Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Effects of High-Fidelity Postpartum Care Management Simulation on Nursing Students: A Quasi-Experimental Design
Yüksek Gerçekli Postpartum Bakım Yönetimi Simülasyonunun Hemşirelik Öğrencileri Üzerine Etkisi: Yarı Deneysel Bir Çalışma
Sümeyye BAKIRa , Şenay ÜNSAL ATANa
aDepartment of Nursing, Ege University Faculty of Nursing, İzmir, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1000-7
doi: 10.5336/nurses.2023-98581
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to compare the effectiveness of high-fidelity simulation (HFS) and case study (CS) methods in managing postpartum care on nursing students' satisfaction and self-efficacy levels. Material and Methods: A quasi-experimental, pretest, and posttest comparison group design was used. It was conducted in a public university in west Türkiye with four-year nursing students (46 in the HFS group and 46 in the CS group). The Satisfaction Questionnaire, Self-Efficacy Scale, and Simulation Design Scale were utilized to gather data. The Postpartum Care Management Clinical Skills Checklist was used to assess postpartum care skills in the HFS group. Data were analyzed with the χ2 test, Mann-Whitney U test, and repeated-measures Wilcoxon. Results: The HFS enhanced students' satisfaction levels. Simulation feedback/guided reflection and fidelity had scored higher than other simulation design features. Although the students' self-efficacy levels increased, there was no significant difference observed (p>0,05). Conclusion: The use of HFS has the potential to enhance student satisfaction with learning and can increase self-efficacy in performing postpartum nursing care skills. When creating scenarios and sessions for HFS, nurse educators need to be careful as it can impact student satisfaction. In order to conduct an effective simulation, it is crucial to incorporate debriefing sessions and strive for realism in the scenarios.

Keywords: High fidelity simulation training; self-efficacy; students, nursing; pleasure
ÖZET
 Amaç: Bu çalışma, doğum sonu bakımın yönetiminde yüksek gerçekli simülasyon [high-fidelity simulation (HFS)] ve vaka çalışması [case study (CS)] yöntemlerinin hemşirelik öğrencilerinin memnuniyet ve öz yeterlilik düzeyleri üzerindeki etkinliğinin karşılaştırılması amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma Türkiye'nin batısında yer alan bir devlet üniversitesinde dördüncü sınıf hemşirelik öğrencileri ile gerçekleştirilmiştir. Yarı deneysel, ön test-son test araştırma tasarımı kullanılmıştır (46 öğrenci HFS grubunda ve 46 öğrenci ise CS grubunda). Veriler Eğitim Yöntemlerinden Memnuniyet Anketi, Öz Etkililik-Yeterlilik Ölçeği ve Simülasyon Tasarım Ölçeği kullanılarak toplanmıştır. HFS grubunda doğum sonrası bakım becerilerinin değerlendirilmesi Doğum Sonrası Bakım Yönetimi Klinik Beceriler Kontrol Listesi kullanılarak yapılmıştır. Veriler ki-kare testi, Mann-Whitney U testi ve tekrarlı ölçümler Wilcoxon testi ile analiz edilmiştir. Bulgular: HFS'nin öğrencilerin memnuniyet düzeyini anlamlı düzeyde artırdığı, çözümleme ve senaryonun gerçeği yansıtma özelliklerinin diğer simülasyon tasarım özelliklerinden daha yüksek puan aldığı saptanmıştır. Öğrencilerin öz yeterlilik düzeyleri yükselmesine rağmen anlamlı fark saptanmamıştır (p>0,05). Sonuç: HFS hemşirelik öğrencilerinin öğrenme memnuniyetini artırabilir ve doğum sonrası hemşirelik bakım becerilerini yerine getirmede öz yeterliliği yükseltebilir. HFS için senaryolar ve oturumlar oluştururken, öğrenci memnuniyetini etkileyebileceğinden hemşire eğitimcilerin dikkatli olması önerilmektedir. Etkili bir simülasyon yürütebilmek için çözümleme oturumunun aktif kullanılması ve senaryolarda gerçekçilik düzeyinin özellikle iyi planlanması gerektiği düşünülmektedir.

Anahtar Kelimeler: Yüksek gerçekli simülasyon uygulamaları; öz yeterlik; öğrenciler, hemşirelik; memnuniyet
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