Virtual Simulation in Clinical Nursing Education to Improve Knowledge and Clinical Skills: Literature Review

Authors

  • Lina Ema Purwanti Doctoral Nursing Program, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Department of Nursing, Health Science Faculty, Muhammadiyah University, Ponorogo, Indonesia
  • Tintin Sukartini Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Ninuk Dian Kurniawati Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Nursalam Nursalam Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia
  • Tri Susilowati Department of Nursing, Aisyiyah University, Surakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9435

Keywords:

Virtual simulation, Clinical nursing education, Knowledge, Skills

Abstract

BACKGROUND: Nursing as a professional education must have a solid professional foundation to encourage nursing professionals’ attitude, behavior, and ability to carry out the nursing practice.

AIM: This study aims to review the effectiveness of virtual simulations (vSIMs) in clinical nursing education in increasing the clinical knowledge and skills of new nurses and nursing students.

METHODS: A literature review using the PRISMA method from the online database Science Direct, Scopus, and PubMed with the keywords vSIM, clinical nursing education, knowledge, and nursing skills from 2016 to 2020.

RESULTS: It was found that 162 articles were found. Then, 25 articles can be reviewed based on inclusion and exclusion criteria. The reviewed articles used a quasi-experimental design. While articles in the form of pilot projects, literature/systematic reviews, qualitative, and descriptive studies were excluded from the study. Based on the review of articles, it was found that, on average, they discussed the effectiveness of vSIMs used in the clinical learning process in hospitals. It can be applied to new nurses and nursing students.

CONCLUSION: Virtual simulation is useful for learning new skills; practicing skills that combine content, critical thinking, and psychomotor elements; learning skills competencies, and the ability to make decisions. In the era of the Coronavirus Disease 2019 pandemic, vSIM is a safe and realistic nursing education technology for nurses and nursing students.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Kep Men Kes RI Nomor HK.01.07/MENKES/382. Protokol Kesehatan Bagi Masyarakat Di Tempat Dan Fasilitas Umum Dalam Rangka Pencegahan Dan Pengendalian Corona Virus Disease 2019 (Covid-19); 2020.

Cooper SJ, Hopmans R, Cant RP, Bogossian F, Giannis A, King R. Deteriorating patients: Global reach and impact of an e-simulation program. Clin Simul Nurs. 2017;13(11):562-72. https://doi.org/10.1016/j.ecns.2017.06.004

Peraturan Pemerintah RI Nomer 21. Pembatasan Sosial Berskala Besar Dalam Rangka Percepatan Penanganan Corona Virus Disease 2019 (COVID-I9). Peraturan Pemerintah RI; 2020.

Sugiarto A. Positive impact online learning of nursing education systems in the post-pandemic covid 19. J Perawat Indones. 2020;4(3):432.

Pakpahan R, Fitriani Y. Analysis of the use of information technology in distance learning in the midst of the Covid-19 corona virus pandemic. J Inf Syst Appl Manag Acc Res. 2020;4(2):30-6.

FIK UI Humas. FIK UI Kembangkan Virtual Reality Sebagai Solusi Praktikum di Masa Pandemi Covid-19 dan Masa Depan. FIK UI Humas; 2020.

Gu Y, Zou Z, Chen X. The effects of vSIM for nursingTM as a teaching strategy on fundamentals of nursing education in undergraduates. Clin Simul Nurs. 2017;13(4):194-7.

Dubovi I. Online computer-based clinical simulations: The role of visualizations. Clin Simul Nurs. 2019;33:35-41. Available from: https://doi.org/10.1016/j.ecns.2019.04.009

Fogg N, Kubin L, Wilson CE, Trinka M. Using virtual simulation to develop clinical judgment in undergraduate nursing students. Clin Simul Nurs. 2020;48:55-8.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71 PMid: 33782057

Pei A, Woon N, Mok WQ, Jia Y, Chieng S, Zhang HM, et al. Nurse education today effectiveness of virtual reality training in improving knowledge among nursing students: A systematic review, meta-analysis, and meta-regression. Nurse Educ Today. 2020;98:104655. https://doi.org/10.1016/j.nedt.2020.104655 PMid: 33303246

Mok HT, So CF, Wai J, Chung Y. Effectiveness of high-fidelity patient simulation in teaching clinical reasoning skills. Clin Simul Nurs. 2016;12(10):453-67. https://doi.org/10.1016/j.ecns.2016.06.003

