Abstract
Purpose
The purpose of this study was to develop a simulation module for teaching home health care and evaluate the applicability of the program to nursing students' practical training.
Methods
The simulation module was developed based on the National League for Nursing Jeffries Simulation Theory. The theme of the developed scenario was teaching nasogastric tube feeding to the caregiver of patient with Parkinson disease. Participants were 61 nursing students who had learned tube feeding, and participated in the questionnaire survey after the simulation training.
Results
The evaluation of simulation design showed the highest score on feedback/guided reflection, and was highly evaluated in the order of objectives/information, problem solving and fidelity. The educational practice of the simulation was highly evaluated in the order of active learning, high expectation and diversity of learning. The nursing students showed high satisfaction and self-confidence after the simulation education.
Conclusion
We suggest that the developed simulation module can be applied to practical training for home health care. In the future, the change of self-efficacy, clinical judgment and performance ability of the students after the simulation education should be identified. Also, various simulation modules related to the community health nursing competencies should be continuously developed and verified.
References
1. Bambini D, Washburn J, Perkins R. Outcomes of clinical simulation for novice nursing students: communication, confidence, clinical judgment. Nursing Education Research. 2009; 30(2):79–82.
2. Stanhope M, Lancaster J. Public health nursing. 7th ed. Mosby: Elsevier;2008. p. 1096.
3. Chae MJ, Choi SH. Effectiveness of student learning with a simulation program focusing on cardiac arrest in knowledge, self-confidence, critical thinking, and clinical performance ability. Korean Journal of Adult Nursing. 2016; 28(4):447–458. https://doi.org/10.7475/kjan.2016.28.4.447.
4. Lewis R, Strachan A, Smith MM. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. The Open Nursing Journal. 2012; 6:82–89. https://doi.org/10.2174/1874434601206010082.
5. Cambell M, Themessl-Huber M, Mole L, Scarlett V. using simulation to prepare students for interprofessional work in the community. Journal of Nursing Education. 2007; 46(7):340.
6. Kim-Godwin YS, Livsey KR, Ezzell D, Highsmith C. Home visit simulation using a standardized patient. Clinical Simulation in Nursing. 2013; 9(2):55–61. https://doi.org/10.1016/j.ecns.2011.09.003.
7. Yeager ST, Gotwals B. Incorporating high-fidelity simulation technology into community health nursing education. Clinical Simulation in Nursing. 2010; 6(2):53–59. https://doi.org/10.1016/j.ecns.2009.07.004.
8. Phillips J, Grant JS, Milligan GW, Moss J. Using a multicultural family simulation in public health nursing education. Clinical Simulation in Nursing. 2012; 8(5):187–191. https://doi.org/10.1016/j.ecns.2011.08.007.
9. Ha YK. Curriculum integration of communication simulation to community health nursing course for nursing students: Pilot study. Journal of the Korea Academia-Industrial cooperation Society. 2015; 16(4):2329–2337. https://doi.org/10.5762/KAIS.2015.16.4.2329.
10. Baek HC. Implementing home visiting simulation for nursing students. Journal of Korean Public Health Nursing. 2013; 27(1):40–49. https://doi.org/10.5932/JKPHN.2013.27.1.40.
11. Ryu H. Current status of costs and utilizations of hospital based home health nursing care in Korea. Journal of Korean Academy of Nursing. 2006; 36(7):1193–1203.
12. Song CR, King IO, Kim YO, Jo HS, Hwang MS. An analysis of the elderly care and management in hospital-based home care agencies. Journal of Korean Academy of Community Health Nursing. 2008; 19(4):660–672.
13. Byeon DH, Hyun HJ. Importance and performances of visiting nurse services provided under the long term care insurance system for the elderly. Journal of Korean Academy of Community Health Nursing. 2013; 24(3):332–345. https://doi.org/10.12799/jkachn.2013.24.3.332.
14. Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: Techniques, problems and solutions. World Journal of Gastroenterology. 2014; 20(26):8505–8524. https://doi.org/10.3748/wjg.v20.i26.8505.
15. Cho KH, Kim KH. A families's burden on a cerebrovascular accident patient and the demand for nursing home. The Korean Academic Society of Nursing Education. 2006; 12(1):95–103.
16. Meakim C, Boese T, Decker S, Franklin AE, Gloe D, Lioce L, et al. Standards of best practice: Simulation I terminology. Clinical Simulation in Nursing. 2013; 9(6suppl):s3–s11. https://doi.org/10.1016/j.ecns.2013.04.001.
17. Peggy W. Coaching standardized patients: For use in the assessment of clinical competence. 1st ed. NY: Springer Publishing Company;2006. p. 374.
18. Jeffries PR. NLN Jeffries simulation theory. Philadelphia: Lip-pincott Williams & Wilkins;2015. p. 72.
19. Jeffries PR. Simulation in nursing education: From conceptualization to evaluation. 2nd ed. New York, NY: National League for Nursing;2012. p. 288.
20. Health Impact. California simulation alliance simulation scenario template 2016 [Internet]. Oakland, CA: HealthImpact;2016. [cited 2016 April]. Available from:. http://healthimpact.org/wp-content/uploads/2010/04/CSA-Scenario-Template-4-2011.pdf.
21. Franklin AE, Burns P, Lee CS. Psychometric testing on the NLN student satisfaction and self-confidence in learning, simulation design scale, and educational practices questionnaire using a sample of pre-licensure novice nurses. Nurse Education Today. 2014; 34(10):1298–1304. https://doi.org/10.1016/j.nedt.2014.06.011.
22. Simulation Innovation Resource Center. Use of NLN surveys and research instruments 2016 [Internet]. Washington, DC: National League for Nursing;2016. [cited 2016 April]. Available from:. http://www.nln.org/professional-development-programs/research/tools-and-instruments.
23. Baek HC. Impacts of pre-exposure to the nursing students' perception on the home care simulation. Paper presented at: The 11th Annual International Nursing Simulation/Learning Resource Centers Conference. 2012. June 20-23; San Antonio Marriott Rivercenter. Texas.
24. Smith SJ, Roehrs CJ. High-fidelity simulation: Factors correlated with nursing student satisfaction and self-confidence. Nursing Education Perspectives. 2009; 30(2):74–78.
25. Lubbers J, Rossman C. Satisfaction and self-confidence with nursing clinical simulation: Novice learners, medium-fidelity, and community settings. Nurse Education Today. 2017; 48:140–144. https://doi.org/10.1016/j.nedt.2016.10.01.
26. INACSL Standards Committee. INACSL standards of best practice: SimulationSM Simulation design. Clinical Simulation in Nursing. 2016; 12(S):S5–S12. https://doi.org/10.1016/j.ecns.2016.09.005.
27. Kim-Godwin YS, Livsey KR, Ezzell D, Highsmith C, Winslow H, Aikman AN. Students like peer evaluation during home visit stimulation experiences. Clinical Simulation in Nursing. 2013; 9(11):535–542.
28. Dreifuerst KT. Using debriefing for meaningful learning to foster development of clinical reasoning in simulation. Journal of Nursing Education. 2012; 51(6):326–333. https://doi.org/10.3928/01484834-20120409-02.
29. Lasater K. Clinical judgment development: Using simulation to create an assessment rubric. Journal of Nursing Education. 2007; 46(11):496–503.
30. Garrett B, MacPhee M, Jackson C. High fidelity patient simulation: Considerations for effective learning. Nursing Education Perspectives. 2010; 31(5):309–313.