The role of simulation in developing clinical knowledge and increasing clinical confidence in first-year radiography students
DOI:
https://doi.org/10.11157/fohpe.v16i3.83Keywords:
simulation-based learning, diagnostic radiography, low-fidelity, knowledge acquisition, role-play, self-confidence, x-ray phantomAbstract
Background: First-year radiography students at Monash University participate in simulation learning activities using role-play, x-ray phantom imaging, and pre- and post-clinical placement. Simulation-based learning is commonly used across Australia in radiography and medical imaging teaching programs. However, little research about its role in radiography education has been undertaken. This study aimed to measure knowledge gained by radiography students from simulation activities and how they perceived that simulation activities developed their knowledge and confidence in clinical skills and decision-making.
Methods: Pre-and post-tests were conducted to measure students’ knowledge acquisition after the simulation learning activities. Students’ perceptions of the simulation activities were evaluated by a 40-item paper-based survey using a 5-point Likert scale.
Results: Fifty-five students participated in the pre-and post-tests, and simulation learning activities increased knowledge as shown by a significant increase in the post- test scores compared with the pre-test scores (p < 0.001). All 51 students completed the survey. Results indicated that the simulation activities increased students’ confidence in aligning the x-ray equipment, patient positioning and giving verbal instructions to patients. During the simulation activities, students learnt from errors they made, feedback given by tutors and through observing their peers.
Conclusion: Simulation-based learning can enhance students’ radiographic knowledg
References
Ackermann, A. (2009). Investigation of learning outcomes for the acquisition and retention of CPR knowledge and skills learned with the use of high-fidelity simulation. Clinical Simulation in Nursing, 5(6), e213–e222.
Alfes, C. (2011). Evaluating the use of simulation with beginning nursing students. Journal of Nursing Education, 50(2), 89–93.
Alinier, G., Hunt, B., Gordon, R., & Harwood, C. (2006). Effectiveness of intermediate-fidelity simulation training technology in undergraduate nursing education. Journal of Advanced Nursing, 54(3), 359–369.
Baillie, L., & Curzio, J. (2009). Students’ and facilitators’ perceptions of simulation in practice learning. Nurse Education in Practice, 9(5), 297–306.
Bearnson, C., & Wiker, K. (2005). Human patient simulators: A new face in baccalaureate nursing education at Brigham Young University. Journal of Nursing Education, 44(9), 421–425.
Bienstock, J., Katz, N., Cox, S., Hueppchen, N., Erickson, S., & Puscheck, E. (2007). To the point: Medical education reviews—providing feedback. American Journal of Obstetrics and Gynecology, 196(6), 508–513.
Cheung, R., & Au, T. (2011). Nursing students’ anxiety and clinical performance. Journal of Nursing Education, 50(5), 286–289.
Coutts, L., & Rogers, J. (1999). Predictors of student self-assessment accuracy during a clinical performance exam: Comparisons between over-estimators and under- estimators of SP-evaluated performance. Journal of the Association of American Medical Colleges, 74(10), 128–130.
Crea, K. A. (2011). Patient simulation: Practice skill development through the use of human patient simulation. American Journal of Pharmaceutical Education, 75(9), article 188. doi: 10.5688/aipe759188
DeBourgh, G., & Prion, S. (2011). Using simulation to teach prelicensure nursing students to minimize patient risk and harm. Clinical Simulation in Nursing, 7(2), e47–e45.
Fowler, J. (2008). Experiential learning and its facilitation. Nurse Education Today, 28(4), 427–433.
Gaba, D. (2004). The future vision of simulation in health care. Quality and Safety in Health Care, 13(1), i2–i10.
Gore, T., Hunt, C., Parker, F., & Raines, K. (2011). The effects of simulated clinical experiences on anxiety: Nursing students’ perspectives. Clinical Simulation in Nursing, 7(5), e175–e180.
Grant, D., & Marriage, S. (2012). Training using medical simulation. Archives of Disease in Childhood, 97(3), 255–259.
Harder, B. (2010). Use of simulation in teaching and learning in health sciences: A systematic review. Journal of Nursing Education, 49(1), 23–28.
Innes, J. (1998). A qualitative insight into the experiences of postgraduate radiography students: Causes of stress and methods of coping. Radiography, 4(2), 89–100.
Issenberg, S., & Scalese, R. (2008). Simulation in health care education. Perspectives in Biology and Medicine, 51(1), 31–46.
