| Author: | Wong, Suet Lai |
| Title: | Enhancing nursing students' competence through simulation-based health assessment (SBHA) programme |
| Advisors: | Wu, Cynthia (SN) Suen, Lorna (SN) |
| Degree: | DHSc |
| Year: | 2018 |
| Subject: | Hong Kong Polytechnic University -- Dissertations Nursing -- Study and teaching -- Simulation methods Nursing assessment |
| Department: | Faculty of Health and Social Sciences |
| Pages: | xi, 212 pages : color illustrations |
| Language: | English |
| Abstract: | Background: An increasing demand for nursing graduates with clinical competence in the integration of nursing processes and multidisciplinary collaborative care has been observed. Despite many learning opportunities provided by simulation technologies for clinical competence, the reality remains that attributes of competence are complex and challenging to implement. Pedagogical methods for enhancing clinical competence via simulation need to be studied and refined. The purpose of the study was to examine the use of the following simulation-based learning (SBL) programme to enhance undergraduate nursing students' clinical competence. Methods: A SBL programme for a course in health assessment which was a core nursing subject in Bachelor of Nursing Programme in Hong Kong was adopted from an integrative literature review and implemented to evaluate its effectiveness. This dissertation reported the quantitative findings from a quasi-experimental research design comparing the Simulation-based Health Assessment (SBHA) programme and an integrated simulation training of current application (as the conventional programme) for the health assessment course. The study aimed at establishing how SBL enhances clinical competence of students and what significant differences exist between the two teaching approaches. A two-arm pre-test post-test study using convenience sampling was conducted to evaluate the changes in the four attributes of clinical competence (i.e., knowledge, skills, clinical judgment, satisfaction and confidence) of the participants. Results: A total of 211 General and Mental Health Care student participants completed the pre- and post-tests for the health assessment course. The independent sample t-test revealed participants in the SBHA programme had a statistically significant stronger overall knowledge and clinical judgment scores than participants in the conventional programme. However, no significant difference was observed in the overall skills in health assessment scores for either of the two groups of participants. The MANCOVA revealed a statistically significant difference between the SBHA and conventional programme on the combined dependent variables for clinical competence: F(4, 204) = 17.99, p = <.0005; Wilk's lambda = .74; and partial eta squared = .26. The canonical correlation analysis revealed a statistically significant correlation between the combined dependent variables for clinical competence and the combined predictive variables for instructional approaches: using Wilk's lambda = .32 criterion, F( 8, 410) = 51.76, p<.0005. Conclusion: Although a similar enhancement of skills in health assessment was found for all participants in SBHA and the conventional programme, SBHA programme had enhanced the participants' knowledge, and clinical judgement, more than the conventional programme. SBL resulted in more positive learning experiences in regard to participants' positive perceptions of educational practices and simulation design. The higher satisfaction and confidence outcomes were significantly related to the simulation design. The higher achievement level in knowledge and clinical judgement were associated with the educational practices. |
| Rights: | All rights reserved |
| Access: | restricted access |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 991022197535603411.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 3.3 MB | Adobe PDF | View/Open |
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