The Effects of Simulation Based Learning on knowledge and skills of Emergency Patient Triage in Nursing Students
Keywords:
Simulation based learning, Emergency patient triage, Knowledge, skills, Nursing studentAbstract
A quasi-experimental research design with a two-group pretest-posttest aimed to examine the effects of simulation-based learning on knowledge and skills in emergency patient triage among nursing students. The sample consisted of 43 third-year nursing students, selected based on specified criteria through simple random sampling. The research instruments included: 1) a high-fidelity simulation scenario for assessing and teaching emergency patient triage skills, which was developed by the researcher, content-validated, and revised based on expert feedback before implementation. 2) A high-fidelity simulator 3) The data collection tools included a general information questionnaire for the participants, a knowledge assessment questionnaire for emergency patient triage, and a skills assessment form for emergency patient triage. The knowledge assessment had a content validity of 1 and an internal consistency (Cronbach's alpha) of .70. The triage skills assessment had a content validity of .98 and an internal consistency of .89, respectively. Data were analyzed using Wilcoxon matched pairs sign-rank test and Mann-Whitney U test statistic.
The research findings indicated that after the implementation of a high-fidelity simulation for emergency patient triage, there was no statistically significant difference in post-simulation knowledge scores between the control and experimental groups (p > .05). However, the experimental group showed a statistically significant increase in knowledge scores after the simulation compared to their pre-simulation scores (p < .05). Additionally, the experimental group demonstrated significantly higher emergency triage skills than the control group (p < .01). These findings support the integration of high-fidelity simulation with conventional teaching methods to enhance nursing students' education.
References
Aloyce, R., Leshabari, S., & Brysiewicz, P. (2014). Assessment of knowledge and skills of triage among nurses working in the emergency centres in Dare s Salaam, Tanzania. African Journal of Emergency Medicine, 4(1), 14-18. doi: 10.1016/J.AFJEM.2013.04.009
Bloom, B. S., Engelhart, M. D., Furst, E. J., Hill, W. H., & Krathwohl, D. R. (1956). Taxonomy of educational objectives: The classification of educational goals. Handbook I: Cognitive domain. New York: David McKay Company. Retrieved from https://uwaterloo.ca/centre-for-teaching-excellence/catalogs/tip-sheets/blooms-taxonomy
Chubkhuntod, P., Elter, P. T., Gaewgoontol, N., & Potchana, R. (2020). Effects of simulation based learning model on knowledge, self-Efficacy and abilities of applying nursing process skills during intrapartum care of nursing students. Journal of Health Science, 29(6), 1062-1072. [In Thai]
Department of Medical Service, Ministry of Public Health. (2018). MOPH ED TRIAGE (2nd ed.). Nonthaburi: Ministry of Public Health, Department of Medical Service. [In Thai]
Duko, B., Geja, E., Oltaye, Z., Belayneh, F., Kedir, A., & Gebire, M. (2019). Triage knowledge and skills among nurses in emergency units of Specialized Hospital in Hawassa, Ethiopia: Cross sectional study. BMC Res Notes, 12(1), 1-4. doi: 10.1186/s13104-019-4062-1.
Durmaz, A., Dicle, A., Cakan, E., & Cakir, S. (2012). Effect of screen-based computer simulation on knowledge and skill in nursing students’ learning of preoperative and postoperative care management; a randomized controlled study. CIN, 30(4), 196-203. doi: 10.1097/NCN.0b013 e3182419134
Faul, F., Erdfelder, E., Buchner, A., & Lang, A. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. doi: 10.3758/BRM.41.4.114
Gray, J. R., & Grove, S. K., (2021). Burns and Grove’s The practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). St. Louis, MO: Saunders Elsevier.
Janpilom, N., Sengsri, S., & Kongmanus, K. (2018). Attitudes of nursing instructors and students towards simulation-based teaching in the subject of nursing practical. Boromarajonani College of Nursing Uttaradit Journal, 10(2), 222-233. [In Thai]
Jeffries, P. R. (2005). A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing. Nursing Education Perspectives, 26(2), 96-103.
