Hybrid Learning Development by Simulation-based Approaches Integration for Alternatives to Traditional Clinical Practice

Main Article Content

Pinsuda Sangkano
Pissamai Wattanasit
Jutarat Kongpet

Abstract

 Objective: To develop hybrid learning by integrating a pediatric nursing simulation-based approach for alternatives to traditional clinical practice. Method: The Research and development approach was employed. The sample consisted of 10 pediatric nursing lecturers and 55 fourth-year nursing students. The research tools used in the study included learning resources for the hybrid pediatric nursing simulation-based educational approach, a demographic data questionnaire, and a satisfaction questionnaire regarding the hybrid learning simulation-based approach. Descriptive statistics were used to analyze the quantitative data. Results: The hybrid learning model using complex pediatric nursing simulations was developed. This model was designed to allow the students to perform the nursing process according to simulation scenarios for 2 hours per group, including nursing rounds and assessments, the nursing handover process, pre-conferences, planned nursing care implementation, nursing documentation, and the nursing handover process. The average participant’s satisfaction score with the hybrid pediatric nursing simulation-based learning approach was very satisfactory (M = 4.19, SD = .39). Conclusion: Hybrid learning, integrating a pediatric nursing simulation-based educational approach, led to significantly high overall satisfaction, especially improving students’ knowledge and skills. This approach offers a possible alternative to traditional in-person pediatric nursing practice for students, particularly during the COVID-19 pandemic or in other scenarios where face-to-face learning is impractical.

Article Details

How to Cite
Sangkano, P., wattanasit, pissamai, & Kongpet, J. (2025). Hybrid Learning Development by Simulation-based Approaches Integration for Alternatives to Traditional Clinical Practice. Journal of Research in Nursing-Midwifery and Health Sciences, 45(2), 16–32. retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/267444
Section
Research Articles

References

Prince of Songkla University, Faculty of Nursing.

Announcement subject: Guidelines for teaching, learning

and exam management during the coronavirus disease

(COVID-19) pandemic situation academic year 2021

the semester 1/2564 (Issue no. 3) [internet]. Songkhla:

Prince of Songkla University, Faculty of Nursing; 2021

[cited 2022 Nov 5]. Available from: https://www.psu.

ac.th/wp-content.

Ministry of Public Health. Guidelines for managing the

COVID-19 outbreak in the terms issued under section 9

of the emergency decree on public administration in

emergency situations B.E. 2548 (No. 1). Samut Prakan:

TS Interprint; 2020. Thai.

Gong J, Ruan M, Yang W, et al. Application of blended

learning approach in clinical skills to stimulate active

learning attitudes and improve clinical practice among

medical students. PeerJ. 2021; 9: e11690.

Bangthamai P, Srisomphan K, Somnukprasert W, et al.

Effects of blended learning and childbirth delivery

simulation based learning on academic achievement

satisfaction and the students’ opinions towards teaching

by reflective thinking of nursing students, Boromarajonani

College of Nursing Nonthaburi. JRTAN: 2020; 21(3):

-9. Thai

Kaewsaeng-on W, Saeloo J. The development of online

fidelity simulation-based program (OFSP) encouraging

the knowledge of nursing care for COPD with acute

exacerbation patient. BCNUT: 2019; 11(2): 213-28.

Thai.

Thaewpia S, Potchana R, Intaraphet S. The impact of

blended learning on learning achievement, satisfaction,

and self-directed learning among nursing students.

Journal of Nursing Science & Health 2019; 42(2):

-31. Thai.

Leaudnakrob N, Sengsri S, k Pholjun T. The development

of blended learning model by transformative learning to

enhance critical thinking ability of nursing students.

BCNUT 2018; 10(2): 209-21. Thai.

Bock A, Kniha K, Goloborodko E, et al. Effectiveness

of face-to-face, blended and e-learning in teaching the

application of local anaesthesia: A randomised study.

BMC Medical Education 2021; 21(137): 1-8

Faculty of Nursing, Prince of Songkla University.

Baccalaureate curriculum 2016 [internet]. Songkhla:

Prince of Songkla University, Faculty of Nursing; [cited

May 2]. Available from: https://www.nur.psu.

ac.th/nur/file_courses/bachelor1_edit06012561_2559.

pdf

Thailand Nursing and Midwifery Council. Nursing and

Midwifery Council regulation concerning the criteria for

accreditation of nursing and midwifery educational

institutions, Government Gazette Vol. 136, Part 205d,

dated 19th August B.E. 2562 (2019) [Internet].

