School of Nursing & Midwifery Experience. The Difference. Online Simulation: Promoting student engagement in learning and assessment David Gillham Nursing and Midwifery (SONM) University of South Australia City East Campus [email protected]Professor Helen McCutcheon Nursing and Midwifery University of South Australia City East Campus [email protected]Colleen Smith Nursing and Midwifery University of South Australia City East Campus [email protected]Tahereh Ziaian Nursing and Midwifery University of South Australia City East Campus [email protected]
Transcript
School of Nursing& Midwifery
Experience. The Difference.
Online Simulation: Promoting student engagement in learning and
assessment
David Gillham Nursing and Midwifery (SONM)University of South AustraliaCity East [email protected]
Professor Helen McCutcheon Nursing and MidwiferyUniversity of South AustraliaCity East [email protected]
Colleen SmithNursing and MidwiferyUniversity of South AustraliaCity East [email protected]
Tahereh Ziaian Nursing and MidwiferyUniversity of South AustraliaCity East [email protected]
School of Nursing& Midwifery
This presentation
Overview of the project
The online simulation resource
Student engagement and assessment
Evaluation findings
Cultural Scenarios
Experience. The Difference.
School of Nursing& Midwifery
Kindley R (2002) The Power of Simulation-based e-Learning (SIMBEL) The eLearning Developers Journal. The ELearning Guild, Sept 17 (2002), p.1-8.
Project Overview
Development and integration of scenario based learning resources (Individualised Client Assessment –ICA) into the online Bachelor of Nursing (BN) program at UniSA.
– Traditional approach
– Online simulation approach (Kindley 2002)
School of Nursing& Midwifery
Experience. The Difference.
What we wanted to achieve
To provide students with practice based learning opportunities through the presentation of simulated clinical decision making
To promote student engagement through linking relevant online practice content to student assessment
To further develop learning and teaching resources– for diverse student groups.– to assist students to develop knowledge and skills
relevant to culturally sensitive health care practices
School of Nursing& Midwifery
Online Simulation Resource
Individualised Client Assessment (ICA) website
Comprises – 10 main topics each addressing a body system
Components– Text-based prompts– Video clips of expert nurse interviews– Video clips of patient history and assessment
interviews– Decision pathways– Text and video presentations of client scenarios
addressing cultural sensitive health practices
Experience. The Difference.
School of Nursing& Midwifery
Experience. The Difference.
Promoting student engagement
The ICA was linked to student assessment by having each first year student:
Work through the ICA including the decision pathways
Further develop a history and assessment form
Conduct a client assessment using the form they developed
Write a reflective paper describing the » What
» So what
» Now what
School of Nursing& Midwifery
Experience. The Difference.
Evaluation
The evaluation included the use of:
An online student evaluation questionnaire
Online discussion transcripts
Student focus group feedback
School of Nursing& Midwifery
Experience. The Difference.
Evaluation Results: Questionnaire
Very positively valued:
“Extremely interesting and useful. It will be something I will continue to refer back to..”
“Good website and will no doubt be a valuable tool for me for a long time....”
“Thought this was a fabulous site with a lot of relevant information”.
“I thought it was great! It provided so much relevant information”.
School of Nursing& Midwifery
Experience. The Difference.
Evaluation Results: Questionnaire
Comments that suggested further work:
• Complexity:“While I thought it was an excellent website, I felt it was almost another whole subject in its self. Many of the links took one to very extensive websites, and I found it very time consuming, as well as keeping up with the lectures and other weekly work load.
“I do not have good internet access, so I had to spend a lot more time coming into the campus to try and use a computer here”
School of Nursing& Midwifery
Experience. The Difference.
Evaluation Results: Questionnaire
Accessibility:
“I do not have good internet access, so I had to spend a lot more time coming into the campus to try and use a computer here”.
“This is quite a good website, although I had some trouble watching the videos”.
“… great source of reference, bit slow to upload on my computer at home made it a little frustrating”.
School of Nursing& Midwifery
Experience. The Difference.
Feedback: Online discussion transcripts
Very positively valued:
“I found the website very useful in stating many ailments I hadn't heard of or didn't relate to respiratory or cardiac disorders before. It reminded me how important it is to keep looking, listening and observing the client whilst asking questions at the same time.
“I have found the website very valuable like [student name] in the fact that it is great to hear the information and see someone, rather than just reading text after text. I have found this 10 times better and really helpful when it comes to my understanding and the way I learn. I need written, visual and hands on! ..”
School of Nursing& Midwifery
Experience. The Difference.
Student focus group feedback
Very positively valued:
“Text content was straightforward, with multiple choice questions and answers helpful”.
“The video of the registered nurse was of good quality and easy to understand”.
“The inclusion of everyday hospital language was valuable”.
“The video and multiple choice combination was very effective”.
School of Nursing& Midwifery
Experience. The Difference.
Student focus group feedback
Examples of poor practice were identified as valuable learning exercises
Students regarded the video as a realistic alternative to conventional procedural videos.
Students indicated that the ICA was an extensive resource well worth working through.
The use of subtitles to illustrate expert and/or patient thinking was unanimously identified as an excellent feature.
School of Nursing& Midwifery
Cross Cultural ComponentCultural issues addressed:
Cultural appropriateness
Non verbal communication
Language and Interpreting issues
Cultural knowledge
Religious practices
Experience. The Difference.
School of Nursing& Midwifery
Bad Practice - Discharge
Experience. The Difference.
School of Nursing& Midwifery
Issues addressed in the bad practiced scenario
Language issues
Respect
Explain
Understanding of patient’s position
Power relationship (standing position)
Listening skills
Attention to patient’s non-verbal
communication (active attention)Experience. The Difference.
School of Nursing& Midwifery
Good Practice - Discharge
Experience. The Difference.
School of Nursing& Midwifery
Issues addressed in the good practiced scenario
Medical explanation
Appropriate concepts (i.e. social worker)
Religious implications
Follow-up medical treatment plan
Experience. The Difference.
School of Nursing& Midwifery
Patient’s View
Experience. The Difference.
School of Nursing& Midwifery
Experience. The Difference.
SummaryStrengths: • Good groundwork for linking online learning with high
and medium fidelity simulation.• Extensive online resources developed• Good assessment integration
Limitations• Video access• Limited wiki work
From here:• Refine transcultural content• Publish, complete final report• Continue undergraduate use• Further grants
School of Nursing& Midwifery
Experience. The Difference.
Websites
Entire project and second year version• http://www.unisanet.unisa.edu.au/learn/UniSAnet-3/?
