Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Senaryo Temelli Standart Hasta Simülasyonunun Hemşirelik Birinci Sınıf Öğrencilerinin İlk Gün Klinik Uygulama Deneyimlerine ve Anksiyete Düzeylerine Etkisi
The Effect of Scenario-Based Standardized Patient Simulation on Freshmen Nursing Students' First-Day Clinical Experience and Anxiety Levels
Serpil İNCEa, Fatma DURSUN ERGEZENa, Emine KOLa
aDepartment of Fundamentals of Nursing, Akdeniz University Faculty of Nursing, Antalya, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):603-15
doi: 10.5336/healthsci.2019-65898
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmada senaryo temelli standart hasta simülasyonunun hemşirelik birinci sınıf öğrencilerinin ilk gün klinik uygulamalarına ve anksiyete düzeyine etkisini incelemek amaçlanmıştır. Gereç ve Yöntemler: Yarı deneysel tipdeki araştırmanın örneklemini 29 girişim, 37 kontrol grubu birinci sınıf hemşirelik öğrencisi oluşturmuştur. Girişim grubuna hastayla tanışma senaryolarını içeren standart hasta simülasyon uygulamaları yaptırılmıştır. Kontrol grubu öğrencilerine standart müfredat uygulanmış, teorik ve laboratuar uygulamalarını tamamladıktan sonra klinik uygulamaya çıkmışlardır. Simülasyon öncesi ve sonrası girişim grubu öğrencilerin anksiyete düzeyleri 'Durumluk Anksiyete Skalası' ile ölçülmüştür. Hem deney hem kontrol grubu öğrencilerinin klinik uygulamanın ilk günü hastayla karşılaşmadan önce ve günün sonunda anksiyete düzeyleri aynı ölçüm aracıyla yeniden ölçülmüştür. Her iki grup öğrencileri klinik uygulamanın ilk günkü deneyimlerini içeren açık uçlu üç sorudan oluşan 'Klinik Uygulama Değerlendirme Formu'nu doldurmuşlardır. Çalışmada elde edilen bulgular SPSS 23 paket programı ile değerlendirilmiş ve anlamlılık düzeyi p<0,05 olarak kabul edilmiştir. Çalışmaya katılan tüm öğrencilerin yazılı ve sözlü onamları alınmıştır. Bulgular: Çalışmada hem deney hem de kontrol grubunun klinik uygulama öncesi (deney 49.00; kontrol: 49.00) vesonrası (deney: 40.00; kontrol: 40.50) anksiyete puanlarının orta düzeyde ve her iki grubun klinik öncesi ve sonrası anksiyete puanları arasında anlamlı fark bulunduğu (p<0,05), ancak grupların klinik öncesi ve sonrası puan-larının karşılaştırılması sonucunda anlamlı fark bulunmadığı (p>0,05) belirlenmiştir. Deney grubu öğrencilerinin simülasyon öncesi (42.00) ve sonrası (31.00) anksiyete düzeylerinde anlamlı düzeyde farklılık olduğu görülmüştür (p<0,05). Simülasyon deneyimi sonrası öğrenciler debrifieng aşamasında çok heyecanlandıklarını, klinik uygulamada sakin ve özgüvenli olmaya çalışacaklarını belirtmişlerdir. İlk klinik deneyim öncesi deney grubu öğrencileri en fazla oranla heyecanlandıklarını (%44,8), çekindiklerini (%24,3) ve anksiyete yaşadıklarını (%13,8) bildirirken, kontrol grubu öğrencileri en fazla oranla heyecanlandıklarını (%60,4) ve korktuklarını (%10,4) bildirmişlerdir. Sonuç: Standart hasta ile simülasyon deneyimi yaşayan öğrenciler ile bu deneyimi yaşamayan öğrencilerin ilk günkü klinik uygulama anksiyeteleri orta düzeydedir. Grupların karşılaştırılmasında klinik öncesi ve sonrası anksiyete düzeyleri arasında farklılık olmamakla birlikte; her iki grup öğrencilerin hastayla ilk karşılaşma öncesi ve sonrası anksiyete düzeylerinde anlamlı düzeyde azalma olmuştur. Öğrenciler standart hasta deneyiminin klinik uygulama sürecine hazırlanmada etkili bir öğrenme yöntemi olduğunu belirtmişlerdir. Ayrıca deney grubu öğrenciler, tekrarlı simülasyon uygulaması yapabilseler gerçek uygulamada çok daha iyi olacaklarını da bildirmişlerdir.