Jarzemsky, P., & McGrath, J. (2008). Look before you leap: Lessons learned when introducing clinical simulation. Nurse Educator, 33(2), 90‒95.
Kneebone, R., Black, S., Yadollahi, F., & Darzi, A. (2006). The human face of simulation: Patient-focused simulation training. Academic Medicine, 81(10), 919‒924.
Kolb, A., & Kolb, D. (2005). Learning styles and learning spaces: Enhancing experiential learning in higher education. Academy of Management Learning & Education, 4(2), 192‒212.
Kuznar, K. (2007). Associate degree nursing students’ perceptions of learning using a high-fidelity human patient simulator. Teaching and Learning Nursing, 2(2), 46‒52.
Maran, N., & Glavin, R. (2003). Low- to high-fidelity simulation: A continuum of medical education? Medical Education, 37(1), 22‒28.
McCaughey, C. S., & Traynor, M. K. (2010). The role of simulation in nurse education. Nurse Education Today, 30, 827‒832.
McGregor, M., & Guiliano, D. (2012). Manikin-based clinical simulation in chiropatic education. The Journal of Chiropractic Education, 26(1), 14‒23.
Meechan, R., Jones, H., & Valler-Jones, T. (2011). Students’ perspectives on their skills acquisition and confidence. British Journal of Nursing, 20(7), 445‒450.
Melincavage, S. (2011). Student nurses’ experiences of anxiety in the clinical setting. Nurse Education Today, 31(8), 785‒789.
Owen, H., Mugford, B., Follows, V., & Plummer, J. (2006). Comparison of three simulation-based training methods for management of medical emergencies. Resuscitation, 71(2), 204‒211.
Reid-Searl, K., Happell, B., & Vieth, L. (2012). High fidelity patient silicone simulation: A qualitative evaluation of nursing students’ experiences. Collegian, 19(2), 77‒83.
Reilly, A., & Spratt, C. (2007). The perceptions of undergraduate student nurses of high-fidelity simulation-based learning: A case report from the University of Tasmania. Nurse Education Today, 27(6), 542‒550.
Schwid, H., Rooke, G., Carline, J., Steadman, R., Murray, W., & Olympio, M. (2002). Evaluation of anaesthesia residents using mannequin-based simulation: A multi institutional study. Anesthesiology, 97(6), 1434‒1444.
Seropian, M., & Samuelson, J. (2004). Simulation: Not just a manikin. Journal of Nursing Education, 43(4), 164‒169.
Seybert, A., & Kane-Gill, S. (2011). Elective course in acute care using online learning and patient simulation. American Journal of Pharmaceutical Education, 75(3), article 54. doi: 10.5688/ajpe75354
Sica, G., Barron, D., Blum, R., Frenna, T., & Raemer, D. (1999). Computerized realistic simulation: A teaching module for crisis management in radiology. American Journal of Radiology, 172, 301‒304.
Smith, A., Ortiguera, S., Laskowski, E., Hartman, A., Mulenbach, D., Gaines,
K., . . . Fisher, W. (2001). A preliminary analysis of psychophysiological variables and nursing performance in situations of increasing criticality. Mayo Clinic Proceedings, 76(3), 275‒284.
Stegmann, K., Pilz, F., Siebeck, M., & Fisched, F. (2012). Vicarious learning during simulations: Is it more effective than hands-on training. Medical Education, 46(10), 1001‒1008.
Thoirs, K., Giles, E., & Barber, W. (2011). The use and perceptions of simulation in medical radiation science education. The Radiographer, 58(3), 5‒11.
Traynor, M., Gallagher, A., Martin, L., & Smyth, S. (2010). From novice to expert: Using simulators to enhance practical skill. British Journal of Nursing, 19(22), 1422‒1426.
Vyas, D., Wombwell, E., Russell, E., & Caligiuri, F. (2010). High-fidelity patient simulation series to supplement introductory pharmacy practice experiences. American Journal of Pharmaceutical Education, 74(9), article 169.
Weller, J., Nestel, D., Marsall, S., Brooks, P., & Conn, J. (2012). Simulation in clinical teaching and learning. Medical Journal of Australia, 196(9), 1‒5.
Wilson, M., Shepherd, I., Kelly, C., & Pitzner, J. (2005). Assessment of a low-fidelity human patient simulator for the acquisition of nursing skills. Nurse Education Today, 25(1), 56‒67
Wright, D., Rolland, J., & Kancherla, A. (1995). Using virtual reality to teach radiographic positioning. Radiologic Technology, 66(4), 233‒238.
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