Nonthaburi: Thailand Nursing and Midwifery Council;

[cited 2023 Nov 15]. Available from: https://

www.tnmc.or.th/images/userfiles/files/T_0053.PDF

Jeffries PR. A framework for designing, implementing,

and evaluating simulations used as teaching strategies

in nursing. Nurs Educ Perspect. 2005; 26(2), 96-03.

Best JW, Kahn JV. Research in education. 10 th ed.

Boston: Pearson Education; 2006.

Gamble AS. Simulation in undergraduate pediatric

nursing curriculum: Evaluation of a complex ‘ward for

a day’ education program. Nurse Educ Pract. 2017; 23,

-7. doi: 10.1016/j.nepr.2017.02.001.

Choolert P, Kulaphanich M, Polgaya O, et al. Model of

nursing student in COVID-19 outbreak. JMND: 2021;

(12): 121-34. Thai.

Saliba G, Rankine L, Cortez H. Learning and teaching

unit 2013: Fundamentals of blend learning (e book)

[Internet]. Australia: University of Western Sydney;

[cited 2023 Apr 3]. Available from: https://www.

westernsydney.edu.au/__data/assets.

Tantalanukul S, Rattanasak S, Sengpanich C, et al. The

effect of simulation-based learning on the ability

development of primary medical care practicum of

nursing students at Boromarajonani College of Nursing

Uttaradit. BCNUT J Nurs. 2016; 8(1): 49-58. Thai.

Sinthuchai S, Ubolwan K, Boonsin S. 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. 2017; 3(1): 113-27. Thai.

Samrannet W, Korissaranuphab N. Satisfaction of

simulation–based learning in nursing care for patients

with shock among nursing students in Srimahasarakharm

Nursing College. SKHJ. 2019; 22(1): 64-75. Thai.

Leecharoen P, Trapsinsaree D, Limpitisathaporn N, et al.

Simulation-based learning for second-year nursing

students amid COVID-19 pandemic: Knowledge management

approach. IJPHS. 2022; 4(3): 16-27.

Brown WJ, Tortorella R A W. Hybrid medical

simulation – a systematic literature review. SLE. 2020;

(16): 1-16.

Maraphen R. Development of learning instructional

model by using standardized patient in simulation base

[dissertation].[Nakhon Pathom]: Silpakorn University;

277 p.

Yeepaloh M, Ruabgroengkulrit P, Thongvhan J, et al.

Effect of simulation-based learning to enhance critical

thinking of nursing students, Boromarajonani College

of Nursing Yala. JNHR; 2017; 18(3): 128-34. Thai.

Thanaroj S. Simulation-based learning in principles and

techniques course in nursing practicum. BCNUT J Nurs.

; 9(2): 70-84. Thai.

Thanaroj S, Keadthong W, Sueamak W. Development

of instructional package on the Topic Nursing Teamwork

with simulation-based learning for nursing students.

JHRI. 2019; 2(1): 58-72. Thai.

Jamjang S, Atthamatakul W, Nilliaum R, et al. 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. JPCN.

; 4(3): 178-94. Thai.

Bamrungsetthapong S, Tharnpanya P, Satjaharuthai K.

Hybrid learning and the quality improvement of

Thailand’s education in the 21st century. Narkbhut

NSTRU. 2020; 12(3): 213-24. Thai.

Davies H, Schultz R, Sundin D, et al. ‘Ward for the

day’: A case study of extended immersive ward-based

simulation. Nurse Educ Today. 2020; 90: 104430. doi:

1016/j.nedt.2020.104430.

Jeranukul A, Phromkaewngam S. Experience of online

teaching and learning in adult and gerontological

nursing practicum II subject during the coronavirus

disease 2019 pandemic: A case study. TRCN. 2021;

(2), 264-82. Thai.

Turner K, Leungratanamart L, Reunreang T, et al.

Development of a pedagogical model to promote 21st

century skills of nursing students. NJPH. 2021; 28(1):

-38. Thai.

Liaw SY, Scherpbier A, Rethans J, et al. Assessment

for simulation learning outcomes: A comparison of

knowledge and self-reported confidence with observed

clinical performance. Nurse Educ Today. 2012; 32:

e35-9. doi: 10.1016/j.nedt.2011.10.006.