Anahtar Kelimeler: Hemşirelik öğrencisi; standart hasta; simülasyon; klinik deneyim; anksiyete
ABSTRACT
 Objective: The aim of this study was to examine the effect of scenario- based standardized patient simulation (SPs) on first-day clinical practice and anxiety level of freshmen nursing students. Material and Methods: The sample of this semi-experimental study consisted of 29 experimental and 37 control group freshmen nursing students. Experimental group was given scenarios for meeting the patient during SP simulation application. Standard curriculum was applied to the control group. After completing theoretical and laboratory applications, they started clinical practice. Anxiety levels of the experimental group students were measured using 'State-Trait Anxiety Inventory' before and after the simulation. The anxiety levels of both groups were re-measured with the same measuring tool prior to the encounter with the patient and at the end of the firstday of clinical practice. Students in both of the groups were asked to complete 'Clinical Practice Evaluation Form' which consisted of three open-ended questions about the first-day experiences of their clinical practice. The findings of the study were evaluated with SPSS 23 package program and p <0.05 was considered significant in all analyzes. Written and verbal informed consent was obtained from all students. Results: There was a significant difference between the anxiety levels of both experimental and control groups before (experimental: 49.00; control: 49.00) and after (experimental: 40.00; control: 40.50) clinical experiments and the scores were found to be moderate (p<0.05). However, there was no significant difference (p> 0.05) when the pre-clinical and post-clinical scores of the groups were compared. Also, there was a significant difference between the anxiety levels of the experimental group students before and after the simulation (42.00) and after (31.00) (p <0.05). The students on the experimental group stated that they were very excited during the debriefing stage after the SP experience and that they would try to be calm and confident in clinical practice. Before the first clinical experience, the experimental group students reported that they were mostly excited (44.8%), afraid (24.3%) and anxious (13.8%), while the control group students reported that they were mostly excited (60.4%) and afraid (10.4%). Conclusion: The first-day clinical practice anxiety of the students who had simulation experience with the SP and those who did not have this experience were moderate. Although there was no difference between the anxiety levels of groups pre and post simulation, there was a significant decrease in the anxiety levels of both groups of students before and after the first encounter with the patient. The students stated that SP experience is an effective learning method in preparing for the clinical practice process. In addition, the experimental group students reported that if they could perform repeated simulation applications, they would do much better in real practice.

Keywords: Nursing student; standardized patient; simulation; clinical experience; anxiety
REFERENCES:
  1. Sharif F, Masoumi S. A qualitative study of nursing student experiences of clinical practice. BMC Nurs. 2005;4:6. [Crossref]  [PubMed]  [PMC] 
  2. Alinier G. Nursing students' and lecturers' perspectives of objective structured clinical examination incorporating simulation. Nurse Educ Today. 2003;23(6):419-26. [Crossref]  [PubMed] 
  3. Karadag M, Calıskan N, Iseri O. [The views of students regarding the use of simulated patient]. Simüle hasta kullanimina ilişkin öğrenci görüşleri. Journal of Contemporary Medicine, 2015;5(1):36-44. [Crossref] 
  4. Sanford PG. Simulation in nursing education: A review of the research. The Qualitative Report, 2010;15(4): 006-11. [Link] 
  5. Aebersold M, Tschannen D. Simulation in nursing practice: the impact on patient care. Online J Issues Nurs. 2013;18(2):6. [PubMed] 
  6. Decker S, Sportsman S, Puetz L, Billings L. The evolution of simulation and its contribution to competency. J Contin Educ Nurs. 2008;39(2):74-80. [Crossref]  [PubMed] 
  7. Sünbül AM. Öğretim İlke ve Yöntemleri. 4. Baskı, Konya; Eğitim Yayınevi; 2010, p.332-3.
  8. Haraldseid C, Friberg F, Aase K. Nursing students' perceptions of factors influencing their learning environment in a clinical skills laboratory: A qualitative study. Nurse Educ Today. 2015;35(9):e1-6. [Crossref]  [PubMed] 
  9. Gaberson KB, Oermann MH, Shellenberger T. [Clinical teaching strategies in nursing]. Kardaş Özdemir F, Akgün Şahin Z, Küçük Alemdar D, çeviri editörleri. Hemşirelikte Klinik Öğretim Stratejileri. 4. Basımdan çeviri. 2016.
