title: Computer and laboratory simulation in the teaching of neonatal nursing: innovation and impact on learning.
abstract: to evaluate the cognitive learning of nursing students in neonatal clinical evaluation from a blended course with the use of computer and laboratory simulation; to compare the cognitive learning of students in a control and experimental group testing the laboratory simulation; and to assess the extracurricular blended course offered on the clinical assessment of preterm infants, according to the students.
  
  
  
  a quasi-experimental study with 14 Portuguese students, containing pretest, midterm test and post-test. The technologies offered in the course were serious game e-Baby, instructional software of semiology and semiotechnique, and laboratory simulation. Data collection tools developed for this study were used for the course evaluation and characterization of the students. Nonparametric statistics were used: Mann-Whitney and Wilcoxon.
  
  
  
  the use of validated digital technologies and laboratory simulation demonstrated a statistically significant difference (p = 0.001) in the learning of the participants. The course was evaluated as very satisfactory for them. The laboratory simulation alone did not represent a significant difference in the learning.
  
  
  
  the cognitive learning of participants increased significantly. The use of technology can be partly responsible for the course success, showing it to be an important teaching tool for innovation and motivation of learning in healthcare.
authors.affiliation: PhD, Professor Associado, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Brazil.
authors.forename: Luciana Mara Monti
authors.initials: LM
authors.lastname: Fonseca
authors.affiliation: MSc, Doutoranda, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem, Brazil.
authors.forename: Natália Del' Angelo
authors.initials: ND
authors.lastname: Aredes
authors.affiliation: PhD, Professor, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: Ananda Maria
authors.initials: AM
authors.lastname: Fernandes
authors.affiliation: PhD, Professor, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: Luís Manuel da Cunha
authors.initials: LM
authors.lastname: Batalha
authors.affiliation: PhD, Professor, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: Jorge Manuel Amado
authors.initials: JM
authors.lastname: Apóstolo
authors.affiliation: PhD, Adjunct Professor, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: José Carlos Amado
authors.initials: JC
authors.lastname: Martins
authors.affiliation: PhD, Full Professor, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
authors.forename: Manuel Alves
authors.initials: MA
authors.lastname: Rodrigues
mesh_terms: D000328:Adult; D003198:Computer Simulation; D004506:Education, Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017283:Neonatal Nursing / Q000193:education*; D000066908:Simulation Training; D055815:Young Adult