Foronda CL, Swoboda SM, Hudson KW, Jones E, Sullivan N, Ockimey J, et al. Evaluation of vSIM for Nursing ä: A trial of innovation. Clin Simul Nurs. 2016;12(4):128-31. https://doi.org/10.1016/j.ecns.2015.12.006

Herron EK, Powers K, Mullen L, Burkhart B. Effect of case study versus video simulation on nursing students’ satisfaction, self-confidence, and knowledge: A quasi-experimental study. Nurse Educ Today. 2019;79:129-34. https//doi.org/10.1016/j.nedt.2019.05.015 PMid:31125766

Wang M, Lv L, Yu Z, Gao L, Lu Q, Ou J, et al. A cross-sectional study of readiness for discharge, chronic illness resources, and postdischarge outcomes in patients with a diabetic foot ulcer. Nurs Open. 2021;8(5):2645-54. https//doi.org/10.1002/nop2.813 PMid: 33730433

İsmailoğlu EG, Orkun N, Eşer İ, Zaybak A. Comparison of the effectiveness of the virtual simulator and video-assisted teaching on intravenous catheter insertion skills and selfconfidence: A quasi-experimental study. Nurse Educ Today. 2020;95:104596. https//doi.org/10.1016/j.nedt.2020.104596 PMid: 33002745

Borg A, Sammut R, Trapani J. The effectiveness of virtual simulation in improving student nurses’ knowledge and performance during patient deterioration: A pre and posttest design. Nurse Educ Today. 2018;62:128-33. https://doi.org/10.1016/j.nedt.2017.12.025 PMid: 29335162

Padilha JM, Machado PP, Ribeiro A, Ramos J, Costa P. Clinical virtual simulation in nursing education: Randomized controlled trial. J Med Internet Res. 2019;21(3):e11529. https//doi.org/10.2196/11529 PMid:30882355

Padilha M, Ribeiro A, Marques D, Machado PP. Clinical virtual simulation as lifelong learning strategy d nurse’s verdict. Clin Simul Nurs. 2020;47:1-5.

Verkuyl M, Atack L, Mcculloch T, Liu L, Betts L, Lapum JL, et al. Comparison of debriefing methods after a virtual simulation: An experiment. Clin Simul Nurs. 2018;19:1-7. https://doi.org/10.1016/j.ecns.2018.03.002

Verkuyl M, Phc NP, Lapum JL, St-Amant O, Hughes M, Romaniuk D, et al. Exploring debriefing combinations after a virtual simulation. Clin Simul Nurs. 2020;40:36-42. https://doi.org/10.1016/j.ecns.2019.12.002

Verkuyl M, Romaniuk D, Mastrilli P. Nurse education in practice virtual gaming simulation of a mental health assessment: A usability study. Nurse Educ Pract. 2018;31:83-7. https://doi.org/10.1016/j.nepr.2018.05.007

Biyik S, Caliskan N. Effect of a game-based virtual reality phone application on tracheostomy care education for nursing students: A randomized controlled trial. Nurs Educ Today. 2019;79:25-31. https://doi.org/10.1016/j.nedt.2019.05.010 PMid: 31102793

Donovan LM, Argenbright CA, Mullen LK, Humbert JL. Computerbased simulation: Effective tool or hindrance for undergraduate nursing students? Nurse Educ Today. 2018;69:122-7. https//doi.org/10.1016/j.nedt.2018.07.007 PMid:30048812

Turkelson C, Yorke AM, Keiser M, Smith L, Gilbert GE. Promoting interprofessional communication with virtual simulation and deliberate practice. Clin Simul Nurs. 2020;46:30-9. https://doi.org/10.1016/j.ecns.2020.03.008

Butt AL, Kardong-Edgren S, Ellertson A. Using game-based virtual reality with haptics for skill acquisition. Clin Simul Nurs. 2018;16:25-32. https://doi.org/10.1016/j.ecns.2017.09.010

Balasubramaniam SM, Bhargava S, Agrawal N, Asif R, Chawngthu L, Sinha P, et al. Blending virtual with conventional learning to improve student midwifery skills in India. Nurse Educ Pract. 2018;28:163-7. https://doi.org/10.1016/j.nepr.2017.10.028

Kim J, Student D, Lee O. Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study. Nurse Educ Today. 2020;85:104297. https://doi.org/10.1016/j.nedt.2019.104297

Uhm JY, Ko YJ, Kim S. Implementation of an SBAR communication program based on experiential learning theory in a pediatric nursing practicum: A quasi-experimental study. Nurse Educ Today. 2019;80:78-84. https://doi.org/10.1016/j.nedt.2019.05.034 PMid: 31280009

