- Title
- The effectiveness of using human patient simulation manikins in the teaching of clinical reasoning skills to undergraduate nursing students: a systematic review
- Creator
- Lapkin, Samuel
- Resource Type
- thesis
- Date
- 2009
- Description
- Bachelor Honours - Bachelor of Nursing (Honours)
- Description
- Background: Nurses with effective clinical reasoning skills have a positive impact on patient outcomes. Conversely, those with poor clinical reasoning skills often fail to detect impending patient deterioration thus compromising patient safety. Human patient simulation manikins are being used extensively both nationally and internationally in the education of health professionals. There is evidence suggesting that these types of technologies are effective in teaching psychomotor skills and student satisfaction with simulation approaches is generally high. However, the extent to which human patient simulation manikins are effective in the teaching of clinical reasoning skills to undergraduate nursing students is less clear. Objective: The aim of this systematic review was to identify the best available evidence on the effectiveness of using whole-body high-fidelity human patient simulation manikin to teach clinical reasoning skills to undergraduate nursing students. Inclusion criteria: The review included all randomised controlled trials that assessed the effectiveness of high fidelity human patient manikins in educating undergraduate nursing students. Studies that included health professionals were excluded unless data for nursing students were analysed separately. The primary outcome measure was clinical reasoning, as assessed by methods such as objective structured clinical examinations and questionnaires. Other outcome measures included student satisfaction, knowledge acquisition, and psychomotor skill performance. Search strategy: Using a systematic search strategy designed for each database, the following electronic databases were searched for the period 1999 -2009: CINAHL, Cochrane Database, Dissertation and Theses, EMBASE, ERIC, MEDLINE, Ovid database, Proquest Nursing Journals, PsycINFO. Hand searching of the reference lists of included studies and conference proceedings were undertaken to identify further studies.: Methodological validity: Two independent reviewers’ assessed the methodological quality of each study selected for retrieval prior to inclusion using the critical appraisal tool from the Joanna Briggs Institute. Data collection and synthesis: Data were extracted from studies using the standardised data extraction tool from Joanna Briggs Institute. Due to the quality of available studies, statistical pooling was not possible and the findings are therefore presented in narrative form. Results: Eight studies were selected for inclusion in this review. The results indicate that the use of human patient simulation manikins improves knowledge acquisition and enhanced students’ satisfaction with the learning. There is lack of unequivocal evidence on the effectiveness of using high-fidelity human patient simulation manikins in the teaching of clinical reasoning skills to undergraduate nursing students. Conclusion: Further research is required to ascertain the effectiveness of the use of human patient simulation manikins as an educational strategy to improve clinical reasoning skills of undergraduate nursing students. The importance of this research is underscored by the potential for patient outcomes to be improved through improved clinical reasoning skills in graduate nurses.
- Subject
- clinical reasoning; undergraduate nursing students; human patient simulation manikin; manikin; systematic review; honours
- Identifier
- http://hdl.handle.net/1959.13/916202
- Identifier
- uon:7938
- Rights
- Copyright 2009 Samuel Lapkin
- Language
- eng
- Full Text
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View Details Download | ATTACHMENT02 | Thesis | 537 KB | Adobe Acrobat PDF | View Details Download |