The Development of Simulation-Based Home-Care LearningCenter Model for Nursing Students
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Abstract
Background Home healthcare is becoming increasingly important due to more chronic, elderly, disabled, and terminally ill patients. Nursing graduates must be equipped with the knowledge, skills, and experience to provide effective home healthcare. Objective The research objectives were to develop a simulation-based home healthcare learning-center model for nursing students and to study its effectiveness. Method This study used a research and development design that conducted a single-group pre-test/post-test study in the experimental phase. The subjects were 40 third-year nursing students who were purposively selected. The research instruments for collecting quantitative data were a knowledge test, a confidence questionnaire, and a satisfaction questionnaire. The reflection form was used for collecting qualitative data. Descriptive statistics, paired t-test, and content analysis were used for data analysis.
Result The results revealed that the model has 7 components: 1) objectives, 2) instructional activities, 3) design of simulation situations, 4) realism, 5) roles of learners, teachers, interactions, and creating learning environments, 6) learning resources, and 7) learning outcomes. After the experiment, the sample group had a higher knowledge score, and higher satisfaction scores at the significant level. After using the model, the satisfaction mean score was at a good level (mean = 4.33, S.D.= 0.56). The content analysis from reflections indicated that the teaching and learning atmosphere was realistic. The subjects reported feeling more confident and learning various skills including observation, immediate problem solving, using of nursing process for holistic home visits, and teamwork. Conclusion/Discussion The results suggested that the developed model should be implemented to practice other nursing skills such as discharge planning. The recommendation for further study was to develop standardized simulated patients to enhance realism.
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