Kuo SY, Wu JC, Chen HW, Chen CJ, Hu SH. Comparison of the effects of simulation training and problem-based scenarios on the improvement of graduating nursing students to speak up about medication errors: A quasi-experimental study. Nurse Educ Today. 2020;87:104359. https//doi.org/10.1016/j.nedt.2020.104359 PMid:32058883

Goldsworthy S, Cncc C, Cmsn C, Patterson JD, Dobbs M, Afzal A, et al. How does simulation impact building competency and confidence in recognition and response to the adult and paediatric deteriorating patient among undergraduate nursing students? Clin Simul Nurs. 2019;28:25-32. https://doi.org/10.1016/j.ecns.2018.12.001

Koivisto JM, Multisilta J, Niemi H, Katajisto J, Eriksson E. Learning by playing: A cross-sectional descriptive study of nursing students’ experiences of learning clinical reasoning. Nurse Educ Today. 2016;45:22-8. https//doi.org/10.1016/j.nedt.2016.06.009 PMid:27429399

Choi J, Eun S, Bae J, Kang S, Choi S, Tate JA, et al. Undergraduate nursing students’ experience of learning respiratory system assessment using flipped classroom: A mixed-methods study. Nurse Educ Today. 2021;98:104664. https://doi.org/10.1016/j.nedt.2020.104664 PMid: 33218906

Kang SJ, Kim Y. What should be included in web-based simulation for new nurses? Nurse Educ Today. 2020;92:104508. https://doi.org/10.1016/j.nedt.2020.104508 PMid:32619925

Hanson J, Andersen P, Dunn PK. The effects of a virtual learning environment compared with an individual handheld device on pharmacology knowledge acquisition, satisfaction and comfort ratings. Nurse Educ Today. 2020;92:104518. https://doi.org/10.1016/j.nedt.2020.104518

Foronda CL, Shubeck K, Swoboda SM, Hudson KW, Budhathoki C, Sullivan N, et al. Impact of virtual simulation to teach concepts of disaster triage. Clin Simul Nurs. 2016;12(4):137-44. https://doi.org/10.1016/j.ecns.2016.02.004

Kim J, Lee O. Effects of a simulation-based education program for nursing students responding to mass casualty incidents: A pre-post intervention study. Nurse Educ Today. 2020;85:104297.

Choi H, Lee U, Seul Y, Kim C. Efficacy of the computer simulationbased, interactive communication education program for nursing students. Nurse Educ Today. 2020;91:104467. https://doi.org/10.1016/j.nedt.2020.104467

Chen H, Ignacio J, Yobas P. Evaluation of the symptomfocused health assessment and empathy program for undergraduate nursing students : A randomized controlled trial. Nurse Educ Today. 2020;94:104566. https://doi.org/10.1016/j.nedt.2020.104566 PMid:32942245

Graziela A, Marcon GT, Sasso D, Iyengar MS. Persuasive technology in teaching acute pain assessment in nursing: Results in learning based on pre and post-testing. YNEDT. 2017;50:109-14. http://dx.doi.org/10.1016/j.nedt.2016.12.019

Verkuyl M, Phc NP, Anp AG, Romaniuk D, Atack L, Mastrilli P. Virtual gaming simulation for nursing education: An experiment. Clin Simul Nurs. 2017;13(5):238-44. http://dx.doi.org/10.1016/j.ecns.2017.02.004

Dubovi I. Designing for online computer-based clinical simulations: Evaluation of instructional approaches. Nurse Educ Today. 2018;69:67-73. https://doi.org/10.1016/j.nedt.2018.07.001

Koivisto JM, Niemi H, Multisilta J, Eriksson E. Nursing students’ experiential learning processes using an online 3D simulation game. Educ Inf Technol. 2017;22(1):383-98. https://doi.org/10.1007/s10639-015-9453-x

Downloads

Published

2022-05-16

How to Cite

1.
Purwanti LE, Sukartini T, Kurniawati ND, Nursalam N, Susilowati T. Virtual Simulation in Clinical Nursing Education to Improve Knowledge and Clinical Skills: Literature Review. Open Access Maced J Med Sci [Internet]. 2022 May 16 [cited 2024 Apr. 18];10(F):396-404. Available from: https://oamjms.eu/index.php/mjms/article/view/9435

Issue

Section

Systematic Review Article

Categories

Most read articles by the same author(s)

1 2 > >>