Exploring nursing students' decision-making skills whilst in a Second Life clinical simulation laboratory

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• 作者：Jacqueline  ; McCallum ;   ; ^a ;   ; ^{jacqueline.mccallum@gcal.ac.uk} ; Valerie  ; Ness¹ ;   ; ^a ;   ; ^{v.ness@gcal.ac.uk} ; Theresa  ; Price² ;   ; ^a ;   ; ^{t.price@gcal.ac.uk}
• 关键词：Simulation ; Decision-making ; Virtual learning environment ; Second Life
• 刊名：Nurse Education Today
• 出版年：2011
• 出版时间：October 2011
• 年：2011
• 卷：31
• 期：7
• 页码：699-704
• 全文大小：161 K

文摘

Summary

Aim

To explore nursing students' decision-making skills through the use of a 3D virtual environment such as Second Life.

Method

An exploratory qualitative evaluation of the students' experience of learning decision-making skills whilst in a Second Life clinical simulation laboratory. A convenience sample of five third year student nurses entered a simulated world environment where they cared for six patients over 1 h. The written communication text from the Second Life scenario was saved into a Microsoft Word document. Additionally a semi-structured tape-recorded one to one interview was conducted immediately after the Second Life simulation in order to explore the students' decision-making skills.

Results

The communication text illustrated that the majority of decisions (n = 21) were made in response to a situation or a patient request, therefore ¡®reactive?rather than proactive (n = 9). Only one student carried out a vital signs assessment on a newly admitted patient (Willie). The interviews produced two themes, performing decision-making and improving learning. The absence of ¡®visual cues?such as pre-operative checklists, vital sign observation charts and ¡®Nil by Mouth?signs may offer a rationale for why students were more reactive.

Conclusion

Further work is required for students to practice decision-making skills. With further development the innovative 3D virtual worlds such as Second Life could provide this experience.