Developing clinical competency in crisis event management: an integrated simulation problem-based learning activity

Liaw, S. Y. and Chen, F. G. and Klainin, P. and Brammer, J. and O'Brien, A. and Samarasekera, D. D. (2010) Developing clinical competency in crisis event management: an integrated simulation problem-based learning activity. Advances in Health Sciences Education, 15 (3). pp. 403-413. ISSN 1382-4996


This study aimed to evaluate the integration of a simulation based learning activity on nursing students' clinical crisis management performance in a problem-based learning (PBL) curriculum. It was hypothesized that the clinical performance of first year nursing students who participated in a simulated learning activity during the PBL session would be superior to those who completed the conventional problem-based session. The students were allocated into either simulation with problem-based discussion (SPBD) or problem-based discussion (PBD) for scenarios on respiratory and cardiac distress. Following completion of each scenario, students from both groups were invited to sit an optional individual test involving a systematic assessment and immediate management of a simulated patient facing a crisis event. A total of thirty students participated in the first post test related to a respiratory scenario and thirty-three participated in the second post test related to a cardiac scenario. Their clinical performances were scored using a checklist.
Mean test scores for students completing the SPBD were significantly higher than those who completing the PBD for both the first post test (SPBD 20.08, PBD 18.19) and second post test (SPBD 27.56, PBD 23.07). Incorporation of simulation learning activities into problem-based discussion appeared to be an effective educational strategy for teaching nursing students to assess and manage crisis events.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2009 Springer Science+Business Media B.V. Permanent restricted access to published version due to publisher copyright policy.
Faculty / Department / School: Historic - Faculty of Sciences - Department of Nursing
Date Deposited: 25 Sep 2014 05:02
Last Modified: 10 Mar 2015 00:41
Uncontrolled Keywords: adult respiratory distress syndrome; attitude to health; audiovisual equipment; clinical competence; comparative study; educational status; methodology; nursing education; nursing student; problem based learning; thorax pain
Fields of Research : 13 Education > 1302 Curriculum and Pedagogy > 130209 Medicine, Nursing and Health Curriculum and Pedagogy
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
Socio-Economic Objective: C Society > 92 Health > 9202 Health and Support Services > 920210 Nursing
E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
C Society > 93 Education and Training > 9302 Teaching and Instruction > 930201 Pedagogy
Identification Number or DOI: 10.1007/s10459-009-9208-9

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