Application of a Situation-Based Simulation e-Learning Program on Nursing Education: Using the Elderly with Delirium as an Example

2.50
Hdl Handle:
http://hdl.handle.net/10755/243538
Category:
Abstract
Type:
Presentation
Title:
Application of a Situation-Based Simulation e-Learning Program on Nursing Education: Using the Elderly with Delirium as an Example
Author(s):
Wang, Jeng; Lin, Jun-Jie
Lead Author STTI Affiliation:
Lambda Beta Chapter-At-Large
Author Details:
Wang, Jeng, PhD, RN, jengwang@mail.cgust.edu.tw; Lin, Jun-Jie, PhD;
Abstract:
Purpose:  High prevalence rates of delirium have been reported in studies (22-83%). Early detection may optimize the outcomes of the delirious elderly patients. However, misdiagnosis or overlooked rates of delirium ranged form 22% to 83%.  Knowledge about delirium has not been fully highlighted in most curriculum of nursing education. The concept of delirium is abstract, so the traditional one-way teaching method may not encounter the learning needs of nursing students (NS). Therefore, the purpose of this study is to improve the ability of NS to identify those patients with delirium; a “situation-based simulation e- learning program ” was created and implemented.  

Methods:  This is a quasi-experimental study. Totally, 95 NS were involved in this study. There were 48 NS in the experimental group (gr1), and 47 in the control group (gr2). The e-learning program was given to the experimental group, but the control group attained the traditional teaching method. Pre- and post-tests were given before and after the program. The situated theory was applied in the study. Each scenario was generated based on a true clinical situation, so NS would have chance to ‘experience” the delirious patients.

Results:  There is no difference between 2 groups, in demographic data. Those in gr1 spent less time in decision making (P<0.05), and gained higher scores in identifying patients with delirium (P<0.01).The gr1 was able to distinguish patients with hypoactive subtype of delirium (p<0.001).

Conclusion:  The “situation-based simulation e- learning program” seemed to effectively improve the clinical judgment ability of NS on delirious patients. Both groups did poorly on hypoactive subtype of delirium initially, but NS in gr1 were able to more accurately identify hypoactive patients after receiving the program. Teaching abstract concept (e.g. delirium), the traditional on-way teaching did not work well. This innovated model could be a reference for similar studies or programs in the future.

Keywords:
e-learning; the edlery with delirium; situation-based simulation
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryAbstracten
dc.typePresentationen
dc.titleApplication of a Situation-Based Simulation e-Learning Program on Nursing Education: Using the Elderly with Delirium as an Exampleen
dc.contributor.authorWang, Jengen
dc.contributor.authorLin, Jun-Jieen
dc.contributor.departmentLambda Beta Chapter-At-Largeen
dc.author.detailsWang, Jeng, PhD, RN, jengwang@mail.cgust.edu.tw; Lin, Jun-Jie, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/243538-
dc.description.abstract<strong><b>Purpose: </b></strong> High prevalence rates of delirium have been reported in studies (22-83%). Early detection may optimize the outcomes of the delirious elderly patients. However, misdiagnosis or overlooked rates of delirium ranged form 22% to 83%.  Knowledge about delirium has not been fully highlighted in most curriculum of nursing education. The concept of delirium is abstract, so the traditional one-way teaching method may not encounter the learning needs of nursing students (NS). Therefore, the purpose of this study is to improve the ability of NS to identify those patients with delirium; a “situation-based simulation e- learning program ” was created and implemented.   <div></div><p><strong><b>Methods: </b></strong> This is a quasi-experimental study. Totally, 95 NS were involved in this study. There were 48 NS in the experimental group (gr1), and 47 in the control group (gr2). The e-learning program was given to the experimental group, but the control group attained the traditional teaching method. Pre- and post-tests were given before and after the program. The situated theory was applied in the study. Each scenario was generated based on a true clinical situation, so NS would have chance to ‘experience” the delirious patients. <p><strong><b>Results: </b></strong> There is no difference between 2 groups, in demographic data. Those in gr1 spent less time in decision making (P<0.05), and gained higher scores in identifying patients with delirium (P<0.01).The gr1 was able to distinguish patients with hypoactive subtype of delirium (p<0.001). <p><strong><b>Conclusion: </b></strong> The “situation-based simulation e- learning program” seemed to effectively improve the clinical judgment ability of NS on delirious patients. Both groups did poorly on hypoactive subtype of delirium initially, but NS in gr1 were able to more accurately identify hypoactive patients after receiving the program. Teaching abstract concept (e.g. delirium), the traditional on-way teaching did not work well. This innovated model could be a reference for similar studies or programs in the future.en
dc.subjecte-learningen
dc.subjectthe edlery with deliriumen
dc.subjectsituation-based simulationen
dc.date.available2012-09-12T09:23:40Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:23:40Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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