title: E-simulation: preregistration nursing students' evaluation of an online patient deterioration program.
abstract: This study explores preregistration nursing students' views of a Web-based simulation program: FIRST ACTWeb (Feedback Incorporating Review and Simulation Techniques to Act on Clinical Trends-Web). The multimedia program incorporating three videoed scenarios portrayed by a standardized patient (human actor) aims to improve students' recognition and management of hospital patient deterioration. Participants were 367 final-year nursing students from three universities who completed an online evaluation survey and 19 students from two universities who attended one of five focus groups. Two researchers conducted a thematic analysis of the transcribed narratives. Three core themes identified were as follows: "ease of program use," "experience of e-Simulation," and "satisfaction with the learning experience." The Web-based clinical learning environment was endorsed as functional, feasible, and easy to use and was reported to have high fidelity and realism. Feedback in both focus groups and surveys showed high satisfaction with the learning experience. Overall, evaluation suggested that the Web-based simulation program successfully integrated elements essential for blended learning. Although Web-based educational applications are resource intensive to develop, positive appraisal of program quality, plus program accessibility and repeatability, appears to provide important educational benefits. Further research is needed to determine the transferability of these learning experiences into real-world practice.
authors: Author Affiliations: School of Nursing and Midwifery, Monash University, Berwick, Victoria (Drs Cant and Cooper); and Teaching and Learning, School of Nursing and Midwifery, The University of Queensland, Ipswich, Queensland, Australia (Dr Young); School of Nursing and Midwifery, University of Brighton, United Kingdom (Dr Cooper); Academic School of Nursing and Midwifery Federation University, Churchill, Victoria (Dr Porter), Australia; and the FIRST2 ACT Research Team.
authors: Robyn
authors: R
authors: Cant
authors: Susan
authors: S
authors: Young
authors: Simon J
authors: SJ
authors: Cooper
authors: Joanne
authors: J
authors: Porter
mesh_terms: D003194:Computer-Assisted Instruction; D020375:Education, Distance; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D017144:Focus Groups; D006801:Humans; D020407:Internet; D008297:Male; D019212:Multimedia; D009730:Nursing Assessment; D015397:Program Evaluation; D000066908:Simulation Training; D013338:Students, Nursing; D055815:Young Adult