Nurse-midwifery students’ experiences in high-fidelity simulation: a focus group study
DOI:
https://doi.org/10.56294/saludcyt2024.588Keywords:
Nursing education, Nurse-midwifery students, Simulation, Focus groups, Qualitative ResearchAbstract
Introduction: Active teaching methodologies, particularly those using high-fidelity simulation, stand out in nursing education for their ability to facilitate the development of students' technical-scientific and non-technical skills, as well as prepare them for clinical practice. High-fidelity simulation using realistic models is an effective tool for improving students' communication skills, leadership and critical thinking. This study aims to explore nurse-midwifery students’ learning experiences in high-fidelity simulation.
Methods: Explorative qualitative study using two focus groups interviews with nurse-midwifery students at the Higher School of Nursing. Qualitative data were analyzed using content analysis.
Results: Two main themes emerged from content analysis: (i) Simulation-based learning and (ii) Simulation-based teaching. The first theme includes three categories: development of technical-scientific skills, development of non-technical skills, and preparation for internship. The second theme also includes three categories: enhancing theoretical knowledge, facilitating teaching, and post-scenario discussion (debriefing).
Conclusions: The use of high-fidelity simulation as a teaching strategy in the training of nurse-midwifery students contributed to the development of technical and non-technical skills essential to nursing practice
References
Powell E, Scrooby B, Van Graan A. Nurse educators’ views on implementation and use of high-fidelity simulation in nursing programmes. Afr J Health Prof Educ. 2020 Dec 1;12(4): 215. https://doi.org/10.7196/AJHPE.2020.v12i4.1411.
2. Greene D, Doss J. Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation. Int. J. Nurs. Educ. Scholarsh. 2021;18(1): 20200077. https://doi.org/10.1515/ijnes-2020-0077.
3. Fonseca L, Monteiro J, Aredes N, Bueno J, Domingues A, Coutinho V, Baptista R. Interdisciplinary simulation scenario in nursing education: Humanized childbirth and birth. Rev Lat Am Enfermagem. 2020 Jun 19; 28: 3286. https://doi.org/10.1590/1518-8345.3681.3286.
4. Watson C, Gómez-Ibáñez R, Granel N, Bernabeu-Tamayo M. Nursing students first experience on high fidelity simulation: A phenomenological research study. Nurse Educ Pract. 2021 Aug; 55:103162. https://doi.org/10.1016/j.nepr.2021.103162.
5. Costa R, Medeiros S, Martins J, Menezes R, Araújo M. O uso da simulação no contexto da educação e formação em saúde e enfermagem: uma reflexão acadêmica. Espac. Saude. 2015 março; 16(1): 59-65. https://doi.org/10.22421/15177130-2015v16n1p59.
6. Moloney M, Murphy L, Kingston L, Markey K, Hennessy T, Meskell P, Atkinson S, Doody O. Final year undergraduate nursing and midwifery students' perspectives on simulation-based education: a cross-sectional study. BMC Nurs. 2022 Nov 6; 21(1): 299. https://doi.org/10.1186/s12912-022-01084-w.
7. Sterner A, Nilsson M, Eklund A. The value of simulation-based education in developing preparedness for acute care situations: An interview study of new graduate nurses' perspectives. Nurse Educ Pract. 2023 Feb; 67: 103549. https://doi.org/10.1016/j.nepr.2023.103549
8. Azizi M, Ramezani G, Karimi E, Hayat A, Faghihi S, Keshavarzi M. A comparison of the effects of teaching through simulation and the traditional method on nursing students' self-efficacy skills and clinical performance: a quasi-experimental study. BMC Nurs. 2022 Oct 20; 21(1): 283. https://doi: 10.1186/s12912-022-01065-z
9. Colon W, Zambrano P, Puruncajas J, Zhinin G. Exploration of virtual reality as a tool for simulating leadership and teamwork situations among university students. Salud, Ciencia y Tecnología. 2024 Jan 1;4:1017. https://doi.org/10.56294/saludcyt20241017
10. Moabi P, Mtshali N. Nurse Educators’ Views on the Implementation of Simulation-based Education in Lesotho. AJNM. 2022; 24(2): 16. https://doi.org/10.25159/2520-5293/12370
11. Bailey L, Emory J. High-fidelity simulation improves confidence in nursing students. Teach Learn Nurs. 2022 Apr; 17(2): 191-194. https://doi.org/10.1016/j.teln.2021.12.004
12. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. Int J Qual Health C. 2007 Dec; 19(6): 349–57. https://doi.org/10.1093/intqhc/mzm042
