A New Strategy In Nursing Education: From Hybrid Simulation To Clinical Practice

Background: Variousinstructional methods and environments are used in nursing education to develop students’ psychomotor and communication skills, reduce their anxiety levels,and enhance their satisfaction. Objectives:To examine the effect of three different instructional environments on the development of thestudents' psychomotor and communication skill sand their levels of anxiety and satisfaction. Design: A prospective study design was used. Methods: The sample of the study consisted of 60 nursing students. Before the implementation of the study, the students' cognitive skills and trait anxiety levels were evaluated. The students were divided into five groups and five nursing activities (Leopold’s maneuvers, teaching breastfeeding, family planning education, teaching vulvar self-examination and teaching breast self-examination) were specified for each group. They implemented these nursing activities under the supervision of a faculty member in the nursing skills laboratory, standardized patient laboratory and clinical practice environment respectively. Results: The median scores for psychomotor skills [Nursing Skills Laboratory=73.1; Standardized Patient Laboratory=81.5; Clinical Practice Environment=88.6] and communication skills [Nursing Skills Laboratory=64.9; it was determined that the students' anxiety levels decreased as they were practicing incrementally [Nursing Skills Laboratory=33.0; Standardized Patient. Conclusions: Students who deliberately practice in the instructional environments until they are competent develop their psychomotor skills while reducing their anxiety levels, and enhancing their communication skills and satisfaction. For that reason, the development of students' competency areas is thought to be effective for the enhancement of patients and healthcare workers’ safety

Author(s): Füsun TerzioÄ?lu

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