Elements Explaining Learning Clinical Reasoning Using Simulation Games
DOI:
https://doi.org/10.17083/ijsg.v3i4.136Keywords:
clinical reasoning, learning, simulation games, nursing studentsAbstract
This article presents the findings on which elements in a game-based simulation affect learning clinical reasoning in nursing education. By using engaging gaming elements in virtual simulations and integrating the clinical reasoning process into game mechanics, games can enhance learning clinical reasoning and offer meaningful learning experiences. The study was designed to explore how nursing students experience gaming and learning when playing a simulation game, as well as which gaming elements explain learning clinical reasoning. The data was collected by questionnaire from nursing students (N = 166) in autumn 2014 over thirteen gaming sessions. The findings showed that usability, application of nursing knowledge, and exploration have the most impact on learning clinical reasoning when playing simulation games. Findings also revealed that authentic patient-related experiences, feedback, and reflection have an indirect effect on learning clinical reasoning. Based on these results, more efficient simulation games to improve clinical reasoning may be developed.
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[21] Taekman, J.M. & Shelley, K. (2010). Virtual environments in Healthcare: Immersion, Distripution, and flow. International Anesthesiology Clinics, 48(3), 101-121. https://doi.org/10.1097/AIA.0b013e3181eace73
[22] Lewett-Jones, T., Hoffman, K., Dempsey, J., Yeun-Sim Jeong, S., Noble, D., Norton, C. A., Roche, J., & Hickey, N. (2010). The ‘five rights’ of clinical reasoning: An educational model to enhance nursing students’ ability to identify and manage clinically ‘at risk’ patients. Nurse Education Today 30(6), 515-520. https://doi.org/10.1016/j.nedt.2009.10.020
[23] Koivisto, J.-M., Niemi, H., Multisilta, J. & Eriksson, E. (2015). Nursing students’ experiential learning processes using an online 3D simulation game. Education and Information Technologies. https://doi.org/10.1007/s10639-015-9453-x
[24] Squire, K. (2006). From Content to Context: Videogames as Designed Experience. Educational Researcher 35(8), 19-29. https://doi.org/10.3102/0013189X035008019
[25] Bauman, E. B. (2012). Game-Based Teaching and Simulation in Nursing and Healthcare. New York, NY, USA: Springer Publishing Company. ProQuest ebrary. Accessed 15 August 2015.
[26] Tanner, C. A. (2006). Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing. Journal of Nursing Education 45(6), 204-211.
[27] Koivisto, J-M., Multisilta, J., Niemi, H., Katajisto, J. & Eriksson, E. (2016). Learning by playing: A cross-sectional descriptive study of nursing students’ experiences of learning clinical reasoning. Nurse Education Today 45, 22-28. https://doi.org/10.1016/j.nedt.2016.06.009
[28] de Freitas, S., Rebolledo-Mendez, G., Liarokapis, F., Magoulas, G. & Poulovassilis, A. (2010). Learning as immersive experiences: Using the four-dimensional framework for designing and evaluating immersive learning experiences in a virtual world. British Journal of Educational Technology Vol 41(1), 69–85. https://doi.org/10.1111/j.1467-8535.2009.01024.x
[29] Kajander-Unkuri, S., Salminen, L., Saarikoski, M., Suhonen, R., & Leino-Kilpi, H. (2013). Competence areas of nursing students in Europe. Nurse Education Today 33, 625 - 632. https://doi.org/10.1016/j.nedt.2013.01.017
[30] Guise, V., Chambers, M., Conradi, E., Kavia, S., & Välimäki, M. (2012). Development, implementation and initial evaluation of narrative virtual patients for use in vocational mental health nurse training. Nurse Education Today 32, 683-689. https://doi.org/10.1016/j.nedt.2011.09.004
[31] Honey, M., Connor, K., Veltman, M., Bodily, D., & Diener, S. (2012). Teaching with Second Life: Hemorrhage Management as an Example of a Process for Developing Simulations for Multiuser Virtual Environments. Clinical Simulation in Nursing 8, e79 - e85. https://doi.org/10.1016/j.ecns.2010.07.003
[32] LeFlore, J-L., Anderson, M., Zielke, M. A., Nelson, K. A., Thomas, P. E., Hardee, G., & John, L. D. (2012). Can a virtual patient trainer teach student nurses how to save lives: Teaching nursing students about pediatric respiratory diseases. Simulation in Healthcare Simulations: The Journal of the Society for Medical Simulation 7(1), 10-17. https://doi.org/10.1097/SIH.0b013e31823652de
[33] Rizzo, A.S., Kenny, P., & Parsons, T.D. (2011). Intelligent virtual patients for training clinical skills. Journal of Virtual Reality and Broadcasting 8(3). doi:10.20385/1860-2037/8.2011.3
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2016-12-21
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Elements Explaining Learning Clinical Reasoning Using Simulation Games. (2016). International Journal of Serious Games, 3(4). https://doi.org/10.17083/ijsg.v3i4.136
