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Case-Based Learning and Simulation: Useful Tools to Enhance Nurses' Education? Nonrandomized Controlled Trial

Purpose To compare skills acquired by undergraduate nursing students enrolled in a medical‐surgical course. To compare skills demonstrated by students with no previous clinical practice (undergraduates) and nurses with clinical experience enrolled in continuing professional education (CPE). Design I...

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Published in:Journal of nursing scholarship 2015-01, Vol.47 (1), p.34-42
Main Authors: Raurell-Torredà, Marta, Olivet-Pujol, Josep, Romero-Collado, Àngel, Malagon-Aguilera, Maria Carmen, Patiño-Masó, Josefina, Baltasar-Bagué, Alícia
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cited_by cdi_FETCH-LOGICAL-c4573-60c3692c15547b83c867d7ebc84b14e486ff0ee87bdcda83d8d296bca12f37963
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container_end_page 42
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container_start_page 34
container_title Journal of nursing scholarship
container_volume 47
creator Raurell-Torredà, Marta
Olivet-Pujol, Josep
Romero-Collado, Àngel
Malagon-Aguilera, Maria Carmen
Patiño-Masó, Josefina
Baltasar-Bagué, Alícia
description Purpose To compare skills acquired by undergraduate nursing students enrolled in a medical‐surgical course. To compare skills demonstrated by students with no previous clinical practice (undergraduates) and nurses with clinical experience enrolled in continuing professional education (CPE). Design In a nonrandomized clinical trial, 101 undergraduates enrolled in the “Adult Patients 1” course were assigned to the traditional lecture and discussion (n = 66) or lecture and discussion plus case‐based learning (n = 35) arm of the study; 59 CPE nurses constituted a comparison group to assess the effects of previous clinical experience on learning outcomes. Methods Scores on an objective structured clinical examination (OSCE), using a human patient simulator and cases validated by the National League for Nursing, were compared for the undergraduate control and intervention groups, and for CPE nurses (Student's t test). Findings Controls scored lower than the intervention group on patient assessment (6.3 ± 2.3 vs 7.5 ± 1.4, p = .04, mean difference, ‐1.2 [95% confidence interval (CI) ‐2.4 to ‐0.03]) but the intervention group did not differ from CPE nurses (7.5 ± 1.4 vs 8.8 ± 1.5, p = .06, mean difference, ‐1.3 [95% CI ‐2.6 to 0.04]). The CPE nurses committed more “rules‐based errors” than did undergraduates, specifically patient identifications (77.2% vs 55%, p = .7) and checking allergies before administering medication (68.2% vs 60%, p = .1). Conclusions The intervention group developed better patient assessment skills than the control group. Case‐based learning helps to standardize the process, which can contribute to quality and consistency in practice: It is essential to correctly identify a problem in order to treat it. Clinical experience of CPE nurses was not associated with better adherence to safety protocols. Clinical Relevance Case‐based learning improves the patient assessment skills of undergraduate nursing students, thereby preparing them for clinical practice.
doi_str_mv 10.1111/jnu.12113
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Nonrandomized Controlled Trial</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Social Science Premium Collection</source><source>Wiley-Blackwell Read &amp; Publish Collection</source><source>Sociology Collection</source><creator>Raurell-Torredà, Marta ; Olivet-Pujol, Josep ; Romero-Collado, Àngel ; Malagon-Aguilera, Maria Carmen ; Patiño-Masó, Josefina ; Baltasar-Bagué, Alícia</creator><creatorcontrib>Raurell-Torredà, Marta ; Olivet-Pujol, Josep ; Romero-Collado, Àngel ; Malagon-Aguilera, Maria Carmen ; Patiño-Masó, Josefina ; Baltasar-Bagué, Alícia</creatorcontrib><description>Purpose To compare skills acquired by undergraduate nursing students enrolled in a medical‐surgical course. To compare skills demonstrated by students with no previous clinical practice (undergraduates) and nurses with clinical experience enrolled in continuing professional education (CPE). Design In a nonrandomized clinical trial, 101 undergraduates enrolled in the “Adult Patients 1” course were assigned to the traditional lecture and discussion (n = 66) or lecture and discussion plus case‐based learning (n = 35) arm of the study; 59 CPE nurses constituted a comparison group to assess the effects of previous clinical experience on learning outcomes. Methods Scores on an objective structured clinical examination (OSCE), using a human patient simulator and cases validated by the National League for Nursing, were compared for the undergraduate control and intervention groups, and for CPE nurses (Student's t test). Findings Controls scored lower than the intervention group on patient assessment (6.3 ± 2.3 vs 7.5 ± 1.4, p = .04, mean difference, ‐1.2 [95% confidence interval (CI) ‐2.4 to ‐0.03]) but the intervention group did not differ from CPE nurses (7.5 ± 1.4 vs 8.8 ± 1.5, p = .06, mean difference, ‐1.3 [95% CI ‐2.6 to 0.04]). The CPE nurses committed more “rules‐based errors” than did undergraduates, specifically patient identifications (77.2% vs 55%, p = .7) and checking allergies before administering medication (68.2% vs 60%, p = .1). Conclusions The intervention group developed better patient assessment skills than the control group. Case‐based learning helps to standardize the process, which can contribute to quality and consistency in practice: It is essential to correctly identify a problem in order to treat it. Clinical experience of CPE nurses was not associated with better adherence to safety protocols. Clinical Relevance Case‐based learning improves the patient assessment skills of undergraduate nursing students, thereby preparing them for clinical practice.