available studies. During follow-up testing at intermediate (1-3 weeks) and long-term (1-6 months) data points, there was insufficient evidence to determine any advantage in the use of higher fidelity mannequins. Repeated-intervention training was also insubstantially reported. CONCLUSION:Higher-fidelity mannequins exhibited modest advantages when testing closely followed training. However results need to be confirmed using a larger number of high quality RCTs. A greater body of research using repeated-interventions and extended time-frames is also required before the influence of sustained training with alternative mannequins can be fully elucidated.
journal_name
Nurse Educ Todayjournal_title
Nurse education todayauthors
Sherwood RJ,Francis Gdoi
10.1016/j.nedt.2018.06.025subject
Has Abstractpub_date
2018-10-01 00:00:00pages
81-94eissn
0260-6917issn
1532-2793pii
S0260-6917(18)30279-Xjournal_volume
69pub_type
杂志文章,meta分析,评审abstract:BACKGROUND:Human trafficking is a crime resulting in serious negative health outcomes for the victims. To provide optimal care, thus improving health outcomes, healthcare providers must be able to identify victims as they seek care for acute and chronic physical illness, communicable diseases, sexually transmitted infe...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2017.11.015
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Nurses caring for elderly patients with a high risk of pressure ulcer at long-term care hospitals require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers. OBJECTIVES:To identify the effects of pressure ulcer prevention training on nurses' knowledge, behaviors, and atti...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2019.104225
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Improving indigenous health outcomes requires a strong indigenous nurse presence. Increasing the retention and success of nursing students during their education supports the critical mass needed to implement change in the health workforce to better address indigenous population health needs. OBJECTIVES:To ...
journal_title:Nurse education today
pub_type: 杂志文章,评审
doi:10.1016/j.nedt.2020.104477
更新日期:2020-05-21 00:00:00
abstract::The integration of nurse education into higher education establishments following Working for Patients, Working Paper 10 (DOH 1989a) has seen changes to the funding and delivery of nurse education. The introduction of contracting for education initiated a business culture which subsumed previous relationships, affecti...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1054/nedt.1999.0625
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:Nursing student life is stressful as a result of the work they exert to learn concepts ranging from basic to complicated issues and health concerns for maintaining overall human health. Hence, assessing the quality of life (QOL) of nursing students is important to determine if they have excellent well-being ...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2018.04.016
更新日期:2018-07-01 00:00:00
abstract::This paper reports the study of a pilot learning programme for the Continuing Professional Development of Practice Nurses (PNs) in Scotland. Two PN groups used the practice-based small group (PBSG) approach to learning, which is designed to encourage learning relevant to patient problems faced in day-to-day practice. ...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2009.02.009
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:In wound care simulations, the practice can be performed on 3D-wounds formed by moulage. Moulage helps the student to perceive the etiology, physiology, and healing processes of the wound, and it can also be used to improve the students' wound assessment skills. OBJECTIVE:The aim of this study is to investi...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104572
更新日期:2020-11-01 00:00:00
abstract::In this article is presented a post-graduate program in palliative care nursing focusing communication. The teaching plan was inspired by action learning, and the students' discovery processes necessitated a variety of teaching methods. The program was based on a holistic view of the human being and of inter-human com...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2009.04.003
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Healthcare educators face numerous challenges including technological change, information overload, and the need to maintain clinical expertise and research knowledge across multiple specialities. Students also need to develop their capacity for critical thinking, using and discriminating between diverse sou...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2012.05.017
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Organising clinical placements during nights has been reported as an additional opportunity to introduce students to the whole picture of their future responsibilities. However, studies in this field are still lacking. OBJECTIVES:To describe and compare (a) the night shift experience of nursing students acr...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104441
更新日期:2020-04-19 00:00:00
abstract::The drift towards competency based nurse interventions has seen a growth in concern regarding the most appropriate methods of assessment of such competencies. Nurse educators and practitioners alike are struggling with the concept of measuring the performance of nursing skills; due to an uneasy relationship between co...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2010.10.017
更新日期:2011-08-01 00:00:00
abstract::This study explored the experiences of a group of second level registered nurses converting to first level registration in a two-year, part-time open learning programme. It aimed to examine the relationship between the mode of course delivery and the personal and professional development experienced by the learners. D...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2005.10.002
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:The high level of psychological resilience, self-confidence and problem solving skills of midwife candidates play an important role in increasing the quality of health care and in fulfilling their responsibilities towards patients. OBJECTIVES:This study was conducted to investigate the psychological resilie...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2018.02.014
更新日期:2018-05-01 00:00:00
abstract::The purpose of this study was to examine the manifestation of health promotion in two Finnish health care and nursing polytechnic curricula for students starting their studies in August 1997. Another goal was to explore students' and their teachers' perceptions of which modules contained health promotion, as well as t...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1054/nedt.2000.0482
