The problem-based learning integrated with simulation to improve nursing students’ self-efficacy

Abstract

Introduction: The purposes of this study were to describe the simulation integrated with problem-based learning (SIM-PBL) module to educate the nursing process for clients with hypertension and to evaluate its effectiveness on nursing students’ self-efficacy (SE). Methods: This study was a one group pre- and post-test design. Twenty five students received a 5-hour SIM-PBL program focused on nursing care of clients with hypertension. A newly developed self-report questionnaire was used to assess SE in four areas of the nursing process with a scale of 0 (not at all confident) to 10 (totally confident). The four areas were subjective data assessment, physical examination, prioritizing nursing care and health promotion advices. Results: At baseline, students’ SE ranged from 5.5 ± 1.4 (prioritizing nursing care) to 7.6 ± 1.4 (subjective data assessment). After SIM-PBL education, all areas of nursing process presented statistically significant improvements of SE. The improvements were most noticeable in prioritizing nursing care. Conclusion: The SIM-PBL module was effective in improving the students’ self-efficacy in the nursing process for patients with hypertension. Further studies are recommended in developing SIM-PBL modules for diverse nursing topics and evaluating their effectiveness in various aspects of students’ competency.

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Sohn, M. , Ahn, Y. , Lee, M. , Park, H. and Kang, N. (2013) The problem-based learning integrated with simulation to improve nursing students’ self-efficacy. Open Journal of Nursing, 3, 95-100. doi: 10.4236/ojn.2013.31012.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Profetto-McGrath, J. (2005) Critical thinking and evidence-based practice. Journal of Professional Nursing, 21, 364-371. doi:10.1016/j.profnurs.2005.10.002
[2] Solomon, S. (2011) Problem-based learning. In: Bradshaw, M.J. and Lowenstein, A.J., Eds., Innovative Teaching Strategies in Nursing and Related Health Professions, 5th Edition, Jones and Bartlett, Sudbury.
[3] Hwang, S.Y. and Kim, M.J. (2006) A comparison of problem-based learning and lecture-based learning in an adult health nursing course. Nurse Education Today, 26, 315-321. doi:10.1016/j.nedt.2005.11.002
[4] Harden, R.M. and Davis, M.H. (1998) The continuum of problem-based learning. Medical Teacher, 20, 317-322. doi:10.1080/01421599880733
[5] Hovancsek, M.T. (2007) Using simulations in nursing education. In: Jeffries, P.R., Ed., Simulation in Nursing Education, National League for Nursing, New York, 1-9.
[6] McGaughey, J. (2009) Acute care teaching in the undergraduate nursing curriculum. Nursing in Critical Care, 14, 11-16. doi:10.1111/j.1478-5153.2008.00303.x
[7] Thompson, T.L. and Bonnel, W.B. (2008) Integration of high-fidelity patient simulation in an undergraduate pharmacology course. Journal of Nurse Education, 47, 518-521. doi:10.3928/01484834-20081101-10
[8] Gantt, L.T. and Webb-Corbett, R. (2010) Using simulation to teach patient safety behaviors in undergraduate nursing education. Journal of Nursing Education, 49, 48-51. doi:10.3928/01484834-20090918-10
[9] Lee, W.S., Cho, K.C., Yang, S.H., Roh, Y.S. and Lee, G.Y. (2009) Effect of problem-based learning combined with simulation on the basic nursing competency of nursing students. Journal of Korean Academy of Fundamental Nursing, 16, 64-72.
[10] Kameg, K., Howard, V.M., Clochesy, J., Mitchell, A.M. and Suresky, J.M. (2010) The impact of high fidelity human simulation on self-efficacy of communication skills. Issues in Mental Health Nursing, 31, 315-323. doi:10.3109/01612840903420331
[11] Liaw, S.Y., Chen, F.G., Klainin, P., Brammer, J., O’Brien, A. and Samaraseker, D.D. (2010) Developing clinical competency in crisis event management: An integrated simulation problem-based learning activity. Advances in Health Sciences Education, 15, 403-413. doi:10.1007/s10459-009-9208-9
[12] Steadman, R.H., Coates, W.C., Huang, Y.M., Matevosian, R., Larmon, B.R., McCullough, L. and Ariel, D. (2006) Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Critical Care Medicine, 34, 151-157. doi:10.1097/01.CCM.0000190619.42013.94
[13] Kim, J.Y. and Choi, E.Y. (2008) Learning element recognition and academic achievement of nursing student receiving PBL with simulation education. Journal of Korean Academy of Adult Nursing, 20, 731-742.
[14] Chu, M.S., Hwang, Y.Y. and Park, C.S. (2006) Development and application of PBL module using simulator. Journal of Korean Academy of Fundamental Nursing, 13, 182-189.
[15] Ackley, B.J. and Ladwig, G.B. (2010) Nursing diagnosis handbook. A guide to planning care. Mosby, St. Louis
[16] Korean Centers for Disease Control and Preventions. (2009) Korea national health and nutrition examination surveys. http://knhanes.cdc.go.kr
[17] Bandura, A. (1997) The anatomy of stages of change. American Journal of Health Promotion, 12, 8-10. doi:10.4278/0890-1171-12.1.8
[18] Walton, H.J. and Matthews, M.B. (1989) Essentials of problem-based learning. Medical Education, 23, 542-558. doi:10.1111/j.1365-2923.1989.tb01581.x
[19] Distler, J. (2008) Problem-based learning: an innovative approach to teaching physical assessment in advanced practice nursing curriculum. International Journal of Nursing Education Scholarship, 5, Article 23. doi:10.2202/1548-923X.1577
[20] Ko, I.S., Kim, H.S., Kim, I.S., Kim, S.S., Oh, E.G., Kim, E.J., Lee, J.H. and Kang, S.W. (2010) Development of a scenario and evaluation for simulation learning of care for patients with asthma in emergency units. Journal of Korean Academy of Fundamental Nursing, 17, 371-381.
[21] Kern, D.H., Mainous, A.G., III, Carey, M. and Beddingfield, A. (2011) Simulation-based teaching to improve cardiovascular exam skills performance among third-year medical students. Teaching and Learning in Medicine, 23, 15-20. doi:10.1080/10401334.2011.536753

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