  10. Bornais JA, Raiger JE, Krahn RE, El-Masri MM. Evaluating undergraduate nursing students' learning using standardized patients. J Prof Nurs. 2012;28(5):291-6. [Crossref]  [PubMed] 
  11. Sarmasoglu S, Dinç L, Elçin M. Using Standardized Patients in Nursing Education: Effects on Students' Psychomotor Skill Development. Nurse Educ. 2016;41(2):E1-5. [Crossref]  [PubMed] 
  12. Tuzer H, Dinc L, Elcin M. The effects of using high-fidelity simulators and standardized patients on the thorax, lung, and cardiac examination skills of undergraduate nursing students. Nurse Educ Today. 2016;45:120-5. [Crossref]  [PubMed] 
  13. Slater LZ, Bryant KD, Ng V. Nursing student perceptions of standardized patient use in health assessment. Clinical Simulation in Nursing. 2016;12(9):368-376. [Crossref] 
  14. Yoo MS, Yoo IY. The effectiveness of standardized patients as a teaching method for nursing fundamentals. J Nurs Educ. 2003;42(10):444-8. [Crossref]  [PubMed] 
  15. Elçin M, Odabaşı O, Turan S, Sincan M, Başusta NB. [Developing communication skills using standardized patients and structured assessments in medical education]. Hacettepe Tıp Dergisi. 2010;41(4):219-30. [Link] 
  16. Beaird G, Nye C, Thacker LR. The use of video recording and standardized patient feedback to improve communication performance in undergraduate nursing students. Clinical Simulation in Nursing. 2017;13(4):176-85. [Crossref] 
  17. Oh PJ, Jeon KD, Koh MS. The effects of simulation-based learning using standardized patients in nursing students: A meta-analysis. Nurse Educ Today. 2015;35(5):e6-e15. [Crossref]  [PubMed] 
  18. Goh YS, Selvarajan S, Chng ML, Tan CS, Yobas P. Using standardized patients in enhancing undergraduate students' learning experience in mental health nursing. Nurse Educ Today. 2016;45:167-72. [Crossref]  [PubMed] 
  19. Mıdık Ö, Kartal M. Simülasyona dayalı tıp eğitimi. Marmara Medical Journal. 2010;23(3):389-399. [Link] 
  20. Kameg KM, Szpak JL, Cline TW, Mcdermott DS. Utilization of standardized patients to decrease nursing student anxiety. Clinical Simulation in Nursing, 2014;10(11):567-73. [Crossref] 
  21. Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Acad Med. 1993;68(6):443-51; discussion 451-3. [Crossref]  [PubMed] 
  22. Wilson L, Rockstraw L. Human Simulation for Nursing and Health Professions. Nursing Education Perspectives. Springer Publishing Company, United States of America; 2012, p.41-5.
  23. Doolen J, Giddings M, Johnson M, Guizado de Nathan G, O Badia L. An evaluation of mental health simulation with standardized patients. Int J Nurs Educ Scholarsh. 2014;11:/j/ijnes.2014.11.issue-1/ijnes-2013-0075/ijnes-2013-0075.xml. [Crossref]  [PubMed] 
  24. Ewertsson M, Allvin R, Holmström IK, Blomberg K. Walking the bridge: Nursing students' learning in clinical skill laboratories. Nurse Educ Pract. 2015;15(4):277-83. [Crossref]  [PubMed] 
  25. Schlegel C, Shaha M, Terhaar M. The value of standardized patients in nursing education. J Nurs Sci 2009;27(2): 40-8. [Link] 
  26. Lin EC, Chen SL, Chao SY, Chen YC. Using standardized patient with immediate feedback and group discussion to teach interpersonal and communication skills to advanced practice nursing students. Nurse Educ Today. 2013;33(6):677-83. [Crossref]  [PubMed] 
  27. Becker KL, Rose LE, Berg JB, Park H, Shatzer JH. The teaching effectiveness of standardized patients. J Nurs Educ. 2006;45(4):103-11. [Crossref]  [PubMed] 
  28. Luctkar-Flude M, Wilson-Keates B, Larocque M. Evaluating high-fidelity human simulators and standardized patients in an undergraduate nursing health assessment course. Nurse Educ Today. 2012;32(4):448-52. [Crossref]  [PubMed] 
  29. Kameg K, Mitchell AM, Clochesy J, Howard VM, Suresky J. Communication and human patient simulation in psychiatric nursing. Issues Ment Health Nurs. 2009;30(8):503-8. [Crossref]  [PubMed] 