13. Barbour RS. Doing Focus Groups. 2th ed. Los Angeles: SAGE Publications Ltd; 2018. 1–225 p.
14. Kinalski DF, Paula CC, Padoin SM , Neves ET, Kleinubing RE, Cortes LF. Focus group on qualitative research: experience report. Rev Bras Enferm. 2017 Apr 1; 70(2): 424–9. https://doi.org/10.1590/0034-7167-2016-0091
15. Azeredo, Z. Teoria e prática em investigação qualitativa. Edições Piaget; 2019.
16. Krueger RA, Casey AM. Focus Groups: a practical guide for applied research. 5th ed. Washington DC: SAGE Publications, Inc.; 2015.
17. Flick U. An Introduction to Qualitative research. 6th ed. London: SAGE Publications Ltd; 2018.
18. Coutinho CP. Metodologia de investigação em Ciências Sociais e Humanas: teoria e prática. 2a ed., reimpressão. Coimbra: Almedina; 2022.
19. Egry EY, Fonseca RMG. Acerca da qualidade nas pesquisas qualitativas em Enfermagem. In: Costa AP, Souza FN, Souza DN, editors. Investigação Qualitativa: inovação, dilemas e desafios. 2a ed. Oliveira de Azemeis:Ludomedia; 2017. p. 75–102.
20. Krippendorff K. Content Analysis: an introduction to its methodology. 4th ed. California: Sage Publications, Inc.; 2019.
21. Bardin L. Análise de Conteúdo. 4a edição revista. Lisboa: Edições 70; 2014.
22. Morgan DL. Basic and Advanced Focus Groups. USA: SAGE Publications, Inc; 2018.
23. Cant R, Cooper S. Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Educ Today. 2017; 49: 63-71. https://doi.org/10.1016/j.nedt.2016.11.015
24. Liaw S, Wong L, Chan S, Ho J, Mordiffi S, Ang S, et al. Designing and Evaluating an Interactive Multimedia Web-Based Simulation for Developing Nurses’ Competencies in Acute Nursing Care: Randomized Controlled Trial. J Med Internet Res 2015;17(1): 5. https://doi:10.2196/jmir.3853.
25. Presado M, Colaço S, Rafael H, Baixinho C, Félix I, Saraiva C, Rebelo I. Learning with High Fidelity Simulation. Cien Saude Colet. 2018 Jan; 23(1): 51-59. Portuguese, English. https://doi.org/10.1590/1413-81232018231.23072017.
26. Amod HB, Brysiewicz P. Promoting experiential learning through the use of high-fidelity human patient simulators in midwifery: A qualitative study. Curationis. 2019; 42(1). https://hdl.handle.net/10520/EJC-13b87d93be.
27. Labrague L. Use of Simulation in Teaching Nursing Leadership and Management Course: An integrative review. Sultan Qaboos Univ Med J. 2021 Aug; 21(3): 344-353. https://doi:10.18295/squmj.4.2021.007.
28. Brown K, Rode J. Leadership development through peer-facilitated simulation in nursing education. J. Nurs. Educ. 2018; 57(1): 53–57. https://doi.org/10.3928/01484834-20180102-11.
29. Guerrero JG, Tungpalan-Castro GM, Pingue-Raguini M. Impact of simulation debriefing structure on knowledge and skill acquisition for postgraduate critical care nursing students: three-phase vs. multiphase. BMC Nurs. 2022 Dec 1; 21(1). https://doi.org/10.1186/s12912-022-01100-z.
30. Martins J, Coutinho V, Baptista R, Oliveira L, Gonçalves R, Paiva L, Mendes I. Impact of a simulated practice program in the construction of self-confidence for intervention in emergencies and its association with knowledge and performance. J Nurs Educ Prac. 2017; 7(1): 45-50. http://dx.doi.org/10.5430/jnep.v7n1p45.