</description><identifier>ISSN: 1527-6546</identifier><identifier>EISSN: 1547-5069</identifier><identifier>DOI: 10.1111/jnu.12113</identifier><identifier>PMID: 25346329</identifier><identifier>CODEN: IMNSEP</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Assessment ; case method ; case study ; case-based learning ; Clinical Competence ; Education, Nursing, Baccalaureate - methods ; Education, Nursing, Continuing ; Educational Measurement - statistics &amp; numerical data ; Female ; Humans ; Male ; nontechnical skills ; nurse education ; Nursing ; Nursing Assessment ; Nursing Education Research ; Nursing Evaluation Research ; Nursing Methodology Research ; Nursing Staff - education ; Nursing Staff - statistics &amp; numerical data ; nursing students ; objective structured clinical examination ; Patient Simulation ; Perioperative Nursing - education ; Problem-Based Learning ; simulation ; Students, Nursing - psychology ; Students, Nursing - statistics &amp; numerical data ; Young Adult</subject><ispartof>Journal of nursing scholarship, 2015-01, Vol.47 (1), p.34-42</ispartof><rights>2014 Sigma Theta Tau International</rights><rights>2014 Sigma Theta Tau International.</rights><rights>Copyright Blackwell Publishing Ltd. 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Nonrandomized Controlled Trial</title><title>Journal of nursing scholarship</title><addtitle>Journal of Nursing Scholarship</addtitle><description>Purpose To compare skills acquired by undergraduate nursing students enrolled in a medical‐surgical course. To compare skills demonstrated by students with no previous clinical practice (undergraduates) and nurses with clinical experience enrolled in continuing professional education (CPE). Design In a nonrandomized clinical trial, 101 undergraduates enrolled in the “Adult Patients 1” course were assigned to the traditional lecture and discussion (n = 66) or lecture and discussion plus case‐based learning (n = 35) arm of the study; 59 CPE nurses constituted a comparison group to assess the effects of previous clinical experience on learning outcomes. Methods Scores on an objective structured clinical examination (OSCE), using a human patient simulator and cases validated by the National League for Nursing, were compared for the undergraduate control and intervention groups, and for CPE nurses (Student's t test). Findings Controls scored lower than the intervention group on patient assessment (6.3 ± 2.3 vs 7.5 ± 1.4, p = .04, mean difference, ‐1.2 [95% confidence interval (CI) ‐2.4 to ‐0.03]) but the intervention group did not differ from CPE nurses (7.5 ± 1.4 vs 8.8 ± 1.5, p = .06, mean difference, ‐1.3 [95% CI ‐2.6 to 0.04]). The CPE nurses committed more “rules‐based errors” than did undergraduates, specifically patient identifications (77.2% vs 55%, p = .7) and checking allergies before administering medication (68.2% vs 60%, p = .1). Conclusions The intervention group developed better patient assessment skills than the control group. Case‐based learning helps to standardize the process, which can contribute to quality and consistency in practice: It is essential to correctly identify a problem in order to treat it. Clinical experience of CPE nurses was not associated with better adherence to safety protocols. 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The CPE nurses committed more “rules‐based errors” than did undergraduates, specifically patient identifications (77.2% vs 55%, p = .7) and checking allergies before administering medication (68.2% vs 60%, p = .1). Conclusions The intervention group developed better patient assessment skills than the control group. Case‐based learning helps to standardize the process, which can contribute to quality and consistency in practice: It is essential to correctly identify a problem in order to treat it. Clinical experience of CPE nurses was not associated with better adherence to safety protocols. Clinical Relevance Case‐based learning improves the patient assessment skills of undergraduate nursing students, thereby preparing them for clinical practice.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>25346329</pmid><doi>10.1111/jnu.12113</doi><tpages>9</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection; Wiley-Blackwell Read & Publish Collection; Sociology Collection
subjects Adult
Assessment
case method
case study
case-based learning
Clinical Competence
Education, Nursing, Baccalaureate - methods
Education, Nursing, Continuing
Educational Measurement - statistics & numerical data
Female
Humans
Male
nontechnical skills
nurse education
Nursing
Nursing Assessment
Nursing Education Research
Nursing Evaluation Research
Nursing Methodology Research
Nursing Staff - education
Nursing Staff - statistics & numerical data
nursing students
objective structured clinical examination
Patient Simulation
Perioperative Nursing - education
Problem-Based Learning
simulation
Students, Nursing - psychology
Students, Nursing - statistics & numerical data
Young Adult
title Case-Based Learning and Simulation: Useful Tools to Enhance Nurses' Education? Nonrandomized Controlled Trial
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