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Randomized Controlled Trial
. 2015 Jan 12;17(1):e5.
doi: 10.2196/jmir.3853.

Designing and evaluating an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care: randomized controlled trial

Sok Ying Liaw  1 , Lai Fun Wong, Sally Wai-Chi Chan, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Sophia Bee Leng Ang, Poh Sun Goh, Emily Neo Kim Ang
Affiliations
Randomized Controlled Trial

Designing and evaluating an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care: randomized controlled trial

Sok Ying Liaw et al. J Med Internet Res. .

Erratum in

Abstract

Background: Web-based learning is becoming an increasingly important instructional tool in nursing education. Multimedia advancements offer the potential for creating authentic nursing activities for developing nursing competency in clinical practice.

Objective: This study aims to describe the design, development, and evaluation of an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care.

Methods: Authentic nursing activities were developed in a Web-based simulation using a variety of instructional strategies including animation video, multimedia instructional material, virtual patients, and online quizzes. A randomized controlled study was conducted on 67 registered nurses who were recruited from the general ward units of an acute care tertiary hospital. Following a baseline evaluation of all participants' clinical performance in a simulated clinical setting, the experimental group received 3 hours of Web-based simulation and completed a survey to evaluate their perceptions of the program. All participants were re-tested for their clinical performances using a validated tool.

Results: The clinical performance posttest scores of the experimental group improved significantly (P<.001) from the pretest scores after the Web-based simulation. In addition, compared to the control group, the experimental group had significantly higher clinical performance posttest scores (P<.001) after controlling the pretest scores. The participants from the experimental group were satisfied with their learning experience and gave positive ratings for the quality of the Web-based simulation. Themes emerging from the comments about the most valuable aspects of the Web-based simulation include relevance to practice, instructional strategies, and fostering problem solving.

Conclusions: Engaging in authentic nursing activities using interactive multimedia Web-based simulation can enhance nurses' competencies in acute care. Web-based simulations provide a promising educational tool in institutions where large groups of nurses need to be trained in acute nursing care and accessibility to repetitive training is essential for achieving long-term retention of clinical competency.

Keywords: Web-based simulation; acute nursing care; authentic learning; clinical competency; deterioration; instructional strategies; multimedia; simulation.

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Conflict of interest statement

The first author is the owner and developer of the simulation software.

Figures

Figure 1
Figure 1
Instructional activities in Web-based simulation.
Figure 2
Figure 2
Flow of data collection.
Figure 3
Figure 3
Pretests and posttests scores on clinical performance.
See this image and copyright information in PMC

References

    1. Fuhrmann L, Østergaard D, Lippert A, Perner A. A multi-professional full-scale simulation course in the recognition and management of deteriorating hospital patients. Resuscitation. 2009 Jun;80(6):669–73. doi: 10.1016/j.resuscitation.2009.03.013. - DOI - PubMed
    1. Liaw SY, Scherpbier A, Klainin-Yobas P, Rethans JJ. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Int Nurs Rev. 2011 Sep;58(3):296–303. doi: 10.1111/j.1466-7657.2011.00915.x. - DOI - PubMed
    1. Kinsman L, Buykx P, Cant R, Champion R, Cooper S, Endacott R, McConnell-Henry T, Missen K, Porter J, Scholes J. The FIRST2ACT simulation program improves nursing practice in a rural Australian hospital. Aust J Rural Health. 2012 Oct;20(5):270–4. doi: 10.1111/j.1440-1584.2012.01296.x. - DOI - PubMed
    1. Liaw SY, Rethans JJ, Scherpbier A, Piyanee KY. Rescuing A Patient In Deteriorating Situations (RAPIDS): A simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration. Resuscitation. 2011 Sep;82(9):1224–30. doi: 10.1016/j.resuscitation.2011.04.014. - DOI - PubMed
    1. Lebow D. Constructivist values for instructional systems design: five principles toward a new mindset. Educational Technology Research and Development. 1993;41(3):4–16.

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