- Title
- Designing and evaluating an interactive multimedia web-based simulation for developing nurses' competencies in acute nursing care: randomized controlled trial
- Creator
- Liaw, Sok Ying; Wong, Lai Fun; Chan, Sally Wai-Chi; Ho, Jasmine Tze Yin; Mordiffi, Siti Zubaidah; Ang, Sophia Bee Leng; Goh, Poh Sun; Ang, Emily Neo Kim
- Relation
- Journal of Medical Internet Research Vol. 17, Issue 1
- Publisher Link
- http://dx.doi.org/10.2196/jmir.3853
- Publisher
- JMIR Publications
- Resource Type
- journal article
- Date
- 2015
- Description
- Background: Web-based learning is becoming an increasingly important instructional tool in nursing education. Multimedia advancements offer the potential for creating authentic nursing activities for developing nursing competency in clinical practice. Objective: This study aims to describe the design, development, and evaluation of an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care. Methods: Authentic nursing activities were developed in a Web-based simulation using a variety of instructional strategies including animation video, multimedia instructional material, virtual patients, and online quizzes. A randomized controlled study was conducted on 67 registered nurses who were recruited from the general ward units of an acute care tertiary hospital. Following a baseline evaluation of all participants' clinical performance in a simulated clinical setting, the experimental group received 3 hours of Web-based simulation and completed a survey to evaluate their perceptions of the program. All participants were re-tested for their clinical performances using a validated tool. Results: The clinical performance posttest scores of the experimental group improved significantly (P<.001) from the pretest scores after the Web-based simulation. In addition, compared to the control group, the experimental group had significantly higher clinical performance posttest scores (P<.001) after controlling the pretest scores. The participants from the experimental group were satisfied with their learning experience and gave positive ratings for the quality of the Web-based simulation. Themes emerging from the comments about the most valuable aspects of the Web-based simulation include relevance to practice, instructional strategies, and fostering problem solving. Conclusions: Engaging in authentic nursing activities using interactive multimedia Web-based simulation can enhance nurses' competencies in acute care. Web-based simulations provide a promising educational tool in institutions where large groups of nurses need to be trained in acute nursing care and accessibility to repetitive training is essential for achieving long-term retention of clinical competency.
- Subject
- acute nursing care; authentic learning; clinical competency; deterioration; multimedia; instructional strategies; simulation; web-based simulation
- Identifier
- http://hdl.handle.net/1959.13/1334079
- Identifier
- uon:27217
- Identifier
- ISSN:1438-8871
- Rights
- © Sok Ying Liaw, Lai Fun Wong, Sally Wai-Chi Chan, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Sophia Bee Leng Ang, Poh Sun Goh, Emily Neo Kim Ang. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 12.01.2015. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
- Language
- eng
- Full Text
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