Jeffries, P. R., Rodgers, B., & Adamson, K. (2015). NLN Jeffries simulation theory: Brief narrative description. Nursing Education Perspectives, 36(5), 292-293. doi: 10.5480/1536-5026-36.5.292
Kim, J., & Lee, O. (2020). Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study. Nurse education today, 85, 104297. doi: 10.1016/j.nedt.2019.104297
Kolb, A. Y., & Kolb, D. A. (2005). Learning styles and learning spaces: Enhancing experience learning in higher education. Acad Manage Learn Educ, 4(2), 193-212. doi.org/10.5465/AMLE.2005. 17268566
Kulachat, K., Pangam, N., Kuasri, J., Neelasmith, S., Thepha, T., Panthuchin, Ch., … Sungworapongpana, Th. (2022). Effects of simulation-based learning for preparation of midwifery practicum on knowledge, satisfaction, and self-confidence of the fourth year nursing students, Faculty of Nursing, Khon Kaen University. Journal of Nursing and Health, 45(1), 112-123. [In Thai]
Maraphen, R. (2019). Development of a learning management model using standardized patients in
simulation base in community health nursing (Doctoral dissertation). Retrieved from https://
sure.su.ac.th/ xmlui/handle/123456789/24988?attempt=2& [In Thai]
National Institute for Emergency Medicine. (2015). Guidelines for emergency patient triage and care
prioritization in the emergency room according to the criteria established by the NIEM (3rd ed.). Nonthaburi, Thailand: National Institute of Emergency Medicine. [In Thai]
Norkaeo, D., Treenon, P., Chabuakam, N., Kanbupar, N., Teanthong, S., & Kaewmanee, C. (2018). Nursing students knowledge and skills about basic life support (bls): The effects of simulation-based learning. The Southern College Network Journal of Nursing and Public Health, 5(3), 84-95. [In Thai]
Pangsuk, P., & Kingmala, C. (2021). The effect of simulation-based learning on knowledge and self-efficacy of the third year nursing students in caring for emergency patients. Songklanagarind Journal of Nursing, 41(2), 89-100. [In Thai]
Sathianathan, P., Sony, A., & Abraham, A. (2020). Effectiveness of simulation based teaching on knowledge and skill regarding cardiopulmonary resuscitation of pregnant women among nursing personnel. International Journal of Science and Research, 9(8), 1483-1488. doi: 10.21275/SR20827114638
Sinthuchai, S., Ubonwan, K., & Boonsin, S. (2017). Effects of high-fidelity simulation based learning on knowledge, satisfaction, and self-confidence among the fourth year nursing students in comprehensive nursing care practicum. Rama Nurs J, 23(1), 113-128. [In Thai]
Sukjamnong, S., Buanban, P., Singharn, S., Srisawang, W., & Chamnarnborirak, P. (2021). The quality of emergency patient triage in Nadun Hospital, Nadun District, Mahasarakham Province. Journal of Emergency Medical Services of Thailand, 1(2), 123-133. [In Thai]
Tato, R. (2018). Nursing research: Concepts to application (3rd ed.). Bangkok: Chulalongkorn University Press. [In Thai]
Thonsao, C., Wichakkanalun, W., Chaiprom, K. Laengsatan, P., Chantaphim, P., Saensuk, P., & Thonsao, M. (2020). A study of quality of emergency patient triage at emergency department suddhavej hospital faculty of medicine Mahasarakham university. The 7th National Conference Nakornrachasima College, (pp. 1140-1148). Nakornrachasima: Nakornrachasima College. [In Thai]
Wachiradilok, P., Sirismut, T., Chaisit, S., & Sethasathien, A. (2016). Patient triage in emergency departments in Thailand. Nursing Council Journal, 31(2), 96-108. [In Thai]
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