31. Alsaraireh A, Madhavanprabhakaran G, Raghavan D, Arulappan J, Khalaf A. (). Effect of a high-fidelity simulation-based teaching-learning experience (SBTLE) on maternal health nursing students' knowledge of postpartum hemorrhage, confidence, and satisfaction. Teach Learn Nurs. 2024; 19(1): 176-181. https://doi.org/10.1016/j.teln.2023.10.009.
32. Kocyigit H, Karagozoglu S. Effects of Scenario-Based High Fidelity and Repeated Simulation Methods on the Medical Error Tendency, Self-efficacy and State Anxiety Levels of Nursing Students. Int J Caring Sci. 2022;15. Available from: www.internationaljournalofcaringsciences.org.
33. Palominos E, Levett-Jones T, Power T, Martinez-Maldonado R. Healthcare students’ perceptions and experiences of making errors in simulation: An integrative review. Nurs Educ Today. 2019; 77: 32–9. https://doi.org/10.1016/j.nedt.2019.02.013.
34. Najjar R, Lyman B, Miehl N. Nursing Students’ Experiences with High-Fidelity Simulation. Int. J. Nurs. Educ. Scholarsh. 2015; 12(1): 27-35. https://doi.org/10.1515/ijnes-2015-0010.
35. Vermeulen J, Buyl R, D’haenens F, Swinnen E, Stas L, Gucciardo L, et al. Midwifery students’ satisfaction with perinatal simulation-based training. Women and Birth. 2021 Nov 1; 34(6): 554–62. https://doi.org/10.1016/j.wombi.2020.12.006.
36. Lucas G, Kemeny A, Paillot D, Colombet F. A simulation sickness study on a driving simulator equipped with a vibration platform. Transp. Res. Part F: Traffic Psychol. Behav. 2020; 68: 15-22. https://doi.org/10.1016/j.trf.2019.11.011.
37. Lockertsen Ø, Løvhaug L, Davik N, Bølgen B, Færden A, Skarstein S. Second-year undergraduate nursing students' experiences with clinical simulation training in mental health clinical practice: A focus group study. Nurse Educ Pract. 2023 Jan; 66:103534. https://doi.org/10.1016/j.nepr.2022.103534.
38. Nadler C, Pina J, Schmidt S, Okido A, Fonseca L, Rocha P, et al. Impact of high-fidelity simulation in pediatric nursing teaching: an experimental study. Texto Contexto Enferm. 2022; 31: 20210410. https://doi.org/10.1590/1980-265X-TCE-2021-0410en.
39. Berro E, Dane F, Knoesel J. Exploring the relationships among realism, engagement, and competency in simulation. Teach. Learn. Nurs. 2023 18(4): 241-245. https://doi.org/10.1016/j.teln.2023.07.010.
40. Ali A, Miller E, Ballman K, Bakas T, Geis G, Ying J. The impact of debriefing modalities on nurse practitioner students’ knowledge and leadership skills in managing fatal dysrhythmias: A pilot study. Nurse Educ Pract. 2020 Jan 1;42. https://doi.org/10.1016/j.nepr.2019.102687.
41. Tanoubi I, Labben I, Guédira S, Drolet P, Perron R, Robitaille A, et al. The impact of a high fidelity simulation-based debriefing course on the Debriefing Assessment for Simulation in Healthcare (DASH)© score of novice instructors. J Adv Med Educ Prof. 2019 Oct 1;7(4):159–64. https://doi10.30476/jamp.2019.74583.0.
42. Kolbe M, Eppich W, Rudolph J, Meguerdichian M, Catena H, Cripps A, et al. Managing psychological safety in debriefings: A dynamic balancing act. Vol. 6, BMJ Simulation and Technology Enhanced Learning. BMJ Publishing Group; 2020; 6(3): 164–171. https://doi:10.1136/bmjstel-2019-000470.
43. Wong FM, Chan AM, Lee NP, Luk KK. Can High-Fidelity Patient Simulation Be Used for Skill Development in Junior Undergraduate Students: A Quasi-Experimental Study. Healthcare (Switzerland). 2023 Aug 1;11(15): https://doi.org/10.3390/healthcare11152221
Published
Issue
Section
License
Copyright (c) 2024 Júlia Carvalho, Cláudia Brás, Helena Duarte, José Fonseca, Maria João Tomás, Maria Inês Polónio, Ana-Bela Caetano (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.