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:The progressive development of Minimally Invasive Surgery (MIS) implies the need to train health professionals in such field, for which e-learning and blended learning methods are increasingly been used. Most nurses lack experience and training in MIS, so a laparoscopic blended learning course for nursing ha...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104406
更新日期:2020-06-01 00:00:00
abstract::Interpersonal skills training continues to be an important, but ill-defined aspect of nurse education. The author explores some theoretical and curricular issues that need to be considered when designing interpersonal skills training. He argues that Beattie's fourfold curriculum can be used to integrate the often oppo...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/0260-6917(93)90126-m
更新日期:1993-12-01 00:00:00
abstract::Newborn Infant Physical Examination is recommended between six to 72 h from birth and the midwife is ideally placed to undertake this screening examination. In the United Kingdom only a small percentage of midwives are competent to undertake this screening, and is usually taught once qualified. The aim of this qualita...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104656
更新日期:2020-11-07 00:00:00
abstract:OBJECTIVE:Although guidelines recommend antenatal care providers such as midwives promote oral health during pregnancy, oral health training is not routinely provided in undergraduate midwifery curricula. The aim of this study was to implement an oral health module into an Australian undergraduate midwifery program, an...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104457
更新日期:2020-04-29 00:00:00
abstract::There is talk of a crisis in Germany ('Pflegenotstand'); the lack of staff and the fall in the number of students therefore make it most important for nursing schools to reflect on their problem management capacity. This paper offers some of the findings from a research study which inquires into why students discontin...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/s0260-6917(95)80079-4
更新日期:1995-02-01 00:00:00
abstract::The role of the nurse teacher in relation to the clinical setting has been debated for 20 years, yet it has been the subject of relatively few large studies. Recent studies led to inconclusive results, hence the nurse lecturer's clinical role remains an area of long-standing dispute. Changes in nurse education United ...
journal_title:Nurse education today
pub_type: 杂志文章,评审
doi:10.1016/s0260-6917(99)80006-9
更新日期:1999-04-01 00:00:00
abstract:INTRODUCTION:Non-technical skills (NTS) are fundamental requirements for health professional graduates for safe and competent practice. Technology enhanced simulation, including virtual patients (VPs), is suggested to be effective in developing NTS. PURPOSE:The purpose of this paper is to explore what participants lea...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2018.11.008
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Despite considerable efforts to increase patient safety by supporting the use of best practice medical and nursing guidelines by healthcare staff, adherence is often suboptimal. Swedish nurses often deviate from venous blood specimen collection (VBSC) guideline adherence. We assessed the adherence to nationa...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2013.06.018
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:The rates of people being overweight and obese are recognised as global public health concerns. Negative attitudes towards obese and overweight people are prevalent among health care professionals. Nurses and nursing students have a significant role in health promotion of people who are obese or overweight a...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2019.104232
更新日期:2020-01-01 00:00:00
abstract::Students on clinical placement may encounter practice that deviates from what they perceive to be evidence-based. However, queries by students about the evidence-base of their clinical educators decision-making and practice can be a challenging conversation to initiate. It is unclear how these conversations occur, and...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2021.104768
更新日期:2021-01-14 00:00:00
abstract:BACKGROUND:Intercultural communication has become increasingly important in nursing due to the cross-border mobility of patients, health professionals and students. Development of cultural competence continues to be a challenge, particularly among professionals such as educators or healthcare providers who work in prof...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2020.104348
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Within Australia and internationally (Health Workforce Australia, 2012) an increasing and on-going nursing workforce shortage is documented. Recent international estimates indicate that there will be ongoing and significant gaps in the supply of a nursing workforce; the United Kingdom is predicted to have a ...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2013.08.017
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Students' motivation and ways of engaging in their schoolwork are important for their performance, including passing exams. Attendance at learning activities has also been argued to be of major importance, although no causal relationship with passing exams has been established in nursing education. OBJECTIV...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2016.11.025
更新日期:2017-03-01 00:00:00
abstract::Community mental health nurses (CMHNs) work in an increasingly complex health and social care environment. Over recent years, the evolving direction of general health service and specific mental health policy has directed CMHNs towards: the provision of clinically-effective interventions; a closer attention to meeting...
journal_title:Nurse education today
pub_type: 杂志文章,评审
doi:10.1054/nedt.1999.0347
更新日期:1999-08-01 00:00:00
abstract::Master's degrees, especially in the form of coursework master's programmes are becoming the main conduit for continuing professional education to the professions. However, there is a paucity of literature on the academic or professional destination of nurses following the completion of master's degrees in nursing. A c...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/j.nedt.2007.12.003
更新日期:2008-08-01 00:00:00
abstract::Group work is an important element in nurse education and practice, and is an issue of consistent relevance given the increasing emphasis on collaborative and multidisciplinary working, and the fact that most nurses' work involves them in a variety of groups. This study is ongoing research, and considers the experienc...
journal_title:Nurse education today
pub_type: 杂志文章
doi:10.1016/s0260-6917(98)80173-1
更新日期:1998-08-01 00:00:00