  30. Isık B, Kaya H. The effect of simulation software on learning of psychomotor skills and anxiety level in nursing education. Procedia-Social and Behavioral Sciences, 2014;116(21): 3864-68. [Crossref] 
  31. Shinnick MA, Woo MA, Mentes JC. Human patient simulation: state of the science in prelicensure nursing education. J Nurs Educ. 2011;50(2):65-72. [Crossref]  [PubMed] 
  32. Kotecki CN. Baccalaureate nursing students' communication process in the clinical setting. J Nurs Educ. 2002;41(2):61-8. [Crossref]  [PubMed] 
  33. Cassady JC, Johnson RE. Cognitive test anxiety and academic performance. Contemporary Educational Psychology, 2002;27(2):270-95. [Crossref] 
  34. Festa LM, Baliko B, Mangiafico T, Jarosinski J. Maximizing learning outcomes by videotaping nursing students' interactions with a standardized patient. J Psychosoc Nurs Ment Health Serv. 2000;38(5):37-44. [Crossref]  [PubMed] 
  35. Tiffen J, Corbridge S, Shen BC, Robinson P. Patient simulator for teaching heart and lung assessment skills to advanced practice nursing students. Clinical Simulation in Nursing, 2011; 7(3):e91-e97. [Crossref] 
  36. Dikici MF, Yarış F. [Standardized and simulated patients program in Ondokuz Mayıs University school of medicine: medical education]. Turkiye Klinikleri J Med Sci. 2007;27(5):738-43. [Link] 
  37. Oner N, Le Compte A. State-Trait Anxiety Inventory Manuel. 1st ed. Istanbul: Bogazici University Publications; 1983.
  38. Hollenbach PM. Simulation and Its Effect on Anxiety in Baccalaureate Nursing Students. Nurs Educ Perspect. 2016;37(1):45-7. [PubMed] 
  39. Gore T, Hunt CW, Parker F, Raines KH. The effects of simulated clinical experiences on anxiety: nursing students' perspectives. Clinical Simulation in Nursing, 2011;7(5):e175-e80. [Crossref] 
  40. Megel ME, Black J, Clark L, Carstens P, Jenkins LD, Promes J, et al. Effect of high-fidelity simulation on pediatric nursing students' anxiety. Clinical Simulation in Nursing. 2012;8(9):e419-e28. [Crossref] 
  41. Arslan FT, Türkmen AS, Çelen R, Özkan S, Altıparmak D, Şahin A. Comparing traditional and simulation-based experiences in pediatrics with undergraduate nursing students in Turkey. Clinical Simulation in Nursing, 2018;16:62-9. [Crossref] 
  42. Zaybak A, Taşdelen S. Hemşirelik öğrencilerinin ilk klinik deneyim sirasindaki stres düzeylerinin incelenmesi. Florence Nightingale Hemşirelik Dergisi 2013;21(2):101-106. [Link] 
  43. Bagcivan G, Cinar FI, Tosun N, Korkmaz R. Determination of nursing students' expectations for faculty members and the perceived stressors during their education. Contemp Nurse. 2015;50(1):58-71. [Crossref]  [PubMed] 
  44. Wallace P. Coaching standardized patients: For use in the assessment of clinical competence. United States of America: Springer Publishing Company; 2006,151-161.
  45. Bowling AM. The effect of simulation on skill performance: a need for change in pediatric nursing education. J Pediatr Nurs. 2015;30(3):439-46. [Crossref]  [PubMed] 
  46. MacLean S, Kelly M, Geddes F, Della P. Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Educ Today. 2017 ;48:90-8. [Crossref]  [PubMed] 
  47. Webster D. Using standardized patients to teach therapeutic communication in psychiatric nursing. Clinical Simulation in Nursing, 2014;10(2):e81-e86. [Crossref] 
  48. Serçekuş P, Başkale H. Effects of antenatal education on fear of childbirth, maternal self-efficacy and parental attachment. Midwifery. 2016;34:166-72. [Crossref]  [PubMed] 
  49. Pulido‐Martos M, Augusto‐Landa JM, Lopez‐Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. International Nursing Review, 2012;59(1):15-25. [Crossref] 
  50. Bremner MN, Aduddell K, Bennett DN, VanGeest JB. The use of human patient simulators: best practices with novice nursing students. Nurse Educ. 2006;31(4):170-4. [Crossref]  [PubMed] 

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Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com