The Effectiveness of Simulation-Based Learning for Normal Labor on The Readiness and Stress of Nursing Students before Internship
Keywords:
Labor, simulation training, stress, clinical skills, nursing studentsAbstract
The purpose of this quasi-experimental research was to evaluate the effectiveness of Simulation-Based Learning for normal labor on the readiness and stress of nursing students before internship. The sample group is Third-year Bachelor of Nursing Science students, divided into a control group and an experimental group, 23 patients per group. The control group received training by a half-body delivery dummy. The experimental group received training by simulation-based learning. Data were collected using a personal information questionnaire, confidence in nursing practice questionnaire (reliability .89), nursing skills assessment form (reliability .98), stress questionnaire (reliability .85). General data were analyzed using descriptive statistics. Compare differences in nursing practice skill scores, confidence in nursing practice, stress, and coping stress between before and after practice using a paired t-test and comparing between the experimental and control groups using an independent t-test.
The results of the study found that the experimental group had an average score of nursing practice skills and confidence score after receiving training by simulation-based learning was significantly higher than before the experiment and was significantly higher than the experimental group (t=8.22, p< .001 and t=4.81, p< .001, respectively). The experimental group had a significantly lower stress score than the control group (t=-10.59, p< .001).
Simulation-Based learning for normal labor can increase readiness and help reduce stress before training in the delivery room. Therefore, nurse instructors can use this teaching method to preparation and develop normal childbirth skills in nursing students. In addition, the results of the study may be used as guidelines for further research on other related issues.
References
Andreatta, B.P., Hillard, M., and Krain, P.L. (2010). The impact of stress factors in simulation-based laparoscopic training. Surgery, 147(5), 631-639.
Cavaleri, R., Withington, A., Chalmers, K.J. and Blackstock, F. (2023). The Influence of Stress on Student Performance during Simulation-based Learning. Anxiety and learning in Physiotherapy Simulation–based Education, 4(4), 474-489.
Chabkhunthod, P., Tasanoh P. E., Kaewkunthon, N. & Pochana, R. (2020). Effects of Simulation Based Learning Model on Knowledge, Self-Efficacy and Abilities of Applying Nursing Skills for Mothers and Infants in the perinatal period. Journal of Health Science, 29(6), 1062-1072. (in Thai)
Chernikova, O., Heitzmann, N., Stadler, M., Holzberger, D., Seidel, T., & Fischer, F. (2020). Simulation-Based Learning in Higher Education: A Meta-Analysis. Review of Educational Research, 90(4), 499-541.
Gray, J. R., and Grove, S.K. (2020). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence, 9thed. United States: Elsevier.
Hung, C. C., S. H. F., Liu, H. C., Liang, H. F., Chu, T. P., & Lee, B. O. (2021). Effects of simulation-based learning on nursing students' perceived competence, self-efficacy, and learning satisfaction: A repeat measurement method, Nurse Education Today, 97, 104725.
Jamjang, S., Atthamatakul, W., Nilliaum, R., & Wongyara, N. (2021). The Effects of Simulation-Based Learning on Problem Solving Ability, and Self-confidence in Nursing Care on The Patient with Health Problem of Nursing Students. Journal of Prachomklao College of Nursing, Phetchaburi Province, 4(3), 178-194. (in Thai)
Jeffries, P. R., and Rogers, K. J. (2007). Theoretical framework for simulation design. In Jeffries, P. R. (eds.), Simulation in Nursing Education: From Conceptualization to Evaluation. National League for Nursing. New York: 21-33.
Lazarus R.S. and Folkman S. (1984). Stress, Appraisal, and Coping. Springer: New York.
Lazarus, R.S. and Folkman, S. (1987). Transactional theory and research on emotions and coping. Springer: New York.
Lertlum, L., Tanasansutee, C, Panawatthanapisuit, S. & Bumrungsri, C. (2019). Development of a Simulation-Based Learning Model. The Southern College Network Journal of Nursing and Public Health, 6, 43-58. (in Thai)
Lewis, K. L., Bohnert, C. A., Gammon, W. L., Holzer, H., Lyman, L., Smith, C., Thompson, T. M., Wallace, A., & Gliva-McConvey, G. (2017). The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP). Advances in simulation, 2, 10.
Marapen, R., Boonkhum, W., & Khieowwichai, K. (2021). Effects of learning management using simulated patients in virtual situations in teaching about health care at home. Thai Red Cross Nursing Journal, 14(1), 125-139. (in Thai)
Meakim, C., Boese, T., Decker, S., FAAN, A., Franklin, A. E., Gloe, D., et al. (2013). Standards of best practice: simulation standard I: terminology. Clinical Simulation in Nursing, 9(6), S3-S11. doi: 10.1016/j.ecns.2013.04.001
Meeboon, S., Tummee, S. & Charoenpon, S. (2022). Development of Nursing Students’ Preparation Model for Principles and Techniques in Nursing Practicum through Simulation-based Learning Ward. Journal of Prachomklao College of Nursing, Phetchaburi Province, 5(1), 147-161. (in Thai)
Mingkwan, P. (1999). Stress and coping in elderly patients with cerebrovascular disease. (Master’s thesis of Nursing Science). Chiang Mai University. (in Thai)
Nochit, W., Yotthongdi, N., Leksanga, W, & Manfak, P. (2020). Factors Predicting Stress and Stress Management of Bachelor Program of Nursing Students. Academic Journal of Phetchaburi Rajabhat University, 10(1), 118-128. (in Thai)
Nohkaew, D. (2015). Simulation based Training for Nursing Education. Journal of Boromarajonani College of Nursing, 31(3), 112-122.
Oh, H.-K., & Han, Y.-I. (2011). Effects of Simulation-based Training on Stress and Self-efficacy in Nursing Students. Journal of the Korean Society of School Health, 24(1), 33–40.
Pagana, K.D. (1989). Psychometric evaluation of the clinical stress questionnaire (CSQ). Journal of Nursing Education, 28(4), 169-174.
Pajohideh, Z. S., Mohammadi, S., Keshmiri, F., Jahangirimehr, A., & Honarmandpour, A. (2023). The effects of normal vaginal birth simulation training on the clinical skills of midwifery students: a quasi-experiment study. BMC medical education, 23(1), 353.
Ruchanantakul, N. (1998). Assessment of stress decision-making in studying clinical experience subjects nursing student King Mongkut's College Phetchaburi Province. (Master’s thesis of Nursing Science). Mahidol University (in Thai)
Sarfati, L., Ranchon, F., Vantard, N., Schwiertz, V., Larbre, V., Parat, S., Faudel, A., & Rioufol, C. (2019). Human-simulation-based learning to prevent medication error: A systematic review. Journal of evaluation in clinical practice, 25(1), 11-20. doi: https://doi.org/10.1111/jep.12883
Sinthuchai, S., & Ubolwan, K. (2017). Fidelity Simulation Based Learning: Implementation to Learning and Teaching Management. Journal of The Royal Thai Army Nurses, 18(1), 29-38. (in Thai)
Srinon, R., Tingboon, W., Sawangket, A., & Trisayaluk, T. (2022). Stress and Stress Management of Nursing Students during Practicing in The Labor Room. Journal of Nisitwang, 24(2), 72-80. (in Thai)
Strategy and planning division of Office of the Permanent Secretary Ministry of Public Health. (2021). Public Health Statistics A.D.2022. Retrieved Nov 12, 2023, from https://spd.moph.go.th/wp-content/uploads/2022/11/Hstatistic64.pdf
Thailand Nursing and Midwifery Council. (2021). Regulations of the Nursing and Midwifery Council: Limitations and conditions for professional practice Nursing and Midwifery 2021. Retrieved Nov 15, 2023, from https://www.tnmc.or.th/images/userfiles/files/T_0028.PDF
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