Situated Simulation-Based Learning Environment to Improve Proportional Reasoning in Nursing Students

被引:6
|
作者
Dubovi, Ilana [1 ,2 ]
Levy, Sharona T. [1 ]
Dagan, Efrat [2 ]
机构
[1] Univ Haifa, Dept Learning Instruct & Teacher Educ, Fac Educ, 199 Aba Khoushy Ave, Haifa, Israel
[2] Univ Haifa, Cheryl Spencer Dept Nursing, Fac Social Welf & Hlth Sci, 199 Aba Khoushy Ave, IL-3498838 Haifa, Israel
关键词
Concreteness fading; Medication calculation; Proportional reasoning; Simulations; Situated learning; DIMENSIONAL ANALYSIS; MATHEMATICS; NURSES; ANXIETY; ABILITY; SAFETY; ERRORS; SKILLS;
D O I
10.1007/s10763-017-9842-2
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Proportional reasoning is the basis for most medication calculation processes and is fundamental for high-quality care and patient safety. We designed a simulated Medication Mathematics (siMMath) environment to support proportional reasoning in transitioning via concreteness fading between two mediators. The first mediator is simulated nursing tools of medication preparation. The second is a ratio-table setup which is used as a goal representation, which enables one to spatially hold in place different quantities in their relative proportion. We conducted a two-part study with nursing students. Part 1 was a quasi-experimental pretest-intervention-posttest design assessing the effectiveness of learning, by evaluating four categories of medical calculation questionnaire items (solid medications, unit conversion, concentrations, infusion rates). We used the Noelting proportional reasoning test to evaluate the generalizability and abstraction of proportional reasoning. Part 1 included an experimental group (n=96) learning with siMMath, and a comparison group (n=73) learning with an equation-based lecture approach. Part 2 employed a case study design to characterize the learning process. The experimental group's learning gains were significantly higher than the comparison group's for the two most challenging categories of the medication calculation problems questionnaire, namely concentrations and infusion rates. Furthermore, the experimental group's learning gains were significantly higher than the comparison group's for formal operational reasoning on the Noelting test. Students who used a ratio-table setup scored significantly higher on the Noelting posttest questionnaire. Nursing students who learned with the siMMath environment overcame difficulties in proportional reasoning to the highest levels and extended this understanding to other contexts.
引用
收藏
页码:1521 / 1539
页数:19
相关论文
共 50 条
  • [31] Turning nursing students' mistakes into resources for learning in simulation-based training: facilitators' assumptions about providing feedback in debriefing
    Lervik, Wenche
    Solberg, Mads
    Wiig, Astrid Camilla
    Berg, Helen
    BMC MEDICAL EDUCATION, 2025, 25 (01)
  • [32] The affective component of learning in simulation-based education - facilitators' strategies to establish psychological safety and accommodate nursing students' emotions
    Madsgaard, Anine
    Roykenes, Kari
    Smith-Strom, Hilde
    Kvernenes, Monika
    BMC NURSING, 2022, 21 (01)
  • [33] Use of interprofessional simulation-based learning to develop perioperative nursing students' self-efficacy in responding to acute situations
    Kaldheim, Hege Kristin Aslaksen
    Fossum, Mariann
    Munday, Judy
    Creutzfeldt, Johan
    Slettebo, Ashild
    INTERNATIONAL JOURNAL OF EDUCATIONAL RESEARCH, 2021, 109
  • [34] Creating a Situated Learning Environment in the Classroom for Final Year IT Students
    Leveaux, Rene
    Sixsmith, Alan
    Gallagher, Sandra
    VISION 2020: INNOVATION MANAGEMENT, DEVELOPMENT SUSTAINABILITY, AND COMPETITIVE ECONOMIC GROWTH, 2016, VOLS I - VII, 2016, : 4540 - +
  • [35] The Future of Simulation-Based Learning in Acute Pediatric Nursing Education: A Conceptual Review
    Holmes, Kariane
    CLINICAL SIMULATION IN NURSING, 2024, 87
  • [36] EFFECTS OF A BLENDED LEARNING MODEL INTEGRATING SITUATED MULTIMEDIA LESSONS AND COGNITIVE APPRENTICESHIP METHOD ON THE CLINICAL REASONING SKILLS OF NURSING STUDENTS
    Sadhuwong, Kittima
    Koraneekij, Prakob
    Natakuatoong, Onjaree
    JOURNAL OF HEALTH RESEARCH, 2016, 30 (06) : 421 - 431
  • [37] A Dual-Method Examination of Nursing Students' Teamwork in Simulation-Based Learning: Combining CORDTRA and Ordered Network Analysis to Reveal Patterns and Dynamics Dual-Method Insights into Nursing Students' Teamwork in Simulation Learning
    Shah, Mamta
    Tan, Yuanru
    Eagan, Brendan
    Chabalowski, Brittny
    Chen, Yahan
    FIFTEENTH INTERNATIONAL CONFERENCE ON LEARNING ANALYTICS & KNOWLEDGE, LAK 2025, 2025, : 858 - 864
  • [38] Multidimensional Evaluation of Simulation-Based Course to Enhance Prelicensure Nursing Students' Clinical Skills
    Ochylski, Daniel
    Aebersold, Michelle
    Kuebric, Mary Beth
    NURSE EDUCATOR, 2017, 42 (06) : 313 - 315
  • [39] Cortisol as a Predictor of Simulation-Based Educational Outcomes in Senior Nursing Students: A Pilot Study
    Lee, Hyejung
    Park, Jeongok
    Kim, Sue
    Han, Jihee
    CLINICAL SIMULATION IN NURSING, 2016, 12 (02) : 44 - 48
  • [40] Analysis of proportional reasoning and misconceptions among students with mathematical learning disabilities
    Im, Soo-hyun
    Jitendra, Asha K.
    JOURNAL OF MATHEMATICAL BEHAVIOR, 2020, 57