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A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB) on student learning

Bogossian, Fiona E., Cooper, Simon J., Cant, Robyn, Porter, Joanne, Forbes, Helen and FIRST2ACT™ Research Team 2015, A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB) on student learning, Nurse education today, vol. 35, no. 10, pp. e36-e42, doi: 10.1016/j.nedt.2015.08.003.

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Title A trial of e-simulation of sudden patient deterioration (FIRST2ACT WEB) on student learning
Author(s) Bogossian, Fiona E.
Cooper, Simon J.
Cant, Robyn
Porter, Joanne
Forbes, HelenORCID iD for Forbes, Helen
FIRST2ACT™ Research Team
Journal name Nurse education today
Volume number 35
Issue number 10
Start page e36
End page e42
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015
ISSN 1532-2793
Keyword(s) Clinical learning
Computer-based education
Nursing students
Patient deterioration
Web-based learning
Clinical Competence
Computer-Assisted Instruction
Education, Nursing, Baccalaureate
Educational Measurement
Middle Aged
Nursing Assessment
Severity of Illness Index
Simulation Training
Students, Nursing
Videotape Recording
Young Adult
FIRST2ACT™ Research Team
Summary BACKGROUND: High-fidelity simulation pedagogy is of increasing importance in health professional education; however, face-to-face simulation programs are resource intensive and impractical to implement across large numbers of students. OBJECTIVES: To investigate undergraduate nursing students' theoretical and applied learning in response to the e-simulation program-FIRST2ACT WEBTM, and explore predictors of virtual clinical performance. DESIGN AND SETTING: Multi-center trial of FIRST2ACT WEBTM accessible to students in five Australian universities and colleges, across 8 campuses. PARTICIPANTS: A population of 489 final-year nursing students in programs of study leading to license to practice. METHODS: Participants proceeded through three phases: (i) pre-simulation-briefing and assessment of clinical knowledge and experience; (ii) e-simulation-three interactive e-simulation clinical scenarios which included video recordings of patients with deteriorating conditions, interactive clinical tasks, pop up responses to tasks, and timed performance; and (iii) post-simulation feedback and evaluation. Descriptive statistics were followed by bivariate analysis to detect any associations, which were further tested using standard regression analysis. RESULTS: Of 409 students who commenced the program (83% response rate), 367 undergraduate nursing students completed the web-based program in its entirety, yielding a completion rate of 89.7%; 38.1% of students achieved passing clinical performance across three scenarios, and the proportion achieving passing clinical knowledge increased from 78.15% pre-simulation to 91.6% post-simulation. Knowledge was the main independent predictor of clinical performance in responding to a virtual deteriorating patient R(2)=0.090, F(7, 352)=4.962, p<0.001. DISCUSSION: The use of web-based technology allows simulation activities to be accessible to a large number of participants and completion rates indicate that 'Net Generation' nursing students were highly engaged with this mode of learning. CONCLUSION: The web-based e-simulation program FIRST2ACTTM effectively enhanced knowledge, virtual clinical performance, and self-assessed knowledge, skills, confidence, and competence in final-year nursing students.
Language eng
DOI 10.1016/j.nedt.2015.08.003
Field of Research 111099 Nursing not elsewhere